ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will place a sliding bolt lock just above the doorknob." This statement indicates an understanding of the teaching on home safety for a client with advanced Alzheimer's disease as it addresses the need to secure the doors to prevent wandering, a common behavior in Alzheimer's patients. Placing a sliding bolt lock above the doorknob is effective as it is out of the client's line of sight and reach, making it harder for them to unlock and wander unsupervised.
Incorrect options:
B: Notifying law enforcement within 2 hours if the client cannot be found is important, but prevention through secure locks is key.
C: Ensuring the bedroom is dark while sleeping is not directly related to home safety for a client with Alzheimer's.
D: Giving the client's most recent photo to the police is important for identification but does not prevent wandering.
Question 2 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. During acute alcohol withdrawal, chlordiazepoxide, a benzodiazepine, is commonly prescribed to manage symptoms such as anxiety, tremors, and seizures by acting on GABA receptors to reduce CNS excitability. Disulfiram (
A) is used for alcohol aversion therapy and can cause a severe adverse reaction if alcohol is consumed. Buprenorphine (
C) is used for opioid addiction, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.
Question 3 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will place a sliding bolt lock just above the doorknob." This statement indicates an understanding of the teaching on home safety for a client with advanced Alzheimer's disease as it addresses the need to secure the doors to prevent wandering, a common behavior in Alzheimer's patients. Placing a sliding bolt lock above the doorknob is effective as it is out of the client's line of sight and reach, making it harder for them to unlock and wander unsupervised.
Incorrect options:
B: Notifying law enforcement within 2 hours if the client cannot be found is important, but prevention through secure locks is key.
C: Ensuring the bedroom is dark while sleeping is not directly related to home safety for a client with Alzheimer's.
D: Giving the client's most recent photo to the police is important for identification but does not prevent wandering.
Question 4 of 5
A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for self-harm?
Correct Answer: A
Rationale: The correct answer is A: "Have you ever felt you should decrease your consumption of alcohol?" This question assesses the client's potential risk for self-harm by addressing the issue of alcohol consumption, which is a common risk factor for self-harm behaviors. Clients who feel the need to decrease their alcohol intake may be at higher risk for self-harm.
Choice B is incorrect as it focuses on liver damage and not on self-harm risk.
Choice C is irrelevant to self-harm risk assessment.
Choice D addresses family alcohol use but does not directly assess the individual's risk for self-harm. It is important to ask specific questions related to self-harm behaviors to accurately assess the client's risk.
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: C
Rationale: The correct answer is C. Improvement in manifestations of depression indicates that electroconvulsive therapy is effective. This is because ECT is primarily used for severe depression that has not responded to other treatments. Improvement in symptoms such as low mood, lack of interest, and hopelessness indicates that the treatment is working.
Choice A is incorrect as ECT is not typically used for treating borderline personality disorder.
Choice B is incorrect as ECT does not reduce seizures, but rather induces controlled seizures in the brain.
Choice D is incorrect as fear of heights is not a targeted symptom for ECT treatment.