ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has an alcohol use disorder. Which of the following statements should the nurse make to help prevent relapse?
Correct Answer: A
Rationale: Listing negative effects reinforces motivation to stay sober by highlighting consequences. 'As needed' lacks structure, lorazepam risks dependence, and familiar places may trigger cravings.
Extract:
Provider Prescriptions
Olanzapine 10 mg tablet, taken orally daily.
Alprazolam 1 mg tablet, taken orally three times daily as needed for anxiety.
Nurses’ Notes
The client reports hearing voices that are discussing race cars and race tracks. The client appears diaphoretic and pale. The client also reports a weight gain of 2.2 kg (4.9 lb) in the past week.
Graphic Record
Blood Pressure (BP): 128/82 mm Hg
Pulse Rate: 98/min
Respiratory Rate: 20/min
Temperature: 39.4° C (103° F)
Oxygen Saturation (SaO2): 95%
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: B
Rationale: Temperature of 39.4°C (103°F) indicates fever, needing urgent attention over hallucinations (expected), weight gain (common with olanzapine), or normal BP (128/82 mmHg).
Extract:
Question 3 of 5
A nurse is caring for a client who has a depressive disorder. The client states, 'I don't always go to bed at night, so I get in trouble for falling asleep at work.' Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: A sleep diary helps identify patterns and promote consistency, aiding sleep in depression. Naps disrupt nighttime sleep, late exercise stimulates, and stopping meds is unsafe without guidance.
Question 4 of 5
A nurse is providing teaching to a client who is newly diagnosed with Alzheimer's disease. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: D
Rationale: NMDA antagonists (e.g., memantine) delay cognitive decline in Alzheimer’s. Hospice is for late stages, TMS is experimental, and barbiturates risk worsening cognition.
Question 5 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a prescription within 30 minutes ensures legal and ethical justification for seclusion. Six hours exceeds typical limits (4 hours max), vital signs need more frequent checks (every 15-60 minutes), and documentation should be every 15 minutes.