ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse in the Emergency Department (ED) assesses a 17-year-old client exhibiting symptoms of opiate intoxication. Which of the following should be the nurse's priority action?
Correct Answer: C
Rationale: Administering naloxone is often the priority action for a client exhibiting symptoms of opiate intoxication, especially if they are experiencing significant respiratory depression or unconsciousness. Naloxone is a medication used to rapidly reverse the effects of opioids, including respiratory depression and sedation.
Question 2 of 5
While talking to the school nurse, a child in third grade states, 'My parents are away and I have not eaten for days. I am worried that my parents forgot about me and my little brother.' The nurse would suspect what type of abuse?
Correct Answer: A
Rationale: Neglect occurs when a caregiver fails to provide for a child's basic needs, such as food, shelter, clothing, medical care, education, or emotional support. In this scenario, the child's statement about not eating for days and feeling worried because their parents are away suggests a lack of provision for basic needs, indicating possible neglect.
Question 3 of 5
The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?
Correct Answer: D
Rationale: Conveying an accepting attitude involves demonstrating empathy, respect, and nonjudgmental acceptance of the client as they are. Clients with BPD often have a fear of rejection and abandonment, so feeling accepted and understood by the nurse is critical for building trust.
Question 4 of 5
A client has been taking oxycodone for pain. The client has returned three times for refills of the prescription. In addition to slurred speech, which assessment leads the nurse to suspect opioid intoxication?
Correct Answer: C
Rationale: Constricted pupils, also known as miosis, are a classic sign of opioid intoxication. Opioids act on opioid receptors in the brainstem, which can lead to pupillary constriction.
Question 5 of 5
A college student experienced a sexual assault when out on a date. After several weeks of crisis intervention therapy, which statement by the client would indicate to the nurse that the student is making progress?
Correct Answer: B
Rationale: This statement demonstrates progress and indicates that the client is beginning to take responsibility off themselves for the sexual assault. Acknowledging that the assault was not their fault is a crucial step in healing from trauma. It shows an acceptance of reality and a shift away from self-blame or feelings of guilt.