ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Asking the client if the medication is causing adverse effects is crucial to understanding potential barriers to adherence.
2. Adverse effects may lead to non-adherence, so addressing this can help improve medication compliance.
3. By addressing adverse effects, the nurse can work with the client to find solutions or alternative medications, enhancing adherence.
Other
Choices:
A: Discussing provider's goals may not directly address the client's reason for non-adherence.
C: Prescribing a second medication without addressing the root cause of non-adherence may not improve compliance.
D: Threatening inpatient care can lead to fear and non-cooperation, which may worsen adherence.
Question 2 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: B
Rationale: The correct answer is B because the client's daily meditation time being interrupted by therapy indicates spiritual distress. Meditation is often a key spiritual practice for individuals to find peace and connection. Therapy disrupting this routine may indicate a lack of spiritual fulfillment or distress. The other choices do not directly indicate spiritual distress as they mostly mention positive aspects of spiritual beliefs or practices.
Choice A shows that faith provides hope, choice C indicates comfort from meditation, and choice D suggests increased support from a spiritual advisor, all of which are positive indicators of spiritual well-being.
Question 3 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: D
Rationale: The correct answer is D: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. It acts on the central nervous system to produce a calming effect. Buprenorphine (
A) is used for opioid dependence, not alcohol withdrawal. Bupropion (
B) is an antidepressant and smoking cessation aid. Disulfiram (
C) is used as a deterrent to alcohol consumption by causing unpleasant effects when alcohol is consumed.
Question 4 of 5
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Offer hydration and nutrition to the client every 2 hr. This is important because clients in physical restraints are at risk for dehydration and malnutrition due to limited mobility. Providing hydration and nutrition every 2 hours helps ensure the client's basic needs are met.
Summary of other choices:
A: Asking the provider to renew the prescription every 8 hr is not directly related to the client's immediate needs for hydration and nutrition.
B: Having a staff member check on the client every 30 min is important for monitoring the client's safety but does not address their basic needs for hydration and nutrition.
C: Assessing the client's need for toileting every 15 min is important for comfort and hygiene but does not address their need for hydration and nutrition.
E, F, G: No other choices provided.
Question 5 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I'm so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Tell me the reasons you think your mother is depressed." This response demonstrates active listening and therapeutic communication. By asking the daughter to explain her concerns, the nurse can gather valuable information to assess the situation further. It also shows empathy and validates the daughter's perspective, building rapport and trust. This approach allows the nurse to obtain a comprehensive understanding of the client's condition and concerns, facilitating appropriate assessment and intervention.
Choices A, C, and D are incorrect:
A: Older adults are not usually diagnosed with depressive disorder solely based on age. Depression is a complex condition with various contributing factors.
C: Minimizing the daughter's concerns by stating that everyone gets depressed trivializes the situation and does not address the client's specific needs.
D: Assuring the daughter that depressive disorder is easily treated oversimplifies the condition and may create false expectations, potentially hindering effective assessment and treatment.