ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 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: D
Rationale: Offering hydration and nutrition every 2 hours is critical to meet the client’s basic needs and prevent dehydration or malnutrition, aligning with restraint care guidelines. Checking every 30 minutes is insufficient (15-minute checks are standard); toileting every 15 minutes is excessive; and renewal every 8 hours doesn’t match typical 24-hour protocols.
Question 2 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: A
Rationale: Chlordiazepoxide, a benzodiazepine, is commonly used for alcohol withdrawal to reduce agitation, tremors, and seizure risk by acting as a sedative. Bupropion is an antidepressant, disulfiram is for chronic alcoholism deterrence, and buprenorphine is for opioid withdrawal, none of which address acute alcohol withdrawal symptoms.
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: GI issues (
A), high BAC (
C), recent loss (
D), recent drinking (F), and neurological symptoms (G) need follow-up due to physical and psychological risks in alcohol use disorder. Others are stable or less urgent.
Extract:
Question 4 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Dizziness is a common adverse effect of quetiapine, often due to orthostatic hypotension, not an allergy. This response reassures the client and explains the cause, suggesting management like rising slowly. Meals don’t address dizziness, stopping for allergy is incorrect, and morning timing doesn’t mitigate it.
Question 5 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Monitoring bathroom trips prevents purging, a key behavior in bulimia, ensuring safety and treatment efficacy. Family food may trigger binges, self-scheduling risks unhealthy patterns, and frequent exercise reinforces compensatory behaviors.