Mental Health Nursing ATI Exam -Nurselytic

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Mental Health Nursing ATI Exam Questions

Question 1 of 5

A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?

Correct Answer: B

Rationale:
Correct Answer: B (Oliguria)


Rationale:
1. Oliguria (decreased urine output) is a classic sign of decreased cardiac output due to poor perfusion to the kidneys.
2. Decreased cardiac output results in reduced blood flow to the kidneys, leading to decreased urine production.
3. Shivering is a common postoperative response, not directly related to cardiac output.
4. Bradypnea (slow breathing) and constricted pupils are not typical signs of decreased cardiac output.

Question 2 of 5

During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient's plan of care?

Correct Answer: A

Rationale:
Step 1: Buddhism teaches that desire is the root cause of suffering (dukkha).

Step 2: By understanding this core belief, the nurse can tailor the care plan to address the patient's desires and potential sources of suffering.

Step 3: Integrating this understanding will help the nurse support the patient in reducing attachments and finding inner peace.

Step 4:

Choices B, C, and D are incorrect as they do not align with Buddhist beliefs and principles, which emphasize the cessation of desires and ego rather than self-indulgence, present unhappiness, or salvation through faith and humility.

Question 3 of 5

What is the desirable outcome for the orientation stage of a nurse–patient relationship? The patient will demonstrate behaviors that indicate

Correct Answer: C

Rationale:
Rationale: The correct answer is C because establishing rapport and trust with the nurse in the orientation stage is crucial for building a therapeutic relationship. This foundation sets the tone for effective communication, collaboration, and patient engagement throughout the care process. Options A and B focus more on the patient's individuality and personal growth, which are important but secondary to the primary goal of establishing trust. Option D, resolved transference, is not relevant at this early stage and pertains more to deeper stages of therapy.
Therefore, option C is the most appropriate outcome for the orientation stage of a nurse-patient relationship.

Question 4 of 5

Pedophilic disorder is the most common paraphilic disorder where adults who have a primary or exclusive sexual preference for prepubescent children. A subset of this disorder is termed hebephilia and is defined as attraction to:

Correct Answer: B

Rationale: The correct answer is B: Pubescent individuals. Hebephilia is a paraphilic disorder characterized by a primary or exclusive sexual interest in individuals who are in the early stages of puberty, typically around the ages of 11 to 14. This is different from pedophilic disorder, which involves a sexual preference for prepubescent children.
Choice A (Infants) is incorrect as infants are prepubescent.
Choice C (Teens between the ages of 15 and 19) is incorrect as these individuals are typically considered adolescents rather than pubescent.
Choice D (Males only) is incorrect as hebephilia can occur in individuals of any gender.

Question 5 of 5

A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?

Correct Answer: D

Rationale: The correct answer is D: Suicide risk. This is the priority assessment because individuals with posttraumatic stress disorder, especially those who have experienced violence, are at increased risk for suicidal ideation and behaviors. Assessing suicide risk is crucial for ensuring the client's safety and implementing appropriate interventions. Nutritional status (
A), hydration status (
B), and sleep patterns (
C) are also important assessments, but in this case, addressing the immediate risk of suicide takes precedence in order to prevent harm to the client.

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