ATI RN
ATI Mental Health Proctored Exam 2024 Questions
Question 1 of 5
The parents of a child with ADHD bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives his first dose of methylphenidate (Ritalin) at about 7:30 AM every morning before leaving for school. The teacher and school nurse have noticed a return in the child's overactivity and distractibility just before lunch. The child's second dose is scheduled for about 12 noon. Which of the following might the nurse suggest as a possible solution to control the child's symptoms a bit more effectively?
Correct Answer: B
Rationale: The correct answer is B: Switching to a longer acting preparation. By switching to a longer-acting preparation of methylphenidate, the child will receive a sustained release of the medication throughout the day, which can help control symptoms more effectively. This would prevent the dip in medication effectiveness before lunch.
A: Giving the second dose at 1 PM or later may not be as effective in maintaining symptom control throughout the school day.
C: Splitting the early morning dose in half may not provide consistent symptom control throughout the day.
D: Switching to another class of medication is not necessary if the child is responding well to methylphenidate, and a longer-acting preparation of the same medication can be a more appropriate solution.
Question 2 of 5
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Provide standby assist with the client from bed. This is appropriate after administering lisinopril, which can cause dizziness or lightheadedness. Assisting the client from bed ensures safety. Placing cardiac monitoring (
A) is not necessary unless there are specific indications. Monitoring oxygen saturation (
B) is not directly related to lisinopril administration. Encouraging foods high in potassium (
D) is not the immediate priority post-lisinopril administration.
Question 3 of 5
In some cultures, therapeutic touch can be perceived as uncomfortable. What nursing interventions should the nurse implement when caring for a client who may have aversions to touch?
Correct Answer: A
Rationale: The correct answer is A because respecting the client's preferences is essential in providing patient-centered care. By avoiding touching during initial interactions, the nurse acknowledges and accommodates the client's discomfort with touch, promoting a trusting and therapeutic relationship.
Choice B is incorrect because forcing the client to incorporate touch in communication may further distress them.
Choice C is incorrect as open communication about feelings related to touch is important for understanding and addressing the client's aversions.
Choice D is incorrect as wearing gloves during all interactions is unnecessary and may not address the client's specific discomfort with touch.
Question 4 of 5
What is the current accepted professional view of the effect of culture on the development of a personality disorder?
Correct Answer: A
Rationale:
Step 1: The correct answer is A because there isn't enough empirical evidence to confirm the role of ethnicity and race in the prevalence of personality disorders.
Step 2: Culture and ethnic background can influence the development of personality disorders, but current research is inconclusive.
Step 3:
Choice B is incorrect because it makes a generalized statement without providing evidence or sources to support it.
Step 4:
Choice C is incorrect because culture and ethnic background can indeed play a role in the development of personality disorders.
Step 5:
Choice D is incorrect because while genetic factors may contribute to personality disorders, cultural factors also play a significant role.
Question 5 of 5
A client in treatment for obsessive-compulsive personality disorder (OCPD) is experiencing extreme anxiety after their therapy session. What is a good technique for de-escalating the client?
Correct Answer: C
Rationale: The correct technique for de-escalating a client with OCPD experiencing extreme anxiety is employing active listening. Active listening involves fully concentrating, understanding, responding, and remembering what the client is saying. This technique can help the client feel heard, validated, and understood, which can reduce their anxiety. It also allows the client to express their thoughts and feelings, promoting a sense of control and autonomy. This approach is client-centered and respectful, aligning with the principles of effective therapy for OCPD.
Summary:
A: Physically directing the client may increase their anxiety and worsen the situation.
B: Holding steady eye contact may be perceived as confrontational and intrusive, escalating the client's anxiety.
D: Taking control and instructing the client may trigger resistance and exacerbate feelings of lack of control, which are common in OCPD.