ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?
Correct Answer: C
Rationale: Rationale for
Choice C being correct: The statement "I will develop a decreased physical response to alcohol" indicates an understanding of alcohol tolerance, where the body requires more alcohol to achieve the same effects. This demonstrates comprehension of the concept.
Summary of why other choices are incorrect:
A: Incorrect. Alcohol tolerance does not produce physical changes when alcohol is not ingested.
B: Incorrect. Alcohol tolerance does not affect the response to opiates.
D: Incorrect. Alcohol tolerance is not a medical emergency and is not solely a result of withdrawal.
Question 2 of 5
A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Neuroleptic malignant syndrome (NMS). NMS is a rare but life-threatening side effect of antipsychotic medications like haloperidol. The client's symptoms of high fever, elevated blood pressure, and muscle rigidity are classic signs of NMS. The nurse should suspect NMS due to the acute onset of these symptoms in a client taking haloperidol.
A) Agranulocytosis is a potential side effect of antipsychotic medications but does not present with the same symptoms as NMS.
B) Akathisia is characterized by restlessness and does not typically involve fever or muscle rigidity.
C) Tardive dyskinesia is a movement disorder that develops with long-term antipsychotic use and does not present acutely with fever and elevated blood pressure.
Therefore, the correct choice is D as it aligns with the client's presentation and medication history.
Question 3 of 5
A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Echolalia, or repeating words/phrases, is a common communication pattern in autism spectrum disorder.
Question 4 of 5
A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Dilated pupils. Cocaine intoxication typically causes dilated pupils due to its stimulant effects on the nervous system, leading to increased release of certain neurotransmitters. Nystagmus (
A) is more commonly associated with alcohol intoxication. Hypersomnia (
C) refers to excessive daytime sleepiness, which is not a typical finding in cocaine intoxication. Depression (
D) may be a psychological symptom associated with cocaine use but is not a physical finding of intoxication.
Question 5 of 5
A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?
Correct Answer: C
Rationale: Rationale for
Choice C being correct: The statement "I will develop a decreased physical response to alcohol" indicates an understanding of alcohol tolerance, where the body requires more alcohol to achieve the same effects. This demonstrates comprehension of the concept.
Summary of why other choices are incorrect:
A: Incorrect. Alcohol tolerance does not produce physical changes when alcohol is not ingested.
B: Incorrect. Alcohol tolerance does not affect the response to opiates.
D: Incorrect. Alcohol tolerance is not a medical emergency and is not solely a result of withdrawal.