ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 9
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.
Question 2 of 9
Maria is trying to create a psychiatric-mental health wellness routine. She has just seen her therapist and is writing notes from their session about wellness. What is an example from her notes that would demonstrate her understanding?
Correct Answer: B
Rationale: The correct answer is B: exercising thirty minutes three to five days per week. This choice aligns with established guidelines recommending at least 150 minutes of moderate-intensity exercise per week, which breaks down to 30 minutes for 3-5 days. Choice A exceeds the recommended time, C falls slightly below it, and D suggests daily exercise, which may not allow for sufficient rest and recovery. Maria's understanding of the optimal exercise routine for mental health wellness is demonstrated by choosing option B.
Question 3 of 9
A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because research has shown a strong genetic component in the development of schizoaffective disorder. Genetic factors play a significant role in predisposing individuals to this condition. Studies have identified specific genetic markers and hereditary patterns associated with the disorder. This explanation is supported by scientific evidence and is widely accepted in the field of psychiatry. Choice A is incorrect because while family dynamics may influence the course of the disorder, it is not considered a direct cause. Choice C is incorrect as dopamine dysregulation is more commonly associated with schizophrenia, not schizoaffective disorder. Choice D is incorrect as birth order has not been identified as a significant factor in the development of schizoaffective disorder.
Question 4 of 9
Which statement made by a 9-year-old child after hitting a classmate is a typical comment associated with childhood conduct disorder?
Correct Answer: B
Rationale: The correct answer is B because saying "He deserved it for being a sissy" shows a lack of empathy and justification for aggressive behavior, which is a common trait in children with conduct disorder. Children with conduct disorder often lack remorse and blame others for their actions. Choice A shows remorse, Choice C shows minimization of the act, and Choice D shows blaming the victim, which are not typical of conduct disorder.
Question 5 of 9
An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?
Correct Answer: C
Rationale: The correct answer is C because providing updates and progress reports on the patient can help alleviate the spouse's anxiety and frustration. By keeping the spouse informed, the nurse can demonstrate empathy and respect for their concerns, maintaining open communication and building trust. Offering coffee (A) may be seen as dismissive, explaining the condition (B) may not address the spouse's emotional needs, and suggesting the spouse leave (D) could worsen the situation by alienating them from the patient's care.
Question 6 of 9
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Low self-concept. Due to the patient's family history of alcoholism, they may have experienced emotional neglect or instability, leading to low self-esteem and self-concept issues. This can manifest in various ways, such as seeking validation from others or struggling with self-worth. Delusions (A) and paranoid delusions (B) are not directly associated with a family history of alcoholism. Extroversion (D) is a personality trait and not necessarily linked to the patient's family background.
Question 7 of 9
After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?
Correct Answer: B
Rationale: The correct answer is B: Milieu. In behavioral care, the milieu refers to the therapeutic environment or setting where the treatment takes place. It includes factors such as the physical environment, staffing, structure, and culture of the treatment setting. Understanding the milieu is crucial for providing effective care and promoting positive outcomes for patients. Signs and symptoms (choice A) are not service variables but indicators of a patient's condition. Risk (choice C) is related to assessing potential harm or danger to the patient and is not a service variable. Social support (choice D) is important for patient recovery but is not a service variable directly associated with determining settings along the continuum of behavioral care.
Question 8 of 9
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.
Question 9 of 9
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.