ATI RN
Mental Health Final ATI Questions
Question 1 of 5
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug's purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which of the following about the drug?
Correct Answer: C
Rationale: The correct answer is C: Reduces the appeal of alcohol. Naltrexone is an opioid antagonist that works by blocking the euphoric effects of alcohol, reducing cravings, and decreasing the desire to drink. By choosing this answer, the client demonstrates an understanding of naltrexone's mechanism of action in treating alcohol dependence. A: Causes itching if alcohol is consumed - This statement is incorrect. Naltrexone does not cause itching if alcohol is consumed. It works by blocking opioid receptors, not by producing physical side effects like itching. B: Produces the euphoria of alcohol - This statement is incorrect. Naltrexone actually blocks the euphoric effects of alcohol, making it less appealing and reducing the desire to drink. D: Improves appetite and nutritional status - This statement is incorrect. Naltrexone does not directly affect appetite or nutritional status. Its primary purpose is to help with alcohol dependence by reducing cravings and the pleasure associated with drinking.
Question 2 of 5
A nurse is caring for a newborn who is under phototherapy lights. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Phototherapy lights can harm the newborn's developing eyes. 2. Eye shields protect the eyes from damage caused by the lights. 3. Ensuring the eye shield covers the eyes is crucial for eye protection. Summary of Incorrect Choices: B: Applying lotion can interfere with the effectiveness of phototherapy. C: Offering glucose water is unnecessary and may interfere with feeding. D: Breastfeeding should not be discontinued as it provides essential nutrients and bonding for the newborn.
Question 3 of 5
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or attitudes onto the patient, based on personal issues or past relationships. In this scenario, the nurse is reacting to the patient as if he was her grandfather, indicating a personal connection influencing her behavior. Incorrect choices: A: Empathy is the ability to understand and share the feelings of another. While empathy is important in nursing, it does not involve projecting personal experiences onto the patient. B: Transference refers to the patient projecting feelings onto the nurse based on past experiences. It is the opposite of countertransference. D: Modeling involves observing and imitating the behavior of others, which is not the case in this scenario.
Question 4 of 5
A client with erectile dysfunction who is prescribed sildenafil asks the nurse, 'When should I take the medication?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Take it about ½ to 2 hours before you have sexual activity." This is the most appropriate response because sildenafil takes about 30 minutes to 1 hour to start working, with peak effectiveness around 1 to 2 hours after ingestion. Taking it too early or too late can affect its efficacy. Choice A is incorrect as timing should be based on sexual activity, not just morning routine. Choice C is incorrect as 5 minutes is too short for sildenafil to take effect. Choice D is incorrect as taking it at night may not align with the intended purpose of improving erectile function during sexual activity.
Question 5 of 5
As part of a career day presentation to a group of nursing students, a psychiatric-mental health nurse plans to describe how this specialty developed. Which individual would the nurse describe as playing a major role in the development of specialty training programs for psychiatric nurses?
Correct Answer: B
Rationale: The correct answer is B: Hildegarde Peplau. She is considered the mother of psychiatric nursing and played a major role in developing specialty training programs for psychiatric nurses. Peplau's interpersonal theory of nursing emphasized the importance of the nurse-patient relationship in mental health care, leading to the integration of psychological principles into nursing practice. Nutting (A) was a nursing education pioneer, Bailey (C) was known for her work in public health nursing, and Richards (D) was the first trained nurse in the US, but they did not have the same impact on psychiatric nursing training as Peplau.