ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
Correct Answer: D
Rationale: Methadone hydrochloride is not indicated for the management of alcohol intoxication or withdrawal. It is primarily used for opioid addiction treatment. While monitoring for orthostatic hypotension is important in clients with alcohol use disorder, implementing seizure precautions is a higher priority because alcohol withdrawal can lead to seizures. Acidifying the client's urine is not indicated in the care of an intoxicated client with alcohol use disorder. Implementing seizure precautions is essential in clients with alcohol use disorder who are at risk for alcohol withdrawal syndrome, which can include seizures as a potential complication.
Question 2 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Provide written information about the client's treatment plan. This is important for a client with paranoid personality disorder as it helps establish trust through transparency and consistency. Providing written information ensures clarity and minimizes misunderstandings that may trigger paranoia.
Choice B is incorrect as encouraging countertransference can jeopardize the therapeutic relationship.
Choice C is incorrect as splitting behaviors are not typically associated with paranoid personality disorder.
Choice D is incorrect as isolating the client can exacerbate feelings of suspicion and mistrust.
Question 3 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Request that the client's guardian sign the consent. In cases where a client has been declared legally incompetent, a guardian is legally responsible for making decisions on their behalf. This ensures that the client's best interests are considered and that the consent is valid. Asking the guardian to sign the consent is the appropriate action to take in this situation.
A: Explaining implied consent to the client's family is not sufficient as the client's legal guardian should be involved in decision-making for an incompetent client.
B: Asking the charge nurse to obtain informed consent may not be appropriate as the client's guardian should be the one making the decision.
C: While contacting the facility social worker may be helpful, it is ultimately the guardian's responsibility to provide consent for the incompetent client.
D: Requesting the client's guardian to sign the consent is the correct course of action in this scenario.
Question 4 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Encourage physical activity for the client during the day. Physical activity has been proven to improve mood and reduce symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can also help regulate sleep patterns, improve self-esteem, and provide a sense of accomplishment. It is an evidence-based intervention for major depressive disorder.
Other choices are incorrect:
B: While alternative group activities can be beneficial, physical activity specifically has a direct impact on improving depression symptoms.
C: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening the depressive symptoms.
D: Keeping a bright light on at night may disrupt the client's sleep patterns and is not a standard intervention for major depressive disorder.
Question 5 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: D
Rationale: The correct answer is D: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. It acts on the central nervous system to produce a calming effect. Buprenorphine (
A) is used for opioid dependence, not alcohol withdrawal. Bupropion (
B) is an antidepressant and smoking cessation aid. Disulfiram (
C) is used as a deterrent to alcohol consumption by causing unpleasant effects when alcohol is consumed.