ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct
Answer: 10 mL
Rationale:
To calculate the mL per dose, divide the total daily dose by the concentration of the medication.
40 mg per day รท 10 mg/5 mL = 8 mL per dose
Round to the nearest whole number, the nurse should administer 10 mL per dose.
Summary of other choices:
A. Incorrect. No value provided.
B. Incorrect. No calculation shown.
C. Incorrect. No relevant information given.
D. Incorrect. No explanation provided.
E. Incorrect. No relevant answer.
F. Incorrect. No reasoning provided.
G. Incorrect. No calculation or reasoning shown.
Question 2 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 3 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Asking the client if the medication is causing adverse effects is crucial to understanding potential barriers to adherence.
2. Adverse effects may lead to non-adherence, so addressing this can help improve medication compliance.
3. By addressing adverse effects, the nurse can work with the client to find solutions or alternative medications, enhancing adherence.
Other
Choices:
A: Discussing provider's goals may not directly address the client's reason for non-adherence.
C: Prescribing a second medication without addressing the root cause of non-adherence may not improve compliance.
D: Threatening inpatient care can lead to fear and non-cooperation, which may worsen adherence.
Question 4 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: B
Rationale: The correct answer is B because the client's daily meditation time being interrupted by therapy indicates spiritual distress. Meditation is often a key spiritual practice for individuals to find peace and connection. Therapy disrupting this routine may indicate a lack of spiritual fulfillment or distress. The other choices do not directly indicate spiritual distress as they mostly mention positive aspects of spiritual beliefs or practices.
Choice A shows that faith provides hope, choice C indicates comfort from meditation, and choice D suggests increased support from a spiritual advisor, all of which are positive indicators of spiritual well-being.
Question 5 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: D
Rationale: The correct answer is D: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. It acts on the central nervous system to produce a calming effect. Buprenorphine (
A) is used for opioid dependence, not alcohol withdrawal. Bupropion (
B) is an antidepressant and smoking cessation aid. Disulfiram (
C) is used as a deterrent to alcohol consumption by causing unpleasant effects when alcohol is consumed.