ATI RN
ATI Mental Health 2023 II Questions
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
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
Question 1 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal.Exhibits:A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Group therapy | ||
| Nutritional consult | ||
| Propranolol 40 mg PO twice a day | ||
| Perform Alcohol Use Disorders Identification Test (AUDIT) | ||
| Schedule electroconvulsive therapy (ECT) | ||
| Diazepam 10 mg PO three times a day | ||
| Methadone 40 mg PO daily |
Correct Answer:
Rationale: Group (
A), nutrition (
A), propranolol (
A), AUDIT (
A), diazepam (
A), and labs (
A) aid withdrawal. ECT (
C) and methadone (
C) are inappropriate.
Extract:
Question 2 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?
Correct Answer: C
Rationale: Head injury increases seizure risk with bupropion, a contraindication. Others don’t impact safety.
Question 3 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-meal presence supports and prevents purging. Weighing increases focus, snacks disrupt, menu planning secondary.
Question 4 of 5
A nurse is caring for a client who states, 'Things will never work out.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Hopelessness may signal suicidal ideation; assessing safety is priority. Focusing on self dismisses, 'why' risks defensiveness, and suggesting medication is premature.
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.