ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?
Correct Answer: C
Rationale: Alcohol withdrawal risks seizures, needing precautions. Opioid, cannabis, and stimulant withdrawal rarely cause seizures.
Question 2 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: Asking about adverse effects addresses barriers empathetically. Goals dismiss, adding meds premature, threats resist.
Extract:
Medical History
The client is 18 years old and is being admitted into the inpatient eating disorder clinic. The client has had a history of anorexia nervosa since age 16. BMI has fluctuated from 15 to 19 over the past 3 years.
Client reports restricting caloric intake to 400 cal/day, fasting, and dieting. The client also reports frequent episodes of binge eating, self-induced vomiting, frequent laxative use, and exercising three times per day, every day.
Client states, "I am so fat. No matter what I do, I can't get skinny or lose enough weight." The client's guardian reports that the client is a perfectionist and has obsessive thoughts related to food and diet.
The client has dry, pale skin that appears thin and fragile, with decreased turgor, especially in areas like the forearms or abdomen. The mucous membranes, including the mouth and lips, are dry and cracked. The urine output is reduced, with minimal amount of dark yellow urine.
Vital Signs
Heart rate 44/min
Respiratory rate 20/min
BP 86/50 mm Hg
Temperature 36.2° C (97.2° F)
Question 3 of 5
A nurse is initiating the plan of care for a client who has anorexia nervosa.Exhibits:Complete the following sentence by using the lists of options.The nurse should first address the client’s ___ followed by the client’s ___
Correct Answer: A,B
Rationale: Low BP (86/50 mm Hg) and HR (44/min) from anorexia need urgent stabilization.
Extract:
Question 4 of 5
A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: B
Rationale: Decreased libido is a common SSRI (citalopram) effect. Jaundice, bruising, and retention are less typical.
Question 5 of 5
A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Sleep issues (
A), negative self-beliefs (
C), and concentration difficulty (E) are PTSD symptoms. Excessive talk (
B) and blaming (
D) are not typical.