ATI Mental Health 2023 II | Nurselytic

Questions 68

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ATI Mental Health 2023 II Questions

Extract:

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.
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.


Question 1 of 5

The client is at risk for developing ___ as evidenced by the client’s ___

Correct Answer: A,B

Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.

Rationale:
1. Action A (Dysphoria): Addressing client's emotional distress is crucial in preventing further complications.
2. Action B (History of alcohol consumption): Identifying substance abuse history helps in personalized interventions.
3. Potential Condition C (Dementia): Client's cognitive impairment may exacerbate risks and require tailored care.
4. Parameter to Monitor D (Age): Age is a significant factor in assessing the client's overall health and potential risks.
5. Parameter to Monitor E (History of rehabilitation): Past rehabilitation experiences can influence current treatment effectiveness.
These choices are selected based on their direct relevance to the client's risk factors and individual characteristics.

Extract:


Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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