ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
For which of the following adverse effects should a nurse monitor a client taking citalopram?
Correct Answer: B
Rationale: Decreased libido is a known adverse effect of citalopram, an SSRI. SSRIs can affect sexual function due to increased serotonin levels, leading to decreased libido, difficulty achieving orgasm, or erectile dysfunction. Urinary retention is not commonly linked to citalopram; bruising may occur rarely with bleeding risks but isn’t typical; and jaundice, indicating liver issues, is rare and not routine to monitor unless other risk factors are present.
Question 2 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Providing written treatment plan information reduces suspicion and paranoia by offering transparency, aiding trust. Monitoring splitting is relevant but less proactive, isolation is harmful, and countertransference disrupts objectivity.
Question 3 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: A
Rationale: When leading a crisis intervention group, especially for adolescents who have witnessed a traumatic event like a classmate's suicide, it is crucial to first identify the individuals' prior coping skills. This initial step helps the nurse understand each adolescent’s baseline coping mechanisms, allowing for a tailored intervention that reinforces existing strengths and introduces new strategies. This is particularly important in the aftermath of a suicide, where emotions like guilt and grief can be overwhelming. Assessing coping skills first enables the nurse to predict challenges and provide targeted support, making it the priority over reviewing resources, discussing confidentiality, or initiating referrals, which follow after this assessment.
Question 4 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety. A client lying about suicidal ideation does not require mandatory reporting unless there is evidence of harm. Smoking marijuana or theft, while potentially illegal, do not typically fall under nursing mandatory reporting unless they directly affect patient care or involve minors.
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
Diagnostic Results
Blood alcohol level (BAC): 310 mg/dL (0 to 50 mg/dL)
History & Physical
Neurological: Client is intoxicated, has slurred speech, and is unable to coherently respond to questions.
Cardiovascular: Normal sinus rhythm and pulses palpable. No history of heart disease.
Respiratory: Chest clear to auscultation and no shortness of breath noted. No history of respiratory disorders and client states they quit smoking over 20 years ago.
Gastrointestinal: Client reports weight loss over the past 3 months and minimal appetite.
Genitourinary: Client reports no known problems.
Impression: Relapse of alcohol use disorder.
Plan: Admit for alcohol use disorder and observe for alcohol withdrawal.
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 an 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 hours ago.
Question 5 of 5
A nurse in a mental health facility is admitting a client.Exhibits:Complete the following sentence by using the lists of options. The client is at risk for developing ___ as evidenced by the client's ___.
Correct Answer: A,B
Rationale: The client’s history of heavy alcohol use increases withdrawal risk when intake stops, evidenced by prior consumption patterns.