ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Using past coping mechanisms shows self-care understanding. Bed rest worsens depression, avoidance delays healing, dependency hinders autonomy.
Question 2 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: Dizziness is a quetiapine side effect (hypotension), not allergy. Meal timing, stopping, or morning dosing don’t address cause.
Extract:
Physical Examination
Day 1 0900:
A client who has a urinary tract infection is admitted for treatment with IV antibiotics. The client is alert and oriented x3. Respirations are equal and unlabored bilaterally. S1 and S2 heart tones noted upon auscultation. Client has hearing loss and wears glasses. Abdomen is soft with suprapubic pain on palpation rated as a 4 on a scale of 0 to 10. Client reports three episodes of urinary incontinence. Bowel sounds active in all four quadrants. Able to move all extremities.
Vital Signs
Day 1 0915:
Temperature 37.3° C (99.1° F)
Heart rate 90/min
Respiratory rate 15/min
Blood pressure 130/76 mm Hg
Oxygen saturation 97% on room air
Day 1 1900:
Temperature 37.3° C (99.1° F)
Heart rate 99/min
Respiratory rate 16/min
Blood pressure 136/88 mm Hg
Oxygen saturation 98% on room air
Nurses' Notes
Day 1 1900:
The client is alert and is oriented to person, with confusion about time and place. Client is unable to focus. The client exhibits agitation upon assessment. Client states they do not remember coming to the facility, and they are late for a provider's appointment. Reorientation to environment initiates anxiety and worsens the agitation.
Question 3 of 5
Upon assessment, the nurse should recognize that the client is at risk for developing ___ as evidenced by the client’s ___
Correct Answer: A,B
Rationale: UTI and disorientation (alert x3) increase delirium risk in older adults.
Extract:
Question 4 of 5
A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
Correct Answer: D
Rationale: Seizure precautions address withdrawal risk. Methadone is for opioids, urine acidification irrelevant, hypotension secondary.
Question 5 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Staying post-meals supports and prevents purging. Weighing increases anxiety, snacks disrupt, menu planning is secondary.