ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: A
Rationale: The correct answer is A: Geriatric Depression Scale. This screening tool is essential for assessing depression in older adults, as it helps identify symptoms that may be overlooked. Depression is common in the elderly and can have significant impacts on their overall health and well-being. The Geriatric Depression Scale is specifically designed to assess depression in older adults, making it a crucial test for the nurse to include in their screening assessments.
The other choices are incorrect because:
B: Pain Assessment in Advanced Dementia Scale - This tool is not relevant for screening active older adult clients for general health assessments.
C: CAGE Questionnaire - This tool is used for assessing alcohol abuse, which may not be the primary focus of screening for active older adults.
D: Denver II Developmental Screening Test - This test is designed for children, not older adults, and is not suitable for screening in this population.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Can you tell me how you have been feeling lately?" This response shows empathy and encourages the client to express their emotions, which is crucial in assessing their mental state. By asking about the client's feelings, the nurse can gather important information to evaluate the severity of the depression and assess any suicidal ideation.
Choice B is not the best response as it may come off as judgmental or accusatory.
Choice C minimizes the client's feelings and does not address the seriousness of the situation.
Choice D may be helpful but is not the immediate priority in this scenario.
Question 3 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: Blood glucose 256 mg/dL (74 to 106 mg/dL). Elevated blood glucose levels can be a side effect of risperidone, an atypical antipsychotic medication. Notify the provider to assess for potential hyperglycemia, which can lead to serious complications like diabetic ketoacidosis.
A, B, and D are within normal ranges. A slightly low or high sodium level, WBC count, or platelet count are not typically concerning in this case.
Question 4 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: The correct answer is C: Varenicline. This is because Varenicline is a medication specifically indicated for smoking cessation. It works by reducing the pleasurable effects of nicotine and decreasing cravings. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Donepezil (
B) is used to treat Alzheimer's disease. Disulfiram (
D) is used to deter alcohol consumption by causing unpleasant effects when alcohol is ingested. Hence, the nurse should expect the provider to prescribe Varenicline to help the client quit smoking effectively.
Question 5 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Obtain a prescription for seclusion within 30 minutes. This action is crucial as seclusion should only be implemented with a physician's order to ensure the client's safety and rights are protected. The nurse must promptly obtain this order to ensure the client's needs are met in a timely manner.
Choice A is incorrect because documenting the client's behavior every 60 minutes does not address the immediate need for a physician's order for seclusion.
Choice B is incorrect as there is no specific time limit for seclusion, and it should only be ended with a physician's approval.
Choice D is incorrect as monitoring vital signs every 4 hours is important but not as urgent as obtaining the seclusion prescription.