ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who just received naloxone. Which nursing intervention is highest priority?
Correct Answer: B
Rationale: Naloxone administration can rapidly reverse the effects of opioids, potentially leading to the rapid onset of opioid withdrawal symptoms, which may include respiratory depression.
Therefore, close monitoring of the client's airway, respiratory rate, oxygen saturation, blood pressure, and heart rate is critical to ensure their safety and stability.
Question 2 of 5
The best action for the nurse to take with a 5-year-old who runs over to another child in the waiting room and slaps her is to:
Correct Answer: B
Rationale: Providing a safe and supportive environment for the child to express and manage their emotions is important. Taking the child to a room with toys allows them to engage in play and express their feelings in a constructive manner.
Question 3 of 5
The spouse of a client who is diagnosed with an alcohol use disorder requests information from the nurse about support groups to help the family cope with the effects of the client's drinking on the family. Which statement by the spouse would suggest the teaching has been effective? The spouse states:
Correct Answer: C
Rationale: This statement demonstrates an understanding of the availability of support groups specifically for family members affected by alcohol use disorder and reflects the spouse's willingness to seek support independently of the client's readiness for treatment.
Question 4 of 5
During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:
Correct Answer: C
Rationale: This attitude suggests a sense of self-blame or low self-worth commonly seen in individuals with depression. They may feel undeserving of happiness or believe that their suffering is justified. This attitude can hinder the individual's willingness to seek help or engage in treatment, as they may believe that they do not deserve support or that their situation is hopeless.
Question 5 of 5
The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:
Correct Answer: B
Rationale: Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.