ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Varenicline is specifically designed to aid smoking cessation by reducing cravings and nicotine's pleasurable effects. Naltrexone and disulfiram target alcohol/opioid dependence, and donepezil treats Alzheimer’s, not smoking.
Question 2 of 5
A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct Answer: C
Rationale: This assesses suicide risk directly, addressing safety first. False promises, sedatives, or custody suggestions don’t tackle the immediate threat.
Question 3 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: C
Rationale: Schema-focused therapy targets NPD’s deep-seated patterns like grandiosity. Assertiveness doesn’t address core issues, response prevention is for OCD, and CBT is less specific than schema therapy.
Question 4 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: This respects the client’s autonomy and comfort, advocating for an alternative. Gloves don’t solve touch aversion, probing dismisses boundaries, and minimizing ignores concerns.
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 5 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: Temperature of 39.4°C (103°F) indicates fever, needing urgent attention over hallucinations (expected), weight gain (common with olanzapine), or normal BP (128/82 mmHg).