ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Inappropriate comments signal poor impulse control, needing attention. Eating, speech, and hygiene are less urgent.
Question 2 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 3 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I’m so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Open-ended question gathers info empathetically. Others minimize or generalize.
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: A
Rationale: ECT primarily treats severe depression, with effectiveness shown by improved mood and energy. Panic, seizures (part of ECT), and phobias are not primary targets.
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
Day 2, 0800:
Temperature 37.3° C (99.1° F)
Blood pressure 198/86 mm Hg
Heart rate 116/min
Respiratory rate 22/min
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 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 hr ago.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding.
Question 5 of 5
The nurse should first administer ___ followed by administering ___
Correct Answer: A,B
Rationale: Metoclopramide treats vomiting first, then propranolol manages tachycardia/BP.