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: The correct answer is A: Identify prior coping skills. This should be the first action because understanding the adolescents' coping mechanisms will help tailor the crisis intervention effectively. By knowing their prior coping skills, the nurse can build on what has worked well for them in the past. This approach is client-centered and empowers the adolescents to utilize their strengths during this difficult time. Reviewing community resources (
B) can come later once the immediate needs are addressed. Discussing confidentiality (
C) is important but not the priority in a crisis situation. Initiating referrals (
D) may be necessary eventually but should follow understanding the adolescents' coping skills to ensure appropriate referrals are made.
Question 2 of 5
A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, 'I no longer want to have the treatment.' Which of the following statements would be an appropriate response from the nurse?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. Respect for autonomy: Clients have the right to make decisions about their own treatment.
2. Advocacy: The nurse should communicate the client's decision to the provider.
3. Ethical principle: Upholding the client's right to refuse treatment is crucial in maintaining trust and promoting autonomy.
Summary:
A: Incorrect. Involuntary admission does not negate the client's right to refuse treatment.
B: Incorrect. Focusing on potential benefits disregards the client's autonomy.
D: Incorrect. Administering medication without addressing the client's refusal is unethical.
Extract:
Medical History
A 21-year-old client was brought to the emergency department by their college friend. The friend reports that the client has been in their room for a week and has not bathed or attended class for one week. Current medications include venlafaxine 150 mg daily. The client denies the use of over-the-counter and herbal medications but has thought about starting St. John’s Wort to help with symptoms.
Nurses’ Notes
0800: The client is dressed in wrinkled sweatpants, a stained t-shirt, and is sitting alone at breakfast. The client ate one bite of toast. The client makes no eye contact, stands up slowly, and asks to go back to the room to sleep.
0945: The client is out in the day room after sleeping for 1 hour. The client is walking with their head down. The client reports having no interest in classes or contacting friends and states, “I just feel so sad and hopeless right now.” The client lost their parents in a car accident at age 18 and fell into a deep depression. The client tried therapy and an antidepressant and found the interventions effective.
Question 3 of 5
A behavioral health unit nurse is caring for a newly admitted client.Exhibits:Complete the following sentence by using the lists of options: The client demonstrates risk for ___ due to ___.
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: -; Parameter to Monitor: D, E.
Rationale:
- Feelings of hopelessness and powerlessness are common in clients at risk for self-harm, as they may feel overwhelmed and lack control. Monitoring self-harm behaviors and sleep disturbances (insomnia) can help assess the client's safety and mental well-being. Inadequate nutrition is not directly related to the client's risk for self-harm. The inclusion of "hopelessness" as a parameter to monitor is redundant since it is already mentioned in the correct actions to take.
Extract:
Question 4 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.
Question 5 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 commonly used to manage acute alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. It acts as a central nervous system depressant, helping to alleviate withdrawal symptoms. Bupropion (choice
B) is primarily used for smoking cessation and depression, not alcohol withdrawal. Disulfiram (choice
C) is used to deter alcohol consumption by causing unpleasant effects if alcohol is consumed. Buprenorphine (choice
D) is used for opioid addiction treatment, not alcohol withdrawal.