ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Confusion is a common ECT side effect. It’s not a cure, done under anesthesia, and not vagus nerve-based.
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 2 of 5
The nurse should first administer ___ followed by administering ___
Correct Answer: A,B
Rationale: Metoclopramide treats vomiting first, then propranolol manages tachycardia/BP.
Extract:
Question 3 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: D
Rationale: Phenelzine (MAOI) with tyramine (pepperoni) risks hypertensive crisis; BP monitoring is critical.
Question 4 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: C
Rationale: Suppression delays facing distress consciously, maladaptively here. Sublimation channels, compensation offsets, regression reverts.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: A
Rationale: ECT primarily treats severe depression, with effectiveness shown by improved mood and energy. Panic, seizures (part of ECT), and phobias are not primary targets.