ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Nurses' Notes
Client comes to the ED with nausea, vomiting, confusion, and tremors. Client is agitated and irritable. Orientated only to self. The client states. "I'm tired of all these people in my house: visiting is over, my mom is dead, and I need to rest before the funeral."
The client's partner states the client's mother died 6 years ago. The client's partner states that the client has been drinking "a lot" for the past 6 months. The client agreed to stop drinking 2 days ago. The partner believes that the client's last drink was roughly 36 hr ago.
Vital Signs
Temperature 99.2°F (37.30 C)
Heart rate 90/min
Respiratory rate 22/min.
Blood pressure 170/95 mm Hg
Question 1 of 5
A nurse is caring for a client in the emergency department (ED). Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Alcohol withdrawal syndrome (
B) matches symptoms 36 hours post-cessation. Actions: provide safe environment (
C), administer lorazepam (
D). Monitor: fluid/electrolyte status (
D). Depression (
A), bipolar (
C), and neglect (
D) don’t fit; padding rails (
A), reporting (
B), affect (
A), manipulation (
B), and serotonin syndrome (
C) are irrelevant.
Extract:
Question 2 of 5
A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?
Correct Answer: D
Rationale: Relaxation techniques reduce anxiety symptoms, supporting self-control. Avoidance (
A) perpetuates fear, unsupported exposure (
B) is overwhelming, and stating fear as unrealistic (
C) is not the goal.
Question 3 of 5
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Remaining with the client provides reassurance and safety during agitation. Medication (
A), returning to bed (
B), and alternatives (
C) are secondary.
Question 4 of 5
A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Assisting with participation encourages engagement gently. Rules (
A), waiting (
B), or prolonged rest (
C) may worsen isolation.
Question 5 of 5
A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Finger foods (
A) support nutrition during high activity. Weighing (
B) monitors health. Low stimuli (
D) reduce agitation. Discouraging naps (E) regulates sleep. Safety monitoring (
C) is critical but not specified as correct.