ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if the medication is causing adverse effects. This is the most appropriate action to improve medication adherence because it addresses a potential barrier to taking the medication regularly. By inquiring about adverse effects, the nurse can assess if the client is experiencing any side effects that may be impacting their ability or willingness to take the medication. By identifying and addressing these issues, the nurse can work with the client to find solutions or alternatives to improve adherence.
Other choices are incorrect:
A: Threatening admission to an inpatient care facility is coercive and not a respectful or effective approach to improving adherence.
B: Discussing provider goals may not directly address the client's challenges with medication adherence.
D: Requesting a second medication without addressing the underlying issues may not solve the problem and can lead to further complications.
Question 2 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: A
Rationale: The correct answer is A: Chlordiazepoxide. This medication is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. It acts as a central nervous system depressant, helping to alleviate withdrawal symptoms. Bupropion (choice
B) is primarily used for smoking cessation and depression, not alcohol withdrawal. Disulfiram (choice
C) is used to deter alcohol consumption by causing unpleasant effects if alcohol is consumed. Buprenorphine (choice
D) is used for opioid addiction treatment, not alcohol withdrawal.
Question 3 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Allow the client unlimited time for the grieving process. This option acknowledges the client's emotional needs and respects their autonomy in dealing with the terminal cancer diagnosis. It is essential for the nurse to provide emotional support and create a safe space for the client to express their feelings without rushing them. Offering unsolicited advice (
A) may not be helpful as the client's treatment choices are personal and may not be the priority at this time. Discouraging the client from forming new relationships (
B) is inappropriate as social connections can provide comfort during difficult times. Changing the subject when the client becomes upset (
D) can invalidate their emotions and hinder the therapeutic relationship.
Question 4 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. A client with PTSD often holds persistent negative beliefs about themselves (
A) due to the trauma experienced. Difficulty falling or staying asleep (
D) is a common symptom of PTSD, as the client may experience nightmares or intrusive thoughts. Difficulty concentrating on set tasks (E) is another common finding, as the client may be easily distracted by triggers or memories related to the trauma. Talks excessively (
B) and blames others for own mistakes (
C) are not typical symptoms of PTSD and are more indicative of other conditions or personality traits.
Question 5 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: C
Rationale: The correct answer is C because informing the social worker that the client will be unable to return home after discharge is essential for coordinating appropriate post-discharge care, such as arranging alternative living arrangements or support services. This information is crucial for the social worker to address the client's social and environmental needs.
Choice A is incorrect because difficulty remembering food restrictions is more relevant to the healthcare team managing the client's medical needs, not specifically the social worker.
Choice B is incorrect as addressing frustration with finding an activity relates more to the client's emotional well-being and may be better suited for a counselor or occupational therapist.
Choice D is incorrect as discussing changes in spiritual beliefs is typically more appropriate for a chaplain or spiritual counselor.