ATI RN
ATI Mental Health Exam N200 Group 2 Exam Questions
Extract:
Question 1 of 5
The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?
Correct Answer: C
Rationale: Tell me what you eat in a typical day. This directly assesses dietary intake providing a comprehensive view of nutritional status. Other options assess access or specific factors but are less direct.
Question 2 of 5
When the nurse admits a client with anorexia nervosa for treatment,the therapeutic milieu should provide: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: observation during and after meals adherence to scheduled meal times and monitoring during bathroom trips prevent purging and establish healthy eating patterns. Fast food trips are inappropriate and daily weight checks are preferred over weekly.
Question 3 of 5
During a client intake assessment,the nurse asks both physiological and psychosocial questions. The client angrily responds I'm here for my heart, not my head problems. What is the nurse's best response?
Correct Answer: D
Rationale: Psychological factors like excessive stress have been found to affect medical conditions. This response explains the rationale behind the questions and how they relate to the client's overall health potentially helping the client understand the importance of a holistic assessment.
Question 4 of 5
A client who is agitated and assaultive and unable to be verbally de-escalated is on the inpatient unit. The doctor ordered medications for the nurse to administer to the client. Which medication would the nurse question?
Correct Answer: B
Rationale: Ondansetron is an antiemetic for nausea not agitation or assaultive behavior. Diphenhydramine lorazepam and haloperidol are appropriate for sedation and managing agitation.
Question 5 of 5
The nurse is assessing an inpatient client with a known history of violence. The client suddenly displays clenched fists. What additional behavior by the client would suggest that the aggression is escalating? The client:
Correct Answer: C
Rationale: is pacing around the milieu. Pacing can be a sign of increasing agitation and is often observed in clients who are escalating towards aggressive behavior. This physical activity can indicate restlessness and an inability to calm down. Refusing lunch or requesting medications does not directly indicate aggression and sitting with peers suggests social engagement.