ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: Suppression involves consciously avoiding distressing thoughts, as seen here, but delaying a terminal diagnosis indefinitely can be maladaptive, hindering treatment. Compensation, regression, and sublimation involve different mechanisms (overachieving, reverting, or redirecting impulses), not applicable here.
Question 2 of 5
A nurse is teaching a client who is about to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: A
Rationale: St. John's wort is known to interact adversely with fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John's wort also affects serotonin levels, and when combined with fluoxetine, it increases the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms like confusion, rapid heart rate, and muscle rigidity. Soy protein, echinacea, and ginkgo biloba do not have significant interactions with fluoxetine that pose such risks.
Question 3 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: A
Rationale: Demonstrating orientation to person, place, and time suggests cognitive stability, indicating the client may no longer pose a risk, allowing restraint removal. Refusal of medication or threats of self-harm suggest ongoing risk, and following commands alone isn’t sufficient without broader assessment.
Question 4 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: D
Rationale: Offering hydration and nutrition every 2 hours is critical to meet the client’s basic needs and prevent dehydration or malnutrition, aligning with restraint care guidelines. Checking every 30 minutes is insufficient (15-minute checks are standard); toileting every 15 minutes is excessive; and renewal every 8 hours doesn’t match typical 24-hour protocols.
Question 5 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: D
Rationale: How has this impacted your life?' is open-ended, allowing the client to express feelings and coping strategies, providing insight into their emotional adaptation. 'Why' may induce guilt, 'Are you okay' is insensitive, and hygiene support assesses practical needs, not coping.