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: The correct answer is C: Administer naloxone. Administering naloxone is the priority action in opiate intoxication as it can reverse the effects of opiates and potentially save the client's life by restoring normal breathing. Opening the crash cart (
A) is not necessary at this point. Administering oxygen via nonrebreather (
B) can help with oxygenation but does not address the underlying issue of opiate intoxication. Contacting the parents (
D) may be important but not as urgent as administering naloxone.
Question 2 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: The correct answer is D: Conveying an accepting attitude. This is essential initially to establish a trusting nurse-patient relationship because individuals with borderline personality disorder often have difficulty trusting others due to fear of rejection. By conveying an accepting attitude, the nurse communicates empathy, understanding, and nonjudgmental support, which are crucial for building trust.
Choices A, B, and C focus on specific interventions or resources, which may come later in the group process but are not as foundational for establishing trust.
Question 3 of 5
The nurse is caring for a client who just received naloxone. Which nursing intervention is highest priority?
Correct Answer: B
Rationale: The correct answer is B: Monitor airway and vital signs. After receiving naloxone, the client may experience opioid withdrawal symptoms like respiratory depression, which can lead to airway compromise and respiratory distress. Monitoring the airway and vital signs is crucial to ensure adequate oxygenation and ventilation. Inserting a nasogastric tube (
A) is not the priority as it does not address the immediate risk of respiratory compromise. Inserting an indwelling urinary catheter or monitoring output (
C) is unnecessary at this time as it does not address the client's immediate physiological needs. Anticipating and treating hyperpyrexia with cooling measures (
D) is not indicated as naloxone administration does not typically cause hyperpyrexia.
Question 4 of 5
The nurse is admitting a client who has osteoarthritis. Which information obtained by the nurse indicates a need for client teaching? The client:
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Herbal remedies are not regulated by the FDA and may interact with prescribed medications. The client should consult healthcare providers for safe and effective treatments.
Summary:
A: Yoga can help improve flexibility and balance, which are beneficial for managing osteoarthritis.
C: Glucosamine is a common supplement used to manage joint pain in osteoarthritis.
D: Prayer may provide spiritual and emotional support, which can positively impact pain perception.
Question 5 of 5
A client plans to go to an acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works. The most accurate response would be 'Acupuncture is a traditional Chinese medical treatment. The Chinese believe that:
Correct Answer: D
Rationale: The correct answer is D: the insertion of needles modulates the flow of energy along the body meridians. Acupuncture is based on the concept of energy flow through meridians in the body. By inserting needles at specific points along these meridians, acupuncturists aim to restore balance and promote healing. This explanation aligns with the fundamental principles of traditional Chinese medicine.
Choice A is incorrect because acupuncture focuses on meridians, not spinal manipulation.
Choice B is incorrect as acupuncture does not involve administering noxious substances.
Choice C is incorrect as it refers to herbal remedies, which are not directly related to acupuncture. Overall, choice D provides the most accurate and relevant explanation for how acupuncture works in the context of treating alcoholism.