ATI RN
ATI Mental Health 2023 II 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: D
Rationale: Identifying coping skills addresses immediate emotional needs first. Referrals, confidentiality, and resources follow.
Question 2 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: B
Rationale: Working phase evaluates goal progress. Confidentiality, boundaries, and objectives occur earlier.
Question 3 of 5
A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Confusion is a common ECT side effect. It’s not a cure, done under anesthesia, and not vagus nerve-based.
Extract:
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.
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
Diagnostic Results
Blood alcohol level (BAC) 310 mg/dL (0 to 50 mg/dL)
History & Physical
Neurological: Client is intoxicated, has slurred speech, and is unable to coherently respond to questions. Cardiovascular: Normal sinus rhythm and pulses palpable. No history of Heart disease.
Respiratory: Chest clear to auscultation and no shortness of breath noted. No history of respiratory disorders and client states they quit smoking over 20 years ago.
Gastrointestinal: Client reports weight loss over the past 3 months and minimal appetite.
Genitourinary: Client reports no known problems. Impression:
Relapse of alcohol use disorder. Plan:
Admit for alcohol use disorder and observe for alcohol withdrawal.
Question 4 of 5
The client is at risk for developing ___ as evidenced by the client’s ___
Correct Answer: A,B
Rationale: Alcohol use and grief increase dysphoria risk.
Extract:
Question 5 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Unlimited grieving time supports processing. Changing subject dismisses, discouraging relationships isolates, advice is premature.