ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Documenting refusal respects autonomy and informs the team. Family pressure, no consent, and denying rights are incorrect.
Question 2 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: D
Rationale: Poor impulse control in mania risks safety, needing plan update. Fear, clang, and memory issues are expected.
Question 3 of 5
A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: B
Rationale: St. John’s wort risks serotonin syndrome with fluoxetine. Others lack significant interaction.
Question 4 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: C
Rationale: Suppression delays facing distress consciously, maladaptively here. Sublimation channels, compensation offsets, regression reverts.
Question 5 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse’s priority?
Correct Answer: D
Rationale: Inadequate eating risks malnutrition, a physical priority. Negative recall, anger, and guilt are emotional but less urgent.