ATI Mental Health Proctored Exam 2024 -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: "How much sleep do you usually get each night?" This question directly relates to circadian rhythms, which regulate the sleep-wake cycle and impact overall quality of life. Sleep patterns are influenced by circadian rhythms, and inadequate sleep can have negative effects on health.

Choices B, C, and D do not directly address circadian rhythms or their impact on quality of life. B is related to cardiac issues, C to infections, and D to urinary problems.
Therefore, A is the most relevant question to assess the effects of circadian rhythms on quality of life.

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.

Correct Answer: A

Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (
B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (
C) and Fentanyl (
D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin.
Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.

Correct Answer: C

Rationale: The correct answer is C: alteration in attention. Delirium is characterized by acute onset and fluctuating course, leading to prominent deficits in attention. In contrast, dementia typically presents with gradual memory decline over months or years.

Choices A and B are more indicative of dementia, as alterations developing over months and memory deficits are common in dementia.
Choice D, no alteration in baseline, is not specific to either delirium or dementia, as both conditions can have alterations in baseline functioning.

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.