ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Give the client a choice of solitary activities. This is appropriate for a client with schizoid personality disorder, who typically prefers solitary activities and may struggle with social interactions. By offering a choice of solitary activities, the nurse is respecting the client's preferences and promoting a sense of autonomy and comfort.
A: Identifying splitting behaviors is more relevant for clients with borderline personality disorder, not schizoid personality disorder.
C: Setting limits on social contact is not appropriate as individuals with schizoid personality disorder typically prefer solitude.
D: Assisting the client in identifying sources of anger is more relevant for clients with other personality disorders characterized by emotional dysregulation.
In summary, option B is the best choice as it aligns with the needs and preferences of a client with schizoid personality disorder.
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: The correct answer is A: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. It acts on GABA receptors to provide sedative effects. Buprenorphine (
B) is used for opioid dependence, not alcohol withdrawal. Bupropion (
C) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal. Disulfiram (
D) is used as a deterrent to alcohol consumption, not for managing withdrawal symptoms.
Question 3 of 5
A nurse is preparing to administer 7 mg of haloperidol IM to a client who is severely agitated. Haloperidol injection of 5 mg/mL is available. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.4
Rationale:
To determine the mL needed, divide the total dose by the concentration of the medication. In this case, 7 mg / 5 mg/mL = 1.4 mL. The correct answer is 1.4 mL.
Choice A, 2.5 mL, is incorrect as it is not the result of the correct calculation.
Choices B, C, D, E, F, and G are also incorrect as they do not reflect the accurate calculation based on the dose and concentration provided.
Extract:
Provider Prescriptions
Olanzapine 10 mg tablet, taken orally daily.
Alprazolam 1 mg tablet, taken orally three times daily as needed for anxiety.
Nurses’ Notes
The client reports hearing voices that are discussing race cars and race tracks. The client appears diaphoretic and pale. The client also reports a weight gain of 2.2 kg (4.9 lb) in the past week.
Graphic Record
Blood Pressure (BP): 128/82 mm Hg
Pulse Rate: 98/min
Respiratory Rate: 20/min
Temperature: 39.4° C (103° F)
Oxygen Saturation (SaO2): 95%
Question 4 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: B
Rationale:
Step 1: The nurse should report the client's temperature to the provider because it could indicate a potential infection or other physical health issue.
Step 2: Changes in temperature can impact overall health and may require medical intervention.
Step 3: Hallucinations are common in schizophrenia and may not necessarily require immediate medical attention.
Summary: Weight gain and blood pressure can be side effects of medications used to treat schizophrenia. Hallucinations are a common symptom of the disorder and may not always be alarming. Temperature, however, is a vital sign that can indicate a physical health concern requiring prompt attention.
Extract:
Nurses' Notes
2200:
According to the police officer's report, the client was found sleeping near railroad tracks. Refused to give name, and no identification found. Client states they were, "Just doing what they were told to do. Didn't know it would take so long for the train to come." Client appears disheveled with poor hygiene. Client does not follow simple commands, refuses to answer questions, and will not make eye contact.
2230:
Client refusing to follow prescribed treatment plan. States they believe someone is trying to poison them. Noted to occasionally be mumbling as if talking to unseen others.
Provider Prescriptions
2200:
Clozapine 200 mg PO twice per day
Risperidone 4 mg PO twice per day
Question 5 of 5
A nurse in a mental health facility is admitting a client who was brought in by the police department. Exhibits:Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A,C, B,D
Rationale: Action to Take: A, A; Potential Condition: C; Parameter to Monitor: B, D.
Rationale: The client is likely experiencing schizophrenia based on brought in by the police, so actions to take include providing a safe environment (placing client in a room near the nurses' station) and administering antipsychotic medications to address the condition. Potential condition of seizures (
C) should be monitored closely. Parameters to monitor include behavior changes (
B) and medication efficacy (
D) to assess progress and ensure safety. Other choices are incorrect as they do not align with the client's likely condition or best practices in mental health care.