ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Implement seizure precautions. Alcohol withdrawal can lead to seizures, so seizure precautions are crucial for safety. Monitoring for orthostatic hypotension (
B) is important but not the priority. Administering methadone hydrochloride (
C) is not indicated for alcohol withdrawal. Acidifying the client's urine (
D) is not relevant to the situation.
Question 2 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: The correct answer is B: The client remains in control of their actions. This indicates that the client is no longer a danger to themselves or others and can be safely removed from restraints. Apologizing (
A) does not necessarily indicate safety. Asking to be released (
C) may not reflect improved behavior. Signing a contract (
D) does not ensure current safety.
Question 3 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: B
Rationale: The correct answer is B: Evaluate progress toward predetermined goals. During the working phase of a therapeutic relationship, the nurse assesses the client's progress towards the goals set during the initial phase. This step is crucial in determining the effectiveness of the interventions and making adjustments as needed. Informing the client about confidentiality rights (choice
A) is important in the orientation phase. Establishing boundaries (choice
C) is relevant in the introductory phase. Setting short- and long-term objectives (choice
D) is typically done in the initial phase.
Question 4 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: A
Rationale: The correct answer is A because the client's statement indicates a conflict between their spiritual practice (daily meditation time) and their therapy schedule, leading to potential spiritual distress. This conflict may disrupt the client's spiritual well-being.
B is incorrect as the increased visits from the spiritual advisor suggest support rather than distress. C indicates the client finds comfort in meditation, not distress. D shows that the client's faith provides hope, which is a positive aspect of their spiritual beliefs.
Question 5 of 5
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Offer hydration and nutrition to the client every 2 hours. This is essential to ensure the client's basic physiological needs are met while in restraints. Hydration and nutrition are vital for the client's well-being and overall health. Offering these every 2 hours helps prevent dehydration and malnutrition. Checking on the client every 30 minutes (Option
A) is important, but providing hydration and nutrition takes precedence. Assessing the client's need for toileting every 15 minutes (Option
B) may not be necessary unless there are specific concerns. Asking the provider to renew the prescription every 8 hours (Option
C) is not directly related to the client's immediate care needs.