ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 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: B
Rationale: Oxygen saturation is not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis.
Therefore, assessing the client's blood pressure is essential to monitor for potential hypertensive effects. Bowel sounds are not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Pupil response is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
Question 2 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: D
Rationale: Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.
Question 3 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Coercing the client into treatment violates the client's autonomy and rights. Involuntary commitment does not mean the client loses the right to refuse treatment. Involving the client's family without their consent or participation in decision-making may not be appropriate and could breach confidentiality. Documenting the client's refusal of treatment ensures that the decision is appropriately recorded in the medical record and facilitates communication among the healthcare team members. It also protects the client's autonomy and legal rights. Informing the client that ECT does not require consent is incorrect. While laws regarding involuntary treatment vary by jurisdiction, clients generally have the right to refuse treatment, even if they are involuntarily committed.
Question 4 of 5
A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: D
Rationale: Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.
Question 5 of 5
A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
Correct Answer: D
Rationale: Methadone hydrochloride is not indicated for the management of alcohol intoxication or withdrawal. It is primarily used for opioid addiction treatment. While monitoring for orthostatic hypotension is important in clients with alcohol use disorder, implementing seizure precautions is a higher priority because alcohol withdrawal can lead to seizures. Acidifying the client's urine is not indicated in the care of an intoxicated client with alcohol use disorder. Implementing seizure precautions is essential in clients with alcohol use disorder who are at risk for alcohol withdrawal syndrome, which can include seizures as a potential complication.