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: Implementing seizure precautions is critical for a client with alcohol use disorder admitted while intoxicated. Alcohol withdrawal can lead to seizures, a life-threatening risk, requiring a safe environment and emergency readiness. Orthostatic hypotension monitoring is useful but secondary; methadone is for opioid withdrawal, not alcohol; and acidifying urine is irrelevant to alcohol management.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Informing the client of their legal right to refuse treatment respects autonomy and empowers informed decision-making, addressing anxiety-related concerns. Encouragement may feel coercive, family consent is inappropriate unless the client is incompetent, and another nurse’s review doesn’t override refusal rights.
Question 3 of 5
A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Excessive sleep or a significant change in sleep patterns can be an indicator of a relapse in schizophrenia. Schizophrenia can disrupt the regular sleep-wake cycle, leading to either insomnia or hypersomnia. When a client begins sleeping more than usual, it may suggest a worsening of symptoms or an impending relapse. This is a critical sign for the family to monitor, as opposed to concentration issues (which are common but less specific), an inflated sense of self (more tied to mania or grandiose delusions not typical of schizophrenia relapse), or increased social activity (which is generally positive and not a relapse sign).
Extract:
Nurses’ Notes
1100: Client is alert and oriented x 4. The client exhibits positive self-esteem. No negativity noted during conversation. Preparing client for discharge to partial-hospitalization program.
1230: Client requests a smoked turkey club sandwich for lunch. Education regarding medications provided.
Medical History
Client has a history of major depressive disorder.
Medication Administration Record
Selegiline 5 mg PO twice daily
Question 4 of 5
A nurse is caring for a client on an acute care mental health unit. Exhibits:The nurse is providing discharge education to the client about their medication. Drag 1 condition and 1 client finding to fill in each blank in the following sentence.When educating the client about their medication, the nurse should teach the client that there is a risk for ___ due to ___.
Correct Answer: A,B
Rationale: Selegiline (MAOI) risks hypertensive crisis with tyramine-rich foods (e.g., smoked meats), causing dangerous BP spikes.
Extract:
Question 5 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: Restlessness is a common anxiety symptom due to heightened arousal, unlike improved concentration, increased appetite, or lethargy, which are not typical and may indicate other conditions.