ATI PN Mental health
2023
1. A nurse is explaining the alcohol recoveryA. Acknowledge an inability to
control
process to a client's family. Which of the follow- drinking
ing should the nurse identify as the first Rationale: Admission of the
step toward successful recovery? problem and loss of control is the
Options: foundation of recovery programs
A. Acknowledge an inability to control like the 12-step model..
drink- ing.
B. Incorporate a form of spirituality
into daily life.
C. Agree to a prescription for an alcohol
use deterrent.
D. Form a close support network.
2. A 76-year-old client fell at home and is Potential Condition: Delirium.
experi-
encing sudden onset confusion. Complete the Actions to Take: Monitor for
an un-
diagram for the most likely condition D. Temperature
and ac- tions. 36.7° C (98° F)
3. A nurse is reviewing the vital signs of
a client who has a prescription for
imipramine. Which of the following
findings requires follow-up? Options:
A. Blood pressure 88/64 mm Hg
B. Pulse rate 66/min
C. Respiratory rate 16/min
, ATI PN Mental health
2023
derlying infection (UTI); use symbols rather than written signs for A. Blood pressure 88/64 mm
direc- tions. Hg Rationale: Imipramine (a TCA)
Parameters to Monitor: Ability to com- plete familiar tasks; can cause orthostatic hypotension;
presence of ag- nosia. this low BP increases fall risk.
4.
, ATI PN Mental health
2023
A nurse is interviewing a client who A. "I can't promise you that. I
was re- cently admitted. The client may need to share information."
tells the nurse, "I have something to Rationale: Nurses must maintain
tell you, but you can't tell anyone else." pro- fessional boundaries and
Which of the following respons- es share safe- ty-related info with the
should the nurse make? treatment team.
Options:
A. "I can't promise you that. I may
need to share information."
B. "You can tell me what information you
want me to share with your provider."
C. "I will tell you what I feel I should
share with the treatment team."
D. "Try not to worry. Your secret is safe
with me."
5. A nurse is caring for a client who has a B. "You might find yourself
termi- nal illness. Which of the following feeling de- tached from your
statements should the nurse make to partner during this time."
reinforce teaching about anticipatory Rationale: Emotional detachment
grief with the partner? Options: is a common psychological coping
A. "The anticipatory grief process won't mecha- nism before an expected
begin until after your partner dies." loss.
B. "You might find yourself feeling
detached from your partner during
this time."
C. "Your partner might experience a
spurt of energy during this time."
D. "Anticipatory grief delays the
normal grief response."
6. A charge nurse overhears a staff nurse talking ."It is an invasion of privacy
, ATI PN Mental health
2023
to
to discuss
another nurse in the that information."
hallway. The staff nurse says, "I Rationale: Discussing private health
heard that in-
2023
1. A nurse is explaining the alcohol recoveryA. Acknowledge an inability to
control
process to a client's family. Which of the follow- drinking
ing should the nurse identify as the first Rationale: Admission of the
step toward successful recovery? problem and loss of control is the
Options: foundation of recovery programs
A. Acknowledge an inability to control like the 12-step model..
drink- ing.
B. Incorporate a form of spirituality
into daily life.
C. Agree to a prescription for an alcohol
use deterrent.
D. Form a close support network.
2. A 76-year-old client fell at home and is Potential Condition: Delirium.
experi-
encing sudden onset confusion. Complete the Actions to Take: Monitor for
an un-
diagram for the most likely condition D. Temperature
and ac- tions. 36.7° C (98° F)
3. A nurse is reviewing the vital signs of
a client who has a prescription for
imipramine. Which of the following
findings requires follow-up? Options:
A. Blood pressure 88/64 mm Hg
B. Pulse rate 66/min
C. Respiratory rate 16/min
, ATI PN Mental health
2023
derlying infection (UTI); use symbols rather than written signs for A. Blood pressure 88/64 mm
direc- tions. Hg Rationale: Imipramine (a TCA)
Parameters to Monitor: Ability to com- plete familiar tasks; can cause orthostatic hypotension;
presence of ag- nosia. this low BP increases fall risk.
4.
, ATI PN Mental health
2023
A nurse is interviewing a client who A. "I can't promise you that. I
was re- cently admitted. The client may need to share information."
tells the nurse, "I have something to Rationale: Nurses must maintain
tell you, but you can't tell anyone else." pro- fessional boundaries and
Which of the following respons- es share safe- ty-related info with the
should the nurse make? treatment team.
Options:
A. "I can't promise you that. I may
need to share information."
B. "You can tell me what information you
want me to share with your provider."
C. "I will tell you what I feel I should
share with the treatment team."
D. "Try not to worry. Your secret is safe
with me."
5. A nurse is caring for a client who has a B. "You might find yourself
termi- nal illness. Which of the following feeling de- tached from your
statements should the nurse make to partner during this time."
reinforce teaching about anticipatory Rationale: Emotional detachment
grief with the partner? Options: is a common psychological coping
A. "The anticipatory grief process won't mecha- nism before an expected
begin until after your partner dies." loss.
B. "You might find yourself feeling
detached from your partner during
this time."
C. "Your partner might experience a
spurt of energy during this time."
D. "Anticipatory grief delays the
normal grief response."
6. A charge nurse overhears a staff nurse talking ."It is an invasion of privacy
, ATI PN Mental health
2023
to
to discuss
another nurse in the that information."
hallway. The staff nurse says, "I Rationale: Discussing private health
heard that in-
