ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: B
Rationale: Social skills development is key for ASD. Delusions aren’t typical, manipulation not primary, peer pressure not a goal.
Question 2 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: D
Rationale: Numbness suggests emotional shutdown, a depression sign. Sadness, anger, and support reliance are normal grief.
Extract:
Diagnostic Results
Day 1 at 1530:
WBC count 7,700/mm3 (5,000 to 10,000/mm3)
Indicates Potential Improvement
Indicates Potential
Worsening
Hgb 14% (12% to 16%)
Hct 42% (37% to 47%)
Day 2 at 0600:
Lithium level 1.9 mEq/L (less than 1.5 mEq/L) Glucose level 90 mg/dL (74 to 106 mg/dL)
Vital Signs
Day 1 at 1600:
Temperature 37° C (98.6° F) Respiratory rate 18/min
Pulse rate 84/min
Blood pressure 114/64 mm Hg
Day 2 at 0800:
Temperature 36.9° C (98.4° F)
Respiratory rate 16/min
Pulse rate 88/min
Blood pressure 98/56 mm Hg
Medical History
Day 1 at 1500:
Bipolar disorder
Laparoscopic appendectomy at age 8 years old
Physical Examination
Day 1 at 1600:
Client reports mild nausea. Fine hand tremors noted. Lungs clear, bowel sounds active
Day 2 at 0630:
Client awake but appears fatigued. Movements and speech somewhat slowed. Lungs clear, abdomen soft with active bowel sounds. Client voided a large amount of dilute yellow urine. Uncoordinated gait noted when ambulating to bathroom. Client reports blurred vision and noted to frequently rub eyes. Client fell asleep prior to end of assessment.
.
Question 3 of 5
The nurse is reviewing the client’s medical record at 0830 on day 2 of admission. For each finding, click to specify whether the finding indicates a potential improvement in or a potential worsening of the client’s condition.
| Options | Indicates Potential | Indicates Potential |
|---|---|---|
| Blurred vision | ||
| Blood pressure | ||
| Urine amount and color | ||
| Lithium level | ||
| Gait when ambulating |
Correct Answer:
Rationale: Blurred vision and gait (toxicity signs) worsen with lithium 1.9 mEq/L; BP stable, urine normal improve.
Extract:
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
Day 2, 0800:
• Temperature 37.3° C (99.1° F)
• Blood pressure 198/86 mm Hg
• Heart rate 116/min
• Respiratory rate 22/min
Hospital day 5,0800:
• Temperature 36.1° C (97° F)
• Blood pressure 128/66 mm Hg
• Heart rate 74/min
• Respiratory rate 12/min
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.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding and he has a good appetite.
He resolves to limit his alcohol intake moving forward. He has currently accepted the news about his parents demise and is attending group therapy.
Question 4 of 5
A nurse is evaluating the client’s response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.
Correct Answer: A,B,D,E
Rationale: Appetite (
A), grief acceptance (
B), therapy (
D), and resolve (E) show progress. Cognition lacks evidence.
Extract:
Question 5 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.