ATI PN Mental health DEC 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

A. Phenobarbital B. Diazepam C. Buprenorphine D. Chlordiazepoxide

Correct Answer: C

Rationale: Buprenorphine reduces cravings and withdrawal in opioid use disorder. A, B, and D are not indicated for this purpose.

Question 2 of 5

A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication. The client has prescriptions for an anxiolytic and an SSRI antidepressant. Which of the following precautions should the nurse take?

A. Restrict interactions with other clients B. Document the client’s behavior every 2 hr C. Implement 24-hr one-to-one nursing observation D. Administer prescribed medication via the IM route

Correct Answer: C

Rationale: 24-hour observation ensures safety post-overdose. A is unnecessary, B is insufficient, and D is unrelated to precaution.

Question 3 of 5

Which of the following interventions should the nurse include in the client’s care? Select the 3 interventions the nurse should implement.

A. Approach client slowly B. Alternate nursing staff daily C. Maintain a low stimulation environment D. Reorient client to person, place, and time frequently E. Provide the client with limited information about the diagnosis

Correct Answer: A,C,D

Rationale: Slow approach reduces anxiety, low stimulation calms agitation, and reorientation aids confusion in delirium. Alternating staff and limiting info increase distress.

Question 4 of 5

A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, 'That looks like a snake, and I won’t let it take all of my blood.' Which of the following responses should the nurse make?

A. I’m using a syringe to obtain your blood, not a snake.' B. Your provider requires this blood specimen.' C. You must be mistaken.' D. Snakes cannot be in the clinic.'

Correct Answer: D

Rationale: This statement is acknowledging the client’s hallucination and validating their feelings, which can help to build trust and reduce anxiety. Options A, B, and C either dismiss the client’s perception or fail to address their emotional state, potentially increasing anxiety or damaging trust.

Question 5 of 5

A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?

A. Everyone feels depressed during the grieving process.' B. You should start participating in your usual activities.' C. I remember how depressed I was after my friend died.' D. Tell me what your relationship with your partner was like.'

Correct Answer: D

Rationale: This statement encourages the client to express their feelings, which can help in the grieving process. Option A generalizes the client’s experience, B dismisses their grief, and C inappropriately shifts focus to the nurse’s experience, all of which hinder therapeutic communication.

ATI PN Mental health DEC 2023 | Nurselytic

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