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 caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. The nurse should delegate the task of assisting the client to ambulate post-procedure to the assistive personnel. Here's why: 1. Ambulation after ECT is a routine task that does not require specialized nursing knowledge. 2. It promotes client independence and mobility. 3. It allows the nurse to focus on critical tasks like monitoring the client's vital signs and mental status. 4. Atropine administration (choice
A) requires a licensed nurse's assessment and judgment. Witnessing consent (choice
B) ensures the client's autonomy. Checking the client's condition (choice
C) involves assessing for potential complications, which should be done by a qualified nurse.
Question 3 of 5
A nurse is assessing a client's communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: Generalizing involves making broad statements that apply universally, without specific evidence or context. The client's statement, 'My partner is always criticizing me,' is a generalization because it suggests a pervasive pattern of behavior without specifying particular instances or situations. Manipulating involves influencing or controlling others for personal gain. The client's statement does not demonstrate manipulation. Distracting involves diverting attention away from the topic at hand. The client's statement is not an example of distraction. Placating involves seeking to please others or avoid conflict by agreeing with them. The client's statement does not demonstrate placating behavior.
Question 4 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.
Question 5 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: D
Rationale: The correct answer is D: Hypertension. Cocaine is a stimulant that increases heart rate and blood pressure. This is due to its effects on the sympathetic nervous system, leading to vasoconstriction and increased cardiac output. Hypothermia (
A) is not expected as cocaine use typically raises body temperature. Lethargy (
B) is unlikely as cocaine is a stimulant that causes increased alertness and energy. Bradycardia (
C) is not a common manifestation of cocaine use since it usually results in tachycardia.