ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, 'I’m not able to fall asleep easily or stay asleep.' Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Try meditation before you go to bed at night. Meditation is a relaxation technique that can help reduce stress and calm the mind, making it easier to fall asleep. By engaging in meditation before bedtime, the client can promote a sense of relaxation and improve sleep quality.
Choice A: Catching up on lost sleep by napping during the daytime can disrupt the client's sleep cycle and make it harder to fall asleep at night.
Choice B: Avoiding reading in the evenings prior to bedtime may be a helpful suggestion, but it does not directly address the client's difficulty falling and staying asleep.
Choice C: Dimming the screen on the cellphone can reduce exposure to blue light, which can interfere with sleep, but it may not be as effective as meditation in promoting relaxation.
In summary, meditation is the best recommendation as it directly targets the client's sleep difficulties by promoting relaxation and reducing stress.
Question 2 of 5
A nurse is providing teaching for a client who has an alcohol use disorder. Which of the following statements should the nurse make to help prevent relapse?
Correct Answer: A
Rationale: The correct answer is A: "List the negative effects of alcohol use in your life." This statement is effective in preventing relapse as it helps the client identify the consequences of their alcohol use, increasing their motivation to change. It promotes self-reflection and awareness of the harmful impact of alcohol on their life.
Choice B is incorrect because attending support group meetings may be helpful but does not directly address the client's personal consequences of alcohol use.
Choice C is incorrect as prescribing lorazepam is not a recommended method for preventing relapse in alcohol use disorder.
Choice D is incorrect as revisiting familiar places associated with drinking can trigger cravings and increase the risk of relapse.
Question 3 of 5
A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "Can you tell me more about what is upsetting you?" This response demonstrates active listening and empathy, allowing the client to express their concerns and feelings. By encouraging open communication, the nurse can address the client's specific needs and provide appropriate support. This approach fosters trust and enhances the therapeutic relationship, leading to better end-of-life care.
Choices A, B, and C do not directly address the client's expressed dissatisfaction and may come across as dismissive or deflective.
Choice A shifts the focus to family dynamics, choice B generalizes the client's feelings, and choice C assumes the nurses' intentions without acknowledging the client's perspective.
Extract:
Provider Prescriptions
Olanzapine 10 mg tablet, taken orally daily.
Alprazolam 1 mg tablet, taken orally three times daily as needed for anxiety.
Nurses’ Notes
The client reports hearing voices that are discussing race cars and race tracks. The client appears diaphoretic and pale. The client also reports a weight gain of 2.2 kg (4.9 lb) in the past week.
Graphic Record
Blood Pressure (BP): 128/82 mm Hg
Pulse Rate: 98/min
Respiratory Rate: 20/min
Temperature: 39.4° C (103° F)
Oxygen Saturation (SaO2): 95%
Question 4 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: B
Rationale:
Step 1: The nurse should report the client's temperature to the provider because it could indicate a potential infection or other physical health issue.
Step 2: Changes in temperature can impact overall health and may require medical intervention.
Step 3: Hallucinations are common in schizophrenia and may not necessarily require immediate medical attention.
Summary: Weight gain and blood pressure can be side effects of medications used to treat schizophrenia. Hallucinations are a common symptom of the disorder and may not always be alarming. Temperature, however, is a vital sign that can indicate a physical health concern requiring prompt attention.
Extract:
Nurses' Notes
2200:
According to the police officer's report, the client was found sleeping near railroad tracks. Refused to give name, and no identification found. Client states they were, "Just doing what they were told to do. Didn't know it would take so long for the train to come." Client appears disheveled with poor hygiene. Client does not follow simple commands, refuses to answer questions, and will not make eye contact.
2230:
Client refusing to follow prescribed treatment plan. States they believe someone is trying to poison them. Noted to occasionally be mumbling as if talking to unseen others.
Provider Prescriptions
2200:
Clozapine 200 mg PO twice per day
Risperidone 4 mg PO twice per day
Question 5 of 5
A nurse in a mental health facility is admitting a client who was brought in by the police department. Exhibits:Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A,C, B,D
Rationale: Action to Take: A, A; Potential Condition: C; Parameter to Monitor: B, D.
Rationale: The client is likely experiencing schizophrenia based on brought in by the police, so actions to take include providing a safe environment (placing client in a room near the nurses' station) and administering antipsychotic medications to address the condition. Potential condition of seizures (
C) should be monitored closely. Parameters to monitor include behavior changes (
B) and medication efficacy (
D) to assess progress and ensure safety. Other choices are incorrect as they do not align with the client's likely condition or best practices in mental health care.