ATI RN
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: Alcohol use and grief increase dysphoria risk.
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
A nurse is caring for a client who is experiencing alcohol withdrawal.Exhibits:A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Group therapy | ||
| Nutritional consult | ||
| Propranolol 40 mg PO twice a day | ||
| Perform Alcohol Use Disorders Identification Test (AUDIT) | ||
| Schedule electroconvulsive therapy (ECT) | ||
| Diazepam 10 mg PO three times a day | ||
| Methadone 40 mg PO daily |
Correct Answer:
Rationale: Group (
A), nutrition (
A), propranolol (
A), AUDIT (
A), diazepam (
A), and labs (
A) aid withdrawal. ECT (
C) and methadone (
C) are inappropriate.
Extract:
Question 3 of 5
A nurse is assessing a client’s communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: Always' generalizes broadly. It’s not manipulative, distracting, or placating.
Question 4 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: D
Rationale: Identifying coping skills addresses immediate emotional needs first. Referrals, confidentiality, and resources follow.
Question 5 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can’t sleep soundly here because it’s too noisy.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Minimizing noise promotes sleep. Day sleep disrupts rhythm, TV may not help, dismissal isn’t constructive.