ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse working with a teen, who has a history of being moody and withdrawn, will make the establishment of a therapeutic alliance a priority because:
Correct Answer: C
Rationale: Acceptance and trust create a sense of safety and security for the client within the therapeutic relationship. When the client feels accepted and valued by the nurse, they are more likely to feel comfortable opening up and engaging in the therapeutic process.
Question 2 of 5
Several children are seen in the ER for treatment of illnesses and injuries daily. The situation that would cause the nurse to have a high suspicion of child abuse would be:
Correct Answer: B
Rationale: Multiple visits of the same child with different injuries could be a significant red flag for possible child abuse. Patterns of repeated injuries or injuries inconsistent with the child's developmental stage or reported activities may indicate a pattern of maltreatment.
Question 3 of 5
The nurse is administering furosemide $40 \mathrm{mg}$ PO to a client who has peripheral edema. Which method would the nurse use to best evaluate the client's response to this medication?
Correct Answer: D
Rationale: Furosemide is a diuretic that works by increasing urine output, which in turn reduces fluid retention and swelling. By tracking the client's weight on a daily basis, the nurse can obtain a clear and consistent measure of how much fluid is being lost as a result of the medication.
Question 4 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 5 of 5
A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, 'I feel so much better now.' How should the nurse interpret this behavior change? The:
Correct Answer: D
Rationale: Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.