ATI RN
ATI Mental Health Practice A 2023 Questions
Question 1 of 5
What is a risk of alcohol intake in an older adult that is not as high of a risk in a younger adult?
Correct Answer: A
Rationale: The correct answer is A: risk for osteoporosis. Older adults are at a higher risk for osteoporosis due to alcohol consumption as it can further weaken bones, leading to fractures. This risk is not as prevalent in younger adults whose bones are typically stronger.
Choice B: risk of car accidents is not age-dependent; alcohol impairs driving skills regardless of age.
Choice C: risk for hallucinations can occur in both older and younger adults with alcohol intake, depending on individual susceptibility.
Choice D: risk for vomiting is a common side effect of excessive alcohol consumption, which can affect individuals of all ages.
Question 2 of 5
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
Correct Answer: B
Rationale: The correct answer is B: Antipsychotics. Nursing assessment for abnormal movement disorders is crucial for individuals taking antipsychotics due to the risk of developing extrapyramidal symptoms such as dystonia, akathisia, parkinsonism, and tardive dyskinesia. These movement disorders can significantly impact the individual's quality of life and require close monitoring by healthcare providers.
Summary:
A: SSRIs - SSRIs are not typically associated with abnormal movement disorders; they are more commonly linked to serotonin-related side effects like sexual dysfunction or gastrointestinal disturbances.
C: Benzodiazepines - Benzodiazepines are not known to cause abnormal movement disorders at therapeutic dosages; they are more likely to cause sedation, dizziness, and cognitive impairment.
D: Tricyclic antidepressants - While tricyclic antidepressants can cause side effects like dizziness and sedation, they are not primarily associated with abnormal movement disorders like antipsychotics.
Question 3 of 5
When assessing a client for possible disordered water balance, the nurse checks the client's urine specific gravity. Which result would lead the nurse to suspect that the client is experiencing severe disordered water balance?
Correct Answer: D
Rationale: The correct answer is D (1.002). A urine specific gravity of 1.002 indicates very dilute urine, suggesting the client may be experiencing severe water imbalance, such as overhydration or excessive fluid intake. In contrast, choices A, B, and C represent more concentrated urine, which would typically be seen in conditions like dehydration or fluid retention.
Therefore, D is the correct answer as it indicates a significant deviation from the normal range, signaling a severe water balance issue.
Question 4 of 5
The nurse working with patients diagnosed with posttraumatic stress disorder (PTSD) is aware of the need to intervene early in order to de-escalate a patient's increasing anxiety level. Which patient behavior is likely an early indication of escalating anxiety?
Correct Answer: A
Rationale: The correct answer is A: Talking rapidly. This behavior is likely an early indication of escalating anxiety because rapid speech can reflect heightened arousal and internal distress. When a person starts talking rapidly, it can indicate a sense of urgency or agitation, which are common signs of increasing anxiety levels. In contrast, pacing around the unit (
B) may indicate restlessness or agitation but not necessarily escalating anxiety. Staring out the window (
C) could suggest dissociation or introspection rather than escalating anxiety. Refusing to go to therapy (
D) might indicate resistance or avoidance but does not directly correlate with escalating anxiety levels.
Question 5 of 5
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
Correct Answer: C
Rationale: The correct answer is C: A wish for revenge. This response poses the greatest barrier to the nurse's ability to provide therapeutic care because it indicates unresolved anger and desire for retaliation. This can lead to compromised judgment, emotional distress, and potential ethical issues in patient care. Startle reactions, difficulty sleeping, and preoccupation with the incident are common reactions to trauma but do not necessarily impede the nurse's ability to provide therapeutic care as significantly as a wish for revenge. It is crucial for the nurse to address these feelings through appropriate support and coping mechanisms to prevent negative impacts on patient care.