ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Dilated pupils. Cocaine intoxication typically causes dilated pupils due to its stimulant effects on the nervous system, leading to increased release of certain neurotransmitters. Nystagmus (
A) is more commonly associated with alcohol intoxication. Hypersomnia (
C) refers to excessive daytime sleepiness, which is not a typical finding in cocaine intoxication. Depression (
D) may be a psychological symptom associated with cocaine use but is not a physical finding of intoxication.
Question 2 of 5
A nurse in a mental health facility is preparing to interview a client who has schizophrenia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Start the interview with a question the client can answer with “yes” or "no." This approach is appropriate for clients with schizophrenia as it allows for easier engagement and communication. By starting with closed-ended questions, the nurse can establish rapport, build trust, and help the client feel comfortable. Options A and D may be too intimidating or intrusive for a client with schizophrenia. Option B, placing the client in a higher chair, may create a power dynamic that could be perceived negatively. Options E, F, and G are not provided, but based on the context, they would likely not be appropriate for engaging with a client with schizophrenia.
Question 3 of 5
A nurse on a mental health unit is caring for clients who have various depressive disorders. The nurse should identify which of the following client diagnoses as presenting the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. This diagnosis presents the greatest risk for suicide due to the severity and intensity of depressive symptoms, including pervasive feelings of hopelessness, worthlessness, and suicidal ideation. Clients with major depressive disorder often experience significant impairment in daily functioning, making them more vulnerable to suicidal behavior. Other choices like premenstrual dysphoric disorder (
A), seasonal affective disorder (
B), and persistent depressive disorder (
D) may also have depressive symptoms but are generally less severe and do not typically carry the same level of suicide risk as major depressive disorder.
Question 4 of 5
A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Redirecting the client to their correct room is the least restrictive intervention while ensuring safety.
Question 5 of 5
A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct manifestations to include are A (Seizures), B (Illusions), and C (Tremors). Seizures commonly occur during alcohol withdrawal due to central nervous system hyperexcitability. Illusions are perceptual distortions that can occur as a result of alcohol withdrawal. Tremors are a common physical symptom of alcohol withdrawal, often seen in the hands.
Choice D (Polyphagia) refers to excessive hunger, which is not typically associated with alcohol withdrawal.
Choice E (Nystagmus) is an involuntary eye movement that is not a common manifestation of alcohol withdrawal. The key is to focus on symptoms directly related to alcohol withdrawal to provide accurate teaching to the client.