ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: Lack of sleep is a mania hallmark. Isolation, detailed schedules, and refusal suggest depression.
Question 2 of 5
A nurse in a mental health facility is making plans for a client’s discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?
Correct Answer: B
Rationale: Social workers handle housing resources. CNS focuses on care, OT on skills, RT on activities.
Question 3 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Acknowledging fear builds trust. Denial or minimization risks distress, 'why' may reinforce delusion.
Extract:
Vital Signs
Admission, 1600:
Temperature 36.1° C (97° F)
Blood pressure 98/66 mm Hg
Heart rate 76/min
Respiratory rate 10/min
Pulse oximetry 95% on room air
Day 2, 0800:
Temperature 37.3° C (99.1° F)
Blood pressure 198/86 mm Hg
Heart rate 116/min
Respiratory rate 22/min
Nurses' Notes
Client brought in by a family member who states that the client has been drinking "nonstop since the death of the client's parents 3 months ago."
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago and remained sober until several months ago when both parents died.
According to the client's family member, the client has been unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states, "Everything combined caused the drinking to start again." Family member estimates the client's last drink was 2 hr ago.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding.
Question 4 of 5
The nurse should first administer ___ followed by administering ___
Correct Answer: A,B
Rationale: Metoclopramide treats vomiting first, then propranolol manages tachycardia/BP.
Extract:
Question 5 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: D
Rationale: Phenelzine (MAOI) with tyramine (pepperoni) risks hypertensive crisis; BP monitoring is critical.