ATI RN
ATI n222 Mental Health Quiz Questions
Question 1 of 5
A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?
Correct Answer: C
Rationale: The correct answer is C: Profuse diaphoresis and severe, pounding headache. Autonomic dysreflexia is a life-threatening condition that occurs in clients with spinal cord injuries above T6. In this case, the C-5 spinal cord injury is above T6, making the client at risk for autonomic dysreflexia. The condition is caused by a stimulus below the level of the injury, such as a full bladder, leading to a sympathetic response. Profuse diaphoresis and severe, pounding headache are classic signs of autonomic dysreflexia due to the sympathetic response causing vasoconstriction below the level of the injury. Hypotension and venous pooling (
Choice
A) are not typical in autonomic dysreflexia. Pain and burning upon urination and hematuria (
Choice
B) are more indicative of a urinary tract infection. Reports of chest pain and shortness of breath (
Choice
D) are not typically associated with autonomic dys
Question 2 of 5
A nurse is preparing to administer 1500 mL of IV fluid to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/h?
Correct Answer: 750
Rationale:
To calculate the IV pump rate in mL/h, we divide the total volume to be infused by the total time in hours. In this case, 1500mL ÷ 2 hours = 750 mL/h. This ensures a consistent and accurate infusion rate over the specified time period.
Choice A: Incorrect as it does not account for the total volume and time.
Choice B: Incorrect as it does not calculate the rate correctly.
Choice C: Incorrect as it does not provide a calculation for the infusion rate.
Choice D: Incorrect as it lacks the necessary calculation.
Choice E: Incorrect as it does not address the infusion rate calculation.
Choice F: Incorrect as it does not offer a solution.
Choice G: Incorrect as it does not provide the correct calculation for the IV pump rate.
Question 3 of 5
A nurse is caring for a client who was admitted with major depressive disorder. The nurse and client find that they have much in common,including each having a neighbor's son. They make plans to have dinner and a sleepover with their sons after the client is discharged. What does this situation reflect?
Correct Answer: D
Rationale: The correct answer is D: Boundary blurring. This situation reflects boundary blurring because the nurse and client are crossing professional boundaries by making plans for a social interaction outside of the therapeutic setting. This can lead to ethical concerns, compromised objectivity, and potential harm to the therapeutic relationship. It is important for healthcare professionals to maintain clear boundaries with clients to ensure professional integrity and the best possible care.
A: A strong professional relationship - This is incorrect because forming a personal social relationship with a client goes beyond the boundaries of a professional relationship.
B: Countertransference - This is incorrect as countertransference refers to the healthcare provider's emotional response to a client based on their own past experiences, not the blurring of boundaries.
C: Successful relationship building - This is incorrect because while building rapport with clients is important, it should not involve personal social interactions that blur professional boundaries.
Question 4 of 5
A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will slowly be exposed to places of increasing height." This statement demonstrates an understanding of systematic desensitization, a technique used in behavioral therapy to gradually expose individuals to their fears or phobias in a controlled manner. By slowly increasing exposure to heights, the client can learn to manage their fear response and eventually become desensitized to it.
Choice A is incorrect because systematic desensitization does not involve imitating the therapist's actions.
Choice B is incorrect as snapping a rubber band on the wrist is not a part of this therapy.
Choice C is incorrect because forcing oneself to stand on a very high place until calm can be overwhelming and counterproductive.
In summary, the correct answer, choice D, aligns with the principles of systematic desensitization by emphasizing gradual exposure to heights to help the client overcome their fear in a systematic and controlled way.
Question 5 of 5
A client newly placed on an involuntary hold is being given an orientation to the psychiatric unit. The nurse includes information about the client's rights. Which of the following statements should the nurse include? Select all that apply.
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E. B: Clients have the right to communicate with others, including mailing letters. C: Clients have the right to file grievances if they feel their rights are violated. E: Clients have the right to practice their religion. A: Clients on an involuntary hold may not have the right to refuse treatment. D: The right to a private room may not always be feasible or guaranteed.