ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C because the client stating they are unable to eat more than once a day indicates potential malnutrition and a risk to their physical health. This finding requires immediate attention as malnutrition can lead to serious complications.
Choice A relates to grief and anger, which are important but not an immediate priority.
Choice B focuses on guilt, which is also significant but does not pose an immediate threat to physical health.
Choice D is about recalling negative experiences, which may indicate emotional distress but does not present an immediate physical risk.
Question 2 of 5
A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?
Correct Answer: B
Rationale: The correct answer is B. Sitting with a client who has anorexia during mealtimes can be delegated to assistive personnel as it involves providing emotional support and encouragement. This task does not require specialized nursing skills and can be safely performed by assistive personnel under the supervision of a nurse.
Choices A, C, and D involve complex assessments, critical thinking, and specialized skills that should be performed by a licensed nurse. Reinforcing coping mechanisms, discussing relapse prevention, and administering medications all require nursing judgment and expertise. Delegating these tasks to assistive personnel could compromise the quality of care and put the client's safety at risk.
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
Diagnostic Results
Blood alcohol level (BAC): 310 mg/dL (0 to 50 mg/dL)
History & Physical
Neurological: Client is intoxicated, has slurred speech, and is unable to coherently respond to questions.
Cardiovascular: Normal sinus rhythm and pulses palpable. No history of heart disease.
Respiratory: Chest clear to auscultation and no shortness of breath noted. No history of respiratory disorders and client states they quit smoking over 20 years ago.
Gastrointestinal: Client reports weight loss over the past 3 months and minimal appetite.
Genitourinary: Client reports no known problems.
Impression: Relapse of alcohol use disorder.
Plan: Admit for alcohol use disorder and observe for alcohol withdrawal.
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 an 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 hours ago.
Question 3 of 5
A nurse in a mental health facility is admitting a client.Exhibits:A nurse is caring for a client who was admitted for alcohol use disorder. Which of the following findings require follow-up by the nurse? Select all that apply.
Correct Answer: A,C,D,F,G
Rationale: The correct answers are A, C, D, F, and G. A gastrointestinal assessment is needed to monitor for any alcohol-related issues like GI bleeding. Blood alcohol level monitoring is crucial to assess intoxication levels. Recent loss can trigger alcohol use, requiring emotional support. Recent alcohol consumption indicates ongoing abuse. Neurological assessment is needed for potential alcohol-related brain damage. Smoking history and genitourinary assessment are not directly related to alcohol use disorder and do not require immediate follow-up in this scenario.
Extract:
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression.
Therefore, improvement in depressive symptoms indicates the treatment's effectiveness. Reduced frequency of seizures (
A) is not relevant to ECT. Reduced panic attacks (
B) and decreased fear of heights (
D) are not direct indications of ECT effectiveness. Make sure to monitor for potential side effects of ECT such as memory problems.
Question 5 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: The nurse should inform the client that they have the legal right to refuse treatment at any time. This respects the client's autonomy and right to make decisions about their own healthcare. Encouraging the client to have the procedure (
B) goes against their wishes. Obtaining consent from the client's family member (
C) is not appropriate as the decision lies with the client. Requesting another nurse to review the procedure with the client (
D) may not address the client's concerns about not wanting the procedure.