ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: The correct answer is A: Establish confidentiality guidelines with the client. This is the first action the nurse should take to build trust and establish a therapeutic relationship. Confidentiality is crucial in mental health care to ensure clients feel safe sharing personal information. Sharing information about the disorder (choice
B) may be important but should come after confidentiality is established. Assisting the client with coping strategies (choice
C) and helping them make behavioral changes (choice
D) are interventions that can be implemented once a trusting relationship is in place.
Question 2 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We are concerned about you and need to keep you safe." This response demonstrates empathy, acknowledges the client's feelings, and prioritizes safety. It conveys the nurse's duty to ensure the client's well-being and addresses the client's demand for privacy without compromising safety.
A: Offering a contract may not be effective in preventing harm, as suicidal ideation is a serious issue that requires continuous monitoring.
B: While medication levels are important, constant observation is necessary in this situation to prevent any potential harm.
C: Submitting the request to the provider may delay necessary intervention and compromise the client's safety.
E, F, G: No information provided.
Question 3 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: B
Rationale: The correct answer is B: Geriatric Depression Scale. This test is essential for screening older adults as depression is common but often overlooked in this population. The Geriatric Depression Scale helps detect symptoms of depression, which can significantly impact the overall health and well-being of older adults. The other choices are not appropriate for screening active older adults. A: CAGE Questionnaire is used for alcohol abuse screening, not depression. C: Denver Developmental Screening Test is for children, not older adults. D: Pain Assessment in Advanced Dementia Scale is specific to assessing pain in dementia patients, not active older adults.
Therefore, the Geriatric Depression Scale is the most relevant choice for screening active older adult clients in a community clinic.
Question 4 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: B
Rationale: The correct answer is B: Chlordiazepoxide. During acute alcohol withdrawal, chlordiazepoxide, a benzodiazepine, is commonly prescribed to manage symptoms such as anxiety, tremors, and seizures by acting on GABA receptors to reduce CNS excitability. Disulfiram (
A) is used for alcohol aversion therapy and can cause a severe adverse reaction if alcohol is consumed. Buprenorphine (
C) is used for opioid addiction, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.
Question 5 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "It must be difficult for you to feel this way after losing your partner." This response validates the partner's feelings without dismissing or minimizing them. It acknowledges the partner's struggle with guilt and offers empathy and understanding. It recognizes the complexity of grief and allows the partner to express their emotions.
Incorrect responses:
A: This response jumps to a solution without acknowledging the partner's emotions first.
B: This response shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the partner.
D: This response dismisses the partner's feelings and may come across as invalidating.