ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 4
A client with borderline personality disorder tells the nurse, I'm afraid to get on a train because we'll probably get into a wreck. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "What are the chances of that actually happening?" This response acknowledges the client's fear while prompting critical thinking about the likelihood of the feared event. It encourages the client to examine the rationality of their fear and challenges distorted thinking common in borderline personality disorder. A: Asking about a bad experience focuses on past events rather than addressing the client's current fear. C: Telling the client it won't happen dismisses their fear and does not address the underlying issue. D: Suggesting another mode of transportation avoids addressing the client's fear directly and does not promote critical thinking.
Question 2 of 4
An older adult client is brought to the emergency department after ingesting an unknown substance. The client, who appears to have dementia, has tremors, ataxia of the upper and lower extremities, depression, and confusion. The nurse suspects ingestion of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Mercury. The symptoms described (tremors, ataxia, depression, confusion) are indicative of mercury poisoning. Mercury affects the nervous system, leading to neurological symptoms. Lead poisoning would typically present with abdominal pain, anemia, and cognitive impairment. Aluminum toxicity is associated with bone pain, fractures, and dialysis encephalopathy. Manganese toxicity is linked to Parkinson's-like symptoms such as tremors and rigidity. Mercury is the most likely substance ingested based on the presented symptoms.
Question 3 of 4
A nurse has just transferred from a general psychiatric unit to work on a forensic psychiatric unit. The nurse finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. One afternoon in December, a client asks the nurse for her address so he can send her a Christmas card. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D: It is inappropriate for me to give you my address because our relationship is professional rather than social. Rationale: 1. Boundaries: As a nurse on a forensic psychiatric unit, maintaining professional boundaries is crucial to ensure the safety and well-being of both the nurse and the client. 2. Ethical Conduct: Sharing personal information, like one's address, with a client blurs the lines between professional and personal relationships, which can lead to ethical violations. 3. Safety Concerns: Given the client's history and the nature of the request, disclosing personal information could potentially put the nurse at risk or compromise her safety. 4. Client-Centered Care: By respectfully declining the request and emphasizing the professional nature of their relationship, the nurse upholds the principles of client-centered care and maintains a therapeutic environment. Summary: A: This response does not address the importance of professional boundaries and could potentially lead to ethical issues. B: This response is inappropriate, confrontational, and
Question 4 of 4
A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output?
Correct Answer: D
Rationale: The correct answer is D: Left lateral. Placing the client in a left lateral position helps optimize cardiac output by improving venous return to the heart, reducing pressure on the vena cava, and enhancing blood flow to the placenta. This position also minimizes the risk of supine hypotensive syndrome, which can occur when lying flat on the back and compressing the vena cava. Choices A (The chest) and B (Standing) are incorrect as they do not facilitate optimal venous return and may increase cardiac workload. Choice C (Supine) is incorrect as it can lead to decreased cardiac output and potentially compromise fetal oxygenation due to vena cava compression.