ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Cocaine is a stimulant drug that causes vasoconstriction and increases heart rate, leading to elevated blood pressure. This is due to the release of catecholamines like norepinephrine. Cocaine does not typically cause hypothermia or bradycardia. Hypothermia is more commonly associated with sedative overdose, and bradycardia is not a typical effect of stimulant drugs like cocaine.
Therefore, in a client who has recently used cocaine, the nurse should expect hypertension as a common clinical manifestation.
Question 2 of 5
A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, 'I no longer want to have the treatment.' Which of the following statements would be an appropriate response from the nurse?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. Respect for autonomy: Clients have the right to make decisions about their own treatment.
2. Advocacy: The nurse should communicate the client's decision to the provider.
3. Ethical principle: Upholding the client's right to refuse treatment is crucial in maintaining trust and promoting autonomy.
Summary:
A: Incorrect. Involuntary admission does not negate the client's right to refuse treatment.
B: Incorrect. Focusing on potential benefits disregards the client's autonomy.
D: Incorrect. Administering medication without addressing the client's refusal is unethical.
Question 3 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 4 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: C
Rationale: The correct answer is C. A client with bipolar disorder exhibiting poor impulse control poses a safety risk due to potential impulsive behaviors like self-harm or harm to others. Updating the plan of care to address impulse control can prevent crises. Clients in options A, B, and D also have significant needs, but they do not pose an immediate safety risk like poor impulse control. Option A's fear of gaining weight may need intervention, but it does not directly threaten safety. Option B's tangential associations may indicate a need for medication adjustment but do not pose an imminent safety risk. Option D's memory issues in Alzheimer's may require support but do not directly impact safety.
Question 5 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.