ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Sensors (
B), floor mattress (
C), and high locks (E) enhance safety against wandering and falls. A chair (
A) is impractical, and late activity (
D) may disrupt sleep.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: Suppression involves consciously avoiding distressing thoughts, as seen here, but delaying a terminal diagnosis indefinitely can be maladaptive, hindering treatment. Compensation, regression, and sublimation involve different mechanisms (overachieving, reverting, or redirecting impulses), not applicable here.
Question 3 of 5
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Offering hydration and nutrition every 2 hours is critical to meet the client’s basic needs and prevent dehydration or malnutrition, aligning with restraint care guidelines. Checking every 30 minutes is insufficient (15-minute checks are standard); toileting every 15 minutes is excessive; and renewal every 8 hours doesn’t match typical 24-hour protocols.
Question 4 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Eating only twice in a week signals severe nutritional neglect, risking physical complications in mania, requiring urgent reporting. Hygiene neglect, rhyming speech, and sexual comments are notable but less immediately critical.
Question 5 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: A
Rationale: Chlordiazepoxide, a benzodiazepine, is commonly used for alcohol withdrawal to reduce agitation, tremors, and seizure risk by acting as a sedative. Bupropion is an antidepressant, disulfiram is for chronic alcoholism deterrence, and buprenorphine is for opioid withdrawal, none of which address acute alcohol withdrawal symptoms.