ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: C
Rationale: The correct answer is C because informing the social worker that the client will be unable to return home after discharge is essential for coordinating appropriate post-discharge care, such as arranging alternative living arrangements or support services. This information is crucial for the social worker to address the client's social and environmental needs.
Choice A is incorrect because difficulty remembering food restrictions is more relevant to the healthcare team managing the client's medical needs, not specifically the social worker.
Choice B is incorrect as addressing frustration with finding an activity relates more to the client's emotional well-being and may be better suited for a counselor or occupational therapist.
Choice D is incorrect as discussing changes in spiritual beliefs is typically more appropriate for a chaplain or spiritual counselor.
Question 2 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: The correct answer is B: The client remains in control of their actions. This indicates that the client is no longer a danger to themselves or others and can be safely removed from restraints. Apologizing (
A) does not necessarily indicate safety. Asking to be released (
C) may not reflect improved behavior. Signing a contract (
D) does not ensure current safety.
Question 3 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: The correct answer is A: Monitor for suicidal ideation. This is the priority intervention because individuals with depression are at increased risk for suicide. Monitoring for suicidal ideation allows for early detection and intervention. Encouraging social isolation (
B) is incorrect as social support is crucial in managing depression. Increasing sedative medication (
C) may lead to dependence and does not address the underlying issues. Teaching relaxation techniques (
D) is helpful but not the priority when dealing with potential suicidal risk.
Question 4 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Dizziness is a common adverse effect of the medication and is related to low blood pressure." Quetiapine, an antipsychotic medication, commonly causes dizziness as a side effect due to its potential to lower blood pressure. This response educates the client about a known side effect of the medication and provides a logical explanation for the dizziness.
Rationale for Incorrect
Choices:
A: Incorrect. Taking the medication with a meal may help reduce gastrointestinal side effects but is not directly related to dizziness.
B: Incorrect. Dizziness does not necessarily indicate an allergic response, and stopping the medication abruptly without consulting a healthcare provider can be dangerous.
C: Incorrect. The timing of medication administration does not directly affect the occurrence of dizziness associated with quetiapine.
By providing education on the common adverse effect of quetiapine and its relation to dizziness, the nurse empowers the client with knowledge and promotes safe medication management.
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
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.
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 an 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 hours ago.
Question 5 of 5
A nurse in a mental health facility is admitting a client.Exhibits:Complete the following sentence by using the lists of options. The client is at risk for developing ___ as evidenced by the client's ___.
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: E, F.
Rationale: The correct actions are A (monitor for alcohol withdrawal symptoms) and B (assess history of alcohol consumption). The potential condition is seizures (
C) which can be a complication of alcohol withdrawal. Parameters to monitor are High Blood Alcohol Level (E) and Hallucinations (F) as indicators of alcohol-related issues. Unemployment (
D) is not directly related to alcohol withdrawal, making it incorrect.