1
ATI questions - study for
mental health exam 3
A client is admitted to the emergency department for intoxication
with alcohol. The client has an unsteady gait, myopathy, and
neuropathy and cannot remember past or recent events. When
treated with thiamine, the client's symptoms greatly improve. Which
condition was the client likely experiencing?
a. Scurvy
b. Wernicke-Korsakoff syndrome
c. Alcohol dependence with memory impairment
d. Alcoholic dementia - -Correct answer-Wernicke-Korsakoff
syndrome
The mental health nurse recognizes that genetic intolerance of
alcohol has been documented among which ethnic group?
a. Asians
b. Africans
c. Italians
d. Germans - -Correct answer-a. Asians
1
, 2
Which medication is used to prevent Wernicke-Korsakoff syndrome?
a. Thiamine (vitamin B1)
b. Folic acid (folate)
c. Cyanocabalamin
d. Lorazepam - -Correct answer-a. Thiamine (vitamin B1)
While conducting an admission interview with a client, the nurse
suspects the client may be in alcohol withdrawal. Which screening
tool can help the nurse identify the severity of withdrawal
symptoms?
a. PERSONS
b. CAGE
c. CIWA-Ar
d. MSE - -Correct answer-c. CIWA-Ar
When discussing methadone treatment with a client, the nurse
should include what?
a. It decreases the severity of heroin withdrawal symptoms.
b. The cure rate is extremely high.
c. It takes 1 to 2 years to cure an opiate addict.
2
, 3
d. It is a nonaddictive treatment. - -Correct answer-a. It decreases
the severity of heroin withdrawal symptoms
A 47-year-old client has been admitted to the hospital after being
found unconscious in a park. Upon regaining consciousness, the
client admits to heavy alcohol use over many years. Assessment
reveals a low body mass index, low electrolyte levels, and impaired
skin integrity. Vital signs are within normal ranges. What nursing
diagnosis should be prioritized in the care of this client?
a. Risk for injury related to chronic alcohol intake
b. Deficient knowledge regarding the effects of alcohol intake
c. Imbalanced nutrition: less than body requirements related to
chronic alcohol intake
d. Ineffective coping related to effects of chemical use - -Correct
answer-c. Imbalanced nutrition: less than body requirements related
to chronic alcohol intake
A client has been prescribed naltrexone for treatment of alcohol
dependence. The nurse has explained the drug's purpose to the
client. The nurse determines that the client has understood the
instructions when the client identifies which about the drug?
a. Causes itching if alcohol is consumed
b. Produces the euphoria of alcohol
c. Reduces the appeal of alcohol
3
, 4
d. Improves appetite and nutritional status - -Correct answer-c.
Reduces the appeal of alcohol
A client is receiving methadone maintenance therapy. After teaching
the client about this treatment, the nurse determines that the
education was successful when the client states what?
a. "I can have a glass of wine with dinner if I choose."
b. "I should eat small frequent meals if I get nauseated."
c. "I should take the drug on an empty stomach."
d. "I might experience diarrhea with this drug." - -Correct answer-b.
"I should eat small frequent meals if I get nauseated."
The client was diagnosed with cocaine abuse at age 30. When the
client was 23, the client was diagnosed with major depressive
episode, and has continued to have depression off and on since then.
Which statement would reflect this situation?
a. The client is probably using cocaine in combination with her
antidepressants to enhance the effects of the cocaine.
b. The client needs to address the cocaine abuse first before
addressing her episodes of depression.
c. The client most likely has a dual diagnosis since she has both a
substance dependence and depression.
4
ATI questions - study for
mental health exam 3
A client is admitted to the emergency department for intoxication
with alcohol. The client has an unsteady gait, myopathy, and
neuropathy and cannot remember past or recent events. When
treated with thiamine, the client's symptoms greatly improve. Which
condition was the client likely experiencing?
a. Scurvy
b. Wernicke-Korsakoff syndrome
c. Alcohol dependence with memory impairment
d. Alcoholic dementia - -Correct answer-Wernicke-Korsakoff
syndrome
The mental health nurse recognizes that genetic intolerance of
alcohol has been documented among which ethnic group?
a. Asians
b. Africans
c. Italians
d. Germans - -Correct answer-a. Asians
1
, 2
Which medication is used to prevent Wernicke-Korsakoff syndrome?
a. Thiamine (vitamin B1)
b. Folic acid (folate)
c. Cyanocabalamin
d. Lorazepam - -Correct answer-a. Thiamine (vitamin B1)
While conducting an admission interview with a client, the nurse
suspects the client may be in alcohol withdrawal. Which screening
tool can help the nurse identify the severity of withdrawal
symptoms?
a. PERSONS
b. CAGE
c. CIWA-Ar
d. MSE - -Correct answer-c. CIWA-Ar
When discussing methadone treatment with a client, the nurse
should include what?
a. It decreases the severity of heroin withdrawal symptoms.
b. The cure rate is extremely high.
c. It takes 1 to 2 years to cure an opiate addict.
2
, 3
d. It is a nonaddictive treatment. - -Correct answer-a. It decreases
the severity of heroin withdrawal symptoms
A 47-year-old client has been admitted to the hospital after being
found unconscious in a park. Upon regaining consciousness, the
client admits to heavy alcohol use over many years. Assessment
reveals a low body mass index, low electrolyte levels, and impaired
skin integrity. Vital signs are within normal ranges. What nursing
diagnosis should be prioritized in the care of this client?
a. Risk for injury related to chronic alcohol intake
b. Deficient knowledge regarding the effects of alcohol intake
c. Imbalanced nutrition: less than body requirements related to
chronic alcohol intake
d. Ineffective coping related to effects of chemical use - -Correct
answer-c. Imbalanced nutrition: less than body requirements related
to chronic alcohol intake
A client has been prescribed naltrexone for treatment of alcohol
dependence. The nurse has explained the drug's purpose to the
client. The nurse determines that the client has understood the
instructions when the client identifies which about the drug?
a. Causes itching if alcohol is consumed
b. Produces the euphoria of alcohol
c. Reduces the appeal of alcohol
3
, 4
d. Improves appetite and nutritional status - -Correct answer-c.
Reduces the appeal of alcohol
A client is receiving methadone maintenance therapy. After teaching
the client about this treatment, the nurse determines that the
education was successful when the client states what?
a. "I can have a glass of wine with dinner if I choose."
b. "I should eat small frequent meals if I get nauseated."
c. "I should take the drug on an empty stomach."
d. "I might experience diarrhea with this drug." - -Correct answer-b.
"I should eat small frequent meals if I get nauseated."
The client was diagnosed with cocaine abuse at age 30. When the
client was 23, the client was diagnosed with major depressive
episode, and has continued to have depression off and on since then.
Which statement would reflect this situation?
a. The client is probably using cocaine in combination with her
antidepressants to enhance the effects of the cocaine.
b. The client needs to address the cocaine abuse first before
addressing her episodes of depression.
c. The client most likely has a dual diagnosis since she has both a
substance dependence and depression.
4
