ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. This is because MAO inhibitors have a higher risk of interactions with certain foods and other medications, which can be challenging for a patient with a mild intellectual disability to manage due to potential cognitive limitations. Selective serotonin reuptake inhibitors (
Choice
A) and Serotonin and norepinephrine reuptake inhibitors (
Choice
C) are generally safer options and are commonly used in patients with depression, including those with intellectual disabilities. Choosing "All of the above" (
Choice
D) is incorrect as it includes options that are not suitable for a patient with mild intellectual disability.
Question 2 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.
Extract:
Exhibit 1 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 th
drinking to start again.*
Family member estimates the client's last drink was 2 hr ago.
Question 3 of 5
A nurse is caring for a client who was admitted for alcohol disorder. which one of the following require follow uo by the nurse? select all that apply
Correct Answer: B
Rationale: The correct answer is B: Smoking history. The nurse should follow up on the client's smoking history because tobacco use can exacerbate alcohol-related health issues and impact treatment outcomes. Cardiac assessment, genitourinary assessment, neurological assessment, recent loss, and gastrointestinal assessment are important aspects of care for a client with alcohol disorder but are not specifically related to smoking, which is a common co-occurring behavior with alcohol use.
Therefore, the other choices are incorrect as they do not specifically address the potential impact of smoking on the client's health in the context of alcohol disorder.
Extract:
Question 4 of 5
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and then runs the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to verbally attack other clients. What intervention is most appropriate for the RN to use to manage the client’s behavior?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to a safe area to avoid injury. This is the most appropriate intervention because the client is engaging in potentially harmful behaviors such as vigorous exercise and crashing into furniture. By moving the client to a safe area, the nurse can prevent any physical harm that may result from the client's actions.
Choice B: Establish clear and firm limits with the client may not be effective in this situation as the client may not be receptive to verbal communication due to their current behavior.
Choice C: Offer medication to help calm the client down may not be appropriate as it is important to address the immediate safety concerns first before considering medication.
Choice D: Speak with the client in a calm, non-threatening manner may not be effective in this situation as the client is not in a state to engage in a calm conversation.
In summary, choice A is the most appropriate intervention to ensure the client's safety in the current situation.
Question 5 of 5
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Does the patient have experiences with either community or inpatient mental healthcare facilities? This question is vital in determining the most appropriate treatment setting because the patient's past experiences can influence their comfort, adherence, and response to treatment. If the patient has had positive experiences with either setting, it may guide the team in selecting the most effective option.
A: Is the patient expressing suicidal thoughts? - While this is an important consideration for safety, it does not directly determine the treatment setting.
B: Does the patient have intact judgment and insight into his situation? - This question is important for assessing the patient's capacity for decision-making, but it does not specifically relate to the choice between outpatient or inpatient settings.
D: Does the patient require a therapeutic environment to support the management of psychotic symptoms? - This question is relevant but does not address the patient's past experiences with treatment settings, which is crucial in determining the most suitable option.