ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is making plans for a client’s discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?
Correct Answer: B
Rationale: The correct answer is B: Social worker. A social worker is the best interdisciplinary team member to assist with housing placement as they are trained in assessing clients' social needs, including housing. They can connect the client with appropriate resources and support services. The clinical nurse specialist (
A) focuses on clinical care, not social needs. The occupational therapist (
C) helps with daily living skills, not housing placement. The recreational therapist (
D) focuses on recreational activities, not housing.
Question 2 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document the client's behavior every 15 minutes. This is crucial to monitor the client's response to seclusion, assess for any changes in behavior, and ensure the client's safety. Offering food and fluids (choice
A) may not be appropriate during seclusion due to safety concerns. Vital signs monitoring (choice
B) is important but may not be as immediate as documenting behavior. Obtaining the provider's prescription (choice
D) is important but not as immediate as continuous monitoring of behavior.
Question 3 of 5
A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: B
Rationale: The correct answer is B: St. John's wort. St. John's wort is known to interact adversely with fluoxetine, leading to serotonin syndrome due to additive serotonin effects. St. John's wort should not be taken with SSRIs like fluoxetine. Echinacea (
A), Ginkgo biloba (
C), and soy protein (
D) do not have established adverse interactions with fluoxetine.
Question 4 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remain with the client for 1 hr after meals. This is important for clients with binge eating disorder to prevent purging behaviors. The nurse's presence can provide support, prevent isolation, and discourage negative behaviors. Weighing the client every other day (
B) can trigger anxiety and exacerbate the disorder. Offering snacks when the client is hungry (
C) may not address the underlying issues of binge eating. Planning a menu with the client (
D) may not be effective without addressing the immediate post-meal period.
Question 5 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The correct answer is C: Displacement. Displacement is a defense mechanism where one redirects their negative emotions or impulses from the original source to a less threatening target. In this scenario, the client is displacing his anger from his partner onto the nurse by becoming angry and telling her to leave. This behavior helps him avoid facing the real issue with his partner. Denial (
A) involves refusing to acknowledge reality, Compensation (
B) is overemphasizing a trait to offset a perceived weakness, and Rationalization (
D) is providing logical reasoning to justify unacceptable behavior.