ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Guardian consent is legally required for incompetent clients. Implied consent doesn’t apply, social workers assist, charge nurse isn’t responsible.
Question 2 of 5
A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?
Correct Answer: C
Rationale: Alcohol withdrawal risks seizures, needing precautions. Opioid, cannabis, and stimulant withdrawal rarely cause seizures.
Question 3 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?
Correct Answer: C
Rationale: Head injury increases seizure risk with bupropion, a contraindication. Others don’t impact safety.
Extract:
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.
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
Diagnostic Results
Blood alcohol level (BAC) 310 mg/dL (0 to 50 mg/dL)
History & Physical
Neurological: Client is intoxicated, has slurred speech, and is unable to coherently respond to questions. Cardiovascular: Normal sinus rhythm and pulses palpable. No history of Heart disease.
Respiratory: Chest clear to auscultation and no shortness of breath noted. No history of respiratory disorders and client states they quit smoking over 20 years ago.
Gastrointestinal: Client reports weight loss over the past 3 months and minimal appetite. Genitourinary: Client reports no known problems.
Impression:
Relapse of alcohol use disorder. Plan:
Admit for alcohol use disorder and observe for alcohol withdrawal.
Question 4 of 5
A nurse in a mental health facility is admitting a client.Exhibits:A nurse is caring for a client who was admitted for alcohol use disorder. Which of the following findings require follow-up by the nurse? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Recent drinking (
B), BAL (
C), loss (
D), low RR (E), and slurred speech (F) need follow-up. Smoking, cardiac, GI, GU less urgent.
Extract:
Question 5 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: D
Rationale: Poor impulse control in mania risks safety, needing plan update. Fear, clang, and memory issues are expected.