ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: B
Rationale: Exploring abandonment addresses BPD’s core issue, aiding social skills. Dependency reinforces issues, avoiding discussion stalls progress, same staff risks attachment.
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 2 of 5
A nurse in a mental health facility is admitting a client.Exhibits:A nurse is caring for a client who was admitted for alcohol use disorder. Which of the following findings require follow-up by the nurse? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Recent drinking (
B), BAL (
C), loss (
D), low RR (E), and slurred speech (F) need follow-up. Smoking, cardiac, GI, GU less urgent.
Extract:
Question 3 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging upset feelings validates and opens discussion. Ignoring dismisses, 'why' may pressure, agreeing risks bias.
Question 4 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I’m so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Open-ended question gathers info empathetically. Others minimize or generalize.
Question 5 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer’s disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale:
Top locks (
A), floor mattress (
B), and sensors (
D) prevent wandering and falls. Activity before bed stimulates, chair restricts.