ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?
Correct Answer: D
Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.
Question 2 of 5
A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because intergenerational transmission of violence refers to the cycle where individuals who grow up in violent households are more likely to perpetuate domestic violence in their own relationships. This response directly addresses the concept by highlighting the link between childhood exposure to violence and adult behavior. Choice A is incorrect as it oversimplifies the issue by attributing violence solely to neurochemical imbalances, ignoring the impact of environmental factors like upbringing. Choice C is incorrect as it suggests violence is solely genetic, which is not supported by research that shows the influence of learned behavior. Choice D is incorrect as it presents an inaccurate statement about domestic violence skipping generations, which is not a recognized pattern in the transmission of violence.
Question 3 of 5
A group of nurses who have recently been hired to work in the mental health division of a large federal prison system are undergoing orientation. A nurse is discussing medication administration for the clients. Which statement would the nurse most likely include in this presentation?
Correct Answer: A
Rationale: The correct answer is A because dissolving oral medications in water before handing them to the prisoner ensures that they are taking the medication as prescribed. This method helps in monitoring medication ingestion and compliance. Explanation: 1. Choice A directly addresses the issue of medication administration and compliance by ensuring that the medications are taken as intended. 2. Choice B is incorrect because patient safety is a priority, and administering medications may be necessary to prevent harm. 3. Choice C is incorrect because coercive methods like routine injections violate ethical principles and patient rights. 4. Choice D is incorrect as obtaining a court order may not always be feasible or necessary for routine medication administration in a prison setting.
Question 4 of 5
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Head Compression. Early decelerations are usually caused by fetal head compression during contractions. As the head is compressed, it stimulates the vagus nerve, leading to a temporary decrease in the fetal heart rate. This is a normal response to the pressure exerted during contractions and is not associated with fetal hypoxia (choice A), abruptio placentae (choice B), or post maturity (choice C). Fetal hypoxia would be indicated by late decelerations, abruptio placentae would show variable decelerations, and post maturity would have a non-reassuring fetal heart rate pattern.
Question 5 of 5
A nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fever. This is the highest priority for the client to report because fever can indicate a serious side effect called agranulocytosis, a potentially life-threatening condition associated with clozapine therapy. Agranulocytosis can lead to severe infections due to low white blood cell count. It is crucial to monitor for fever as an early sign of this condition to prevent complications. A: Constipation - While constipation can be a side effect of clozapine, it is not as urgent as fever in this context. B: Blurred vision - Blurred vision is a common side effect of clozapine but is not typically considered a medical emergency. D: Dry mouth - Dry mouth is a common side effect of many medications, including clozapine, and is not as concerning as fever in this scenario.