ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: When leading a crisis intervention group, especially for adolescents who have witnessed a traumatic event like a classmate's suicide, it is crucial to first identify the individuals' prior coping skills. This initial step helps the nurse understand each adolescent’s baseline coping mechanisms, allowing for a tailored intervention that reinforces existing strengths and introduces new strategies. This is particularly important in the aftermath of a suicide, where emotions like guilt and grief can be overwhelming. Assessing coping skills first enables the nurse to predict challenges and provide targeted support, making it the priority over reviewing resources, discussing confidentiality, or initiating referrals, which follow after this assessment.
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:
Nurses’ Notes
1100: Client is alert and oriented x 4. The client exhibits positive self-esteem. No negativity noted during conversation. Preparing client for discharge to partial-hospitalization program.
1230: Client requests a smoked turkey club sandwich for lunch. Education regarding medications provided.
Medical History
Client has a history of major depressive disorder.
Medication Administration Record
Selegiline 5 mg PO twice daily
Question 3 of 5
A nurse is caring for a client on an acute care mental health unit. Exhibits:The nurse is providing discharge education to the client about their medication. Drag 1 condition and 1 client finding to fill in each blank in the following sentence.When educating the client about their medication, the nurse should teach the client that there is a risk for ___ due to ___.
Correct Answer: A,B
Rationale: Selegiline (MAOI) risks hypertensive crisis with tyramine-rich foods (e.g., smoked meats), causing dangerous BP spikes.
Extract:
Question 4 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: D
Rationale: The ability to follow commands indicates cooperation and reduced risk, justifying restraint removal. Orientation alone isn’t enough, refusal or threats suggest ongoing danger requiring further assessment.
Question 5 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the healthcare team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Documenting the client's refusal of the treatment in the medical record is the correct action. It is essential to record the client's decision and the discussion surrounding it to respect their rights and provide a legal record. Even with involuntary commitment, clients retain the right to refuse treatment unless legally deemed incompetent or a danger, requiring specific legal processes. Asking family to encourage ECT doesn’t address autonomy, telling them they can’t refuse is incorrect, and stating ECT doesn’t need consent is unethical.