ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Acknowledging fear builds trust. Denial or minimization risks distress, 'why' may reinforce delusion.
Question 2 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: Seizure precautions address withdrawal risk. Methadone is for opioids, urine acidification irrelevant, hypotension secondary.
Question 3 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.
Extract:
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
Day 2, 0800:
• Temperature 37.3° C (99.1° F)
• Blood pressure 198/86 mm Hg
• Heart rate 116/min
• Respiratory rate 22/min
Hospital day 5,0800:
• Temperature 36.1° C (97° F)
• Blood pressure 128/66 mm Hg
• Heart rate 74/min
• Respiratory rate 12/min
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.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding and he has a good appetite.
He resolves to limit his alcohol intake moving forward. He has currently accepted the news about his parents demise and is attending group therapy.
Question 4 of 5
A nurse is evaluating the client’s response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.
Correct Answer: A,B,D,E
Rationale: Appetite (
A), grief acceptance (
B), therapy (
D), and resolve (E) show progress. Cognition lacks evidence.
Extract:
Question 5 of 5
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent toileting checks ensure comfort/safety. Renewal intervals vary, 30-min checks insufficient, hydration less urgent.