ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: A
Rationale: The correct answer is A: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression. Improvement in depressive symptoms indicates the effectiveness of the treatment. Reduced frequency of panic attacks (
B) and seizures (
C) are not directly related to the effectiveness of electroconvulsive therapy for depression. Decreased fear of heights (
D) is not a typical indicator of the effectiveness of this treatment.
Question 2 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: B
Rationale: The correct answer is B: Hypertension. Cocaine is a stimulant drug that increases heart rate and blood pressure.
Therefore, the nurse should expect the client to have hypertension as a result of cocaine use. Bradycardia (
A) is unlikely due to the stimulant effects of cocaine. Lethargy (
C) and hypothermia (
D) are also unlikely as cocaine typically causes increased alertness and can lead to hyperthermia.
Question 3 of 5
A nurse is caring for a client who states, 'Things will never work out.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Have you been thinking about harming yourself?" This is the most appropriate because it directly addresses the client's statement about things not working out, showing concern for their well-being and opening a dialogue about suicide risk.
Choice A is incorrect as it dismisses the client's feelings.
Choice B is not as direct as C in addressing the potential for self-harm.
Choice D is inappropriate as it jumps to a medication solution without assessing the client's safety.
Question 4 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You sound upset about today’s session." This response shows empathy and acknowledges the client's feelings, which can help build rapport and trust. It also encourages the client to express their emotions further, leading to a deeper discussion about the situation.
Incorrect responses:
A: "I think you should ignore the comment." This response dismisses the client's feelings and may make them feel unheard or invalidated.
C: "Why do you think that he said that to you?" This response puts the client on the spot and may come off as blaming or interrogative, which can escalate the situation.
D: "I agree that the comment was inappropriate." While this response acknowledges the issue, it does not address the client's emotional state or offer support, which is crucial in this context.
Question 5 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct
Answer: 10 mL
Rationale:
1. The child needs 40 mg/day, divided into two doses.
2. Each dose should be 20 mg (40 mg ÷ 2 doses).
3. The available concentration is 10 mg/5 mL.
4.
To administer 20 mg, the nurse should give 10 mL (20 mg ÷ 10 mg/5 mL = 4 mL; 4 mL x 2 = 8 mL).
5. Rounding up to the nearest whole number, the nurse should administer 10 mL per dose.
Summary:
A, B, C, D, E, F, G:
- Incorrect because they do not follow the correct calculation steps to determine the amount of methylphenidate needed per dose.
- Only choice 10 aligns with the proper dosage calculation for the child with ADHD.