ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions to the client taking disulfiram. Which of the following items should the nurse teach the client to avoid?
Correct Answer: B
Rationale: Clients taking disulfiram should avoid all forms of alcohol, including alcoholic beverages such as beer, wine, and spirits. Consuming alcohol while taking disulfiram can lead to a severe and potentially life-threatening reaction known as the disulfiram-alcohol reaction.
Question 2 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 3 of 5
The nurse is caring for a client after an endoscopy. The client is lethargic and not responding to verbal commands. The priority nursing action is to:
Correct Answer: A
Rationale: The client's lethargy and lack of response to verbal commands raise concerns about their level of consciousness and potential airway compromise. Assessing the client's airway and breathing involves ensuring that the airway is clear, assessing respiratory rate and effort, and monitoring oxygenation.
Question 4 of 5
The nurse is caring for a client who takes warfarin $10 \mathrm{mg}$ PO daily and several herbal remedies. The nurse would be most concerned that the use of which herb would enhance the anticoagulant effects of warfarin?
Correct Answer: A
Rationale: Ginkgo biloba has been reported to have anticoagulant properties and may potentiate the effects of warfarin, increasing the risk of bleeding.
Therefore, individuals taking warfarin should exercise caution when using ginkgo supplements and be monitored closely for signs of bleeding or changes in anticoagulant response.
Question 5 of 5
The nurse has recently set limits for a client with borderline personality disorder. The client tells the nurse, 'You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful.' This outburst can be assessed as:
Correct Answer: C
Rationale: Splitting is characterized by viewing people and situations in extremes, either all good or all bad, without recognizing the complexity that usually exists in most circumstances. This black-and-white thinking can lead to rapidly shifting perceptions of others, as seen in the client's sudden change from idealizing the nurse to devaluing them.