ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Refer the client to a self-help group. This recommendation is crucial as self-help groups, such as Alcoholics Anonymous, provide ongoing support, encouragement, and a sense of community for individuals with alcohol use disorder. These groups offer a structured program that focuses on abstinence and recovery, which can significantly enhance the client's chances of maintaining sobriety post-discharge.
Other choices are incorrect:
A: Contacting a close relative may not always be appropriate or effective in supporting the client's recovery.
B: Buprenorphine is typically used for opioid dependence, not alcohol use disorder.
C: Systematic desensitization is a technique used in behavioral therapy for phobias and anxiety disorders, not specifically for alcohol use disorder.
Question 2 of 5
A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack?
Correct Answer: D
Rationale:
Correct
Answer: D. Administer a dose of alprazolam to the client.
Rationale: Alprazolam is a benzodiazepine commonly used to manage acute panic attacks due to its fast-acting anxiolytic properties. It helps to quickly reduce the intensity of symptoms such as palpitations, sweating, and trembling, providing relief to the client. The nurse should administer alprazolam as prescribed by the healthcare provider to help the client manage the acute panic attack effectively and regain a sense of calmness.
Summary of Incorrect
Choices:
A: Administering atomoxetine is not appropriate for managing acute panic attacks as it is a selective norepinephrine reuptake inhibitor used for ADHD, not for immediate relief of anxiety symptoms.
B: Encouraging the client to describe feelings in a journal may be beneficial for long-term therapy but is not helpful during an acute panic attack when immediate intervention is needed.
C: Watching television as a distraction may
Question 3 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B. The client stating that he is unable to eat more than once a day is the priority finding because it indicates potential malnutrition and poor physical health due to grief. This is a critical concern that needs immediate attention to prevent further health complications.
Choice A focuses on guilt, which is important but not immediate.
Choices C and D involve emotional distress but do not address the client's physical well-being.
Therefore, they are not the priority at this time.
Question 4 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: D
Rationale: The correct answer is D: Inform the client that they have the legal right to refuse treatment at any time. This is the most appropriate action because it respects the client's autonomy and right to make decisions about their own healthcare. By informing the client of their legal rights, the nurse empowers the client to make an informed choice regarding the procedure.
Choice A is incorrect because it disregards the client's wishes and autonomy.
Choice B is unnecessary as the nurse can handle the situation appropriately.
Choice C is incorrect as consent should come directly from the client unless they are unable to provide it themselves.
Question 5 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Recent head injury. This assessment finding should be reported to the provider because bupropion is contraindicated in individuals with a history of seizures or head trauma due to the increased risk of seizures as a side effect. Reporting this finding ensures patient safety.
Incorrect choices:
A: Hepatitis B infection - This is not a contraindication for bupropion use in smoking cessation.
B: Knee arthroplasty 1 month ago - This is not directly relevant to the safety of prescribing bupropion.
D: Hypothyroidism - This is not a contraindication for bupropion use in smoking cessation.
In summary, recent head injury poses a risk for seizures with bupropion use, making it important to report this finding to the provider. Hepatitis B infection, knee arthroplasty, and hypothyroidism do not impact the safety of bupropion use for smoking cessation.