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ATI N200 Mental Health Exam 2 Questions

Extract:


Question 1 of 5

A nurse is preparing to administer lorazepam 2 mg IV for a client with acute anxiety. The available concentration is 4 mg/mL. How many mL should the nurse administer?

Correct Answer: 0.5

Rationale: Calculation: 2 mg ÷ 4 mg/mL = 0.5 mL. The nurse should administer 0.5 mL.

Question 2 of 5

The nurse is providing discharge instructions to the client taking disulfiram. Which of the following items should the nurse teach the client to avoid?

Correct Answer: D

Rationale: Disulfiram causes adverse reactions with alcohol by inhibiting acetaldehyde metabolism so alcoholic beverages must be avoided.

Choices A B and C do not interact with disulfiram.

Question 3 of 5

An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused malnourished and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts not allowing the client to answer. Which of the following nursing interventions is a priority?

Correct Answer: D

Rationale: Interviewing alone assesses for abuse given the client’s reluctance and daughter’s interruptions.
Choice A is secondary.
Choice B is premature without safety assessment.
Choice C risks unreliable information.

Question 4 of 5

One liter of normal saline is to infuse over 8 hours. At what rate will the nurse set the infusion pump?

Correct Answer: 125

Rationale: Calculation: 1 liter = 1000 mL ÷ 8 hours = 125 mL/hour. The infusion pump should be set to 125 mL/hour.

Question 5 of 5

The spouse of a client who is diagnosed with an alcohol use disorder requests information from the nurse about support groups to help the family cope with the effects of the client's drinking on the family. Which statement by the spouse would suggest the teaching has been effective?

Correct Answer: C

Rationale: Al-Anon is designed for family members of those with alcohol use disorder offering support and coping strategies.
Choice A is incorrect as AA closed meetings are for alcoholics only.
Choice B is incorrect as family support is beneficial regardless of the client’s readiness.
Choice D is incorrect as Al-Anon specifically supports families not just the client.

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