ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging upset feelings validates and opens discussion. Ignoring dismisses, 'why' may pressure, agreeing risks bias.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Describing beliefs aids assessment without confrontation. Focusing reinforces, impulse control unrelated, contradicting increases distress.
Extract:
Vital Signs
Admission, 1600:
Temperature 36.1° C (97° F)
Blood pressure 98/66 mm Hg
Heart rate 76/min
Respiratory rate 10/min
Pulse oximetry 95% on room air
Day 2, 0800:
Temperature 37.3° C (99.1° F)
Blood pressure 198/86 mm Hg
Heart rate 116/min
Respiratory rate 22/min
Nurses' Notes
Client brought in by a family member who states that the client has been drinking "nonstop since the death of the client's parents 3 months ago."
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago and remained sober until several months ago when both parents died.
According to the client's family member, the client has been unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states, "Everything combined caused the drinking to start again." Family member estimates the client's last drink was 2 hr ago.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding
Question 3 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal.Exhibits:A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Group therapy | ||
| Nutritional consult | ||
| Propranolol 40 mg PO twice a day | ||
| Perform Alcohol Use Disorders Identification Test (AUDIT) | ||
| Schedule electroconvulsive therapy (ECT) | ||
| Diazepam 10 mg PO three times a day | ||
| Methadone 40 mg PO daily |
Correct Answer:
Rationale: Group (
A), nutrition (
A), propranolol (
A), AUDIT (
A), diazepam (
A), and labs (
A) aid withdrawal. ECT (
C) and methadone (
C) are inappropriate.
Extract:
Question 4 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: Displacement shifts anger from partner to nurse. Denial rejects reality, compensation offsets, rationalization justifies.
Question 5 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Documenting refusal respects autonomy and informs the team. Family pressure, no consent, and denying rights are incorrect.