ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B, C, D
Rationale: The correct findings for a client with post-traumatic stress disorder (PTS
D) include difficulty concentrating (
B), difficulty sleeping (
C), and persistent negative beliefs about self (
D). Difficulty concentrating is common due to hypervigilance and intrusive thoughts. Sleep disturbances are typical in PTSD, as individuals may experience nightmares or insomnia. Persistent negative beliefs about self are a core symptom, often manifesting as feelings of guilt or worthlessness. Blaming others (
A) is not a typical symptom of PTSD. Excessive talking (E) may occur in some cases but is not a primary characteristic.
Question 2 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 3 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because It's too noisy.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep conversations and activities to a minimum during the nighttime. The rationale behind this is that minimizing noise and activities during nighttime promotes a restful environment conducive to sleep. This approach respects the client's need for a quiet environment while also addressing their sleep concern.
Choice A is incorrect because sleeping during the day may disrupt the client's circadian rhythm and is not a sustainable solution.
Choice C is incorrect as turning on the television may not necessarily address the underlying issue of noise disturbance and may even disrupt sleep further.
Choice D is incorrect as it dismisses the client's valid concern and does not offer a practical solution to address the noise concern.
Question 4 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.
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.