ATI RN
ATI RN Mental Health 2023 Exam 2 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: Solitary activities suit schizoid isolation preference. Splitting is BPD-related, anger isn’t key, social limits are unnecessary.
Question 2 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Varenicline aids smoking cessation by reducing nicotine effects. Naltrexone is for alcohol/opioids, Donepezil for Alzheimer’s, and Disulfiram for alcoholism.
Extract:
Provider’s Note
0230:
Client diagnosis: Delirium secondary to a urinary tract infection and dehydration.
Vital Signs
0200:
Temperature 38.6° C (101.5° F)
Heart rate 104/min
Respiratory rate 18/min
Blood pressure 158/96 mm Hg
Oxygen saturation 98% on room air
Nurses’ Notes
0205:
Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police, but not able to identify place or time. Family notified.
Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.
During assessment, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.
0230:
Client’s adult child arrived to the ED and went to client’s room. Client identified family member. Client is pacing and agitated, and states, “I don’t understand why I am here.” Adult child asks nurse to talk outside of room and states, “I don’t know why they are so confused. They are not normally like this.” Adult child states client has past medical history of hypertension and alcohol-related cirrhosis. Upon returning to their room, client voided 250 mL of dark yellow, cloudy urine.
Laboratory Results
0230:
Serum toxicology screen:
Alcohol 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)
Question 3 of 5
The nurse has reviewed the nurses’ notes, provider’s note, and laboratory results at 0230.Exhibits:For each client’s finding, specify if the finding is consistent with delirium or Alzheimer’s disease. Each finding may support more than one disease process or none at all. There must be at least one selection in every column. There does not need to be a selection in every row.
| Options | Delirium | Alzheimer’s Disease |
|---|---|---|
| Sudden onset of confusion | ||
| Hallucinations | ||
| Agitation | ||
| Current medical diagnosis |
Correct Answer:
Rationale: Sudden confusion (
A) and medical diagnosis (
D) fit delirium; hallucinations (
B) and agitation (
C) occur in both.
Extract:
Question 4 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reality-based activities distract and ground the client. Avoiding questions limits assessment, sympathy alone doesn’t manage, denying reality risks agitation.
Question 5 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lorazepam causes sedation, increasing fall risk. Repeating dose risks overdose, tinnitus isn’t a side effect, restraints are unnecessary.