ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. Benzodiazepines help stabilize the client's central nervous system by enhancing the effects of gamma-aminobutyric acid (GAB
A), which inhibits excessive neuronal activity caused by alcohol withdrawal. Disulfiram (
A) is used to deter alcohol consumption by causing unpleasant side effects when alcohol is consumed. Buprenorphine (
C) is used for opioid dependence, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.
Question 2 of 5
A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency?
Correct Answer: B
Rationale: The correct answer is B because the nurse is mandated to report any suspicions of child abuse or neglect, including situations where a child is being tied to a bed as punishment. This falls under the duty to report laws to protect vulnerable populations.
Choice A involves drug use, which is not typically mandated to report unless it poses an immediate danger.
Choice C involves theft, which is not typically mandated to report unless it involves a vulnerable population.
Choice D involves lying about suicidal ideation, which is concerning but doesn't involve imminent harm to others.
Question 3 of 5
A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?
Correct Answer: C
Rationale: The correct answer is C: A client who is experiencing alcohol withdrawal. During alcohol withdrawal, there is a risk of seizures due to the central nervous system hyperexcitability. Seizure precautions are necessary to ensure the safety of the client. Opioid withdrawal (
Choice
A) typically does not result in seizures but rather manifests with flu-like symptoms. Cannabis withdrawal (
Choice
B) and stimulant withdrawal (
Choice
D) may lead to psychological symptoms but are less likely to cause seizures compared to alcohol withdrawal. Implementing seizure precautions for a client experiencing alcohol withdrawal is crucial to prevent potential harm and ensure proper monitoring and intervention if a seizure occurs.
Question 4 of 5
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Identify prior coping skills. This should be the first action because understanding the adolescents' existing coping mechanisms will help tailor the crisis intervention effectively. By identifying their prior coping skills, the nurse can build upon their strengths and provide support based on their individual needs. Initiating referrals (
A), discussing confidentiality (
B), and reviewing community resources (
C) are important steps but would come after identifying the adolescents' coping skills. These actions are secondary to the initial assessment of coping strategies.
Question 5 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: The correct answer is C: "I will use the coping mechanisms that helped me in the past." This statement indicates that the client recognizes the importance of utilizing effective coping strategies that have proven helpful in managing their symptoms of major depressive disorder. By acknowledging the value of past successful coping mechanisms, the client demonstrates an understanding of self-care and proactive management of their condition.
A: "I will stay in bed on days when I feel exhausted." This statement suggests avoidance and isolation, which can exacerbate symptoms of depression.
B: "I will avoid talking about events that upset me." Avoidance of emotions can hinder progress in therapy and addressing underlying issues contributing to depression.
D: "I will rely on my partner to plan out my schedule each day." While support from a partner is beneficial, self-reliance and personal responsibility in self-care are key components in managing depression.