ATI RN
Mental Health Proctored ATI 2023 Quizlet Questions
Question 1 of 5
When considering an eating disorder, what is a physical criterion for hospital admission?
Correct Answer: A
Rationale: The correct answer is A: A daytime heart rate of less than 50 beats per minute. This criterion indicates severe bradycardia, which is a sign of cardiac compromise in individuals with eating disorders. Bradycardia is a serious medical complication associated with malnutrition and can lead to cardiac arrhythmias, heart failure, and even sudden death. Monitoring heart rate is crucial in assessing the severity of an eating disorder and the need for hospitalization.
Choice B (an oral temperature of 100°F or more) is not a specific criterion for hospital admission in eating disorders.
Choice C (90% of ideal body weight) is an important indicator of malnutrition but does not directly reflect the severity of cardiac compromise.
Choice D (systolic blood pressure greater than 130 mm Hg) is not typically a criterion for hospital admission in eating disorders unless it is extremely elevated and indicating hypertensive crisis.
Question 2 of 5
A parent says, 'My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?' Select the nurse's best reply.
Correct Answer: B
Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence."
Rationale:
1. At age 2, children often exhibit defiance and assert independence. Refusal of toilet training and saying 'No' are typical behaviors.
2.
Toilet training readiness varies among children, and it is not uncommon for some to resist training until later.
3. Acknowledging the child's developmental stage and need for independence validates their behavior and helps parents understand it's a normal phase.
Summary:
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Choice A is incorrect as forcing firmer control can lead to power struggles and hinder the child's autonomy.
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Choice C is incorrect as toilet training readiness varies, and it's not a definitive sign of developmental problems.
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Choice D is incorrect as seeking a child psychologist for typical behavior may be unnecessary and premature.
Question 3 of 5
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?
Correct Answer: B
Rationale: The correct answer is B because monitoring the client's vital signs is crucial in assessing for early signs of alcohol withdrawal, which is a life-threatening condition. This is a priority as the client has a history of experiencing alcohol withdrawal after previous admissions. Administering mood-stabilizing medications (
A) may be necessary but not the immediate priority. Asking the client to refrain from being intrusive (
C) is not addressing the underlying issue of alcohol withdrawal and bipolar disorder. Referring the client to a substance abuse treatment center (
D) is important but not the priority when the client is exhibiting signs of potential alcohol withdrawal.
Question 4 of 5
Which of the following questions would be most helpful in beginning an initial assessment interview for a patient who has just been admitted to a psychiatric inpatient unit?
Correct Answer: B
Rationale:
Step 1: Asking "What brings you into the hospital today?" is most helpful as it allows the patient to express their immediate concerns and reasons for admission.
Step 2: This question helps establish rapport, gather important information, and set the tone for the assessment.
Step 3: Understanding the patient's presenting issues is crucial for providing appropriate care and intervention.
Step 4: The other options are not as relevant for the initial assessment as they focus on past psychiatric history, suicidal ideation, or unrelated personal relationships.
Summary: Option B is the correct choice as it focuses on the current situation, which is crucial for the initial assessment, while the other options are less relevant for gathering immediate, pertinent information.
Question 5 of 5
Which qualifications are appropriate to the scope of practice of the psychiatric/mental health registered nurse generalist?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because psychiatric/mental health registered nurse generalists are qualified to implement crisis intervention as part of their scope of practice. This is crucial in addressing acute mental health crises.
Incorrect choices:
A: Having a master's degree is not a specific qualification for psychiatric/mental health nursing practice.
B: Nurse generalists cannot independently order medications based on tests; this is typically done by a physician or under their supervision.
D: While nurses can contribute to assessing and documenting a client's condition, diagnosing medical conditions is typically done by physicians.