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?

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Mental Health ATI Proctored 2023 Questions

Question 1 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 2 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.

Question 3 of 5

Which determines the scope of practice for a registered nurse employed in a psychiatric inpatient facility?

Correct Answer: B

Rationale: The correct answer is B: State law, which may vary from state to state. State laws govern the scope of practice for healthcare professionals, including registered nurses in psychiatric inpatient facilities. Each state has its own Nurse Practice Act outlining the specific duties and responsibilities RNs can perform. National organizations like NAMI, NLN, and federal laws do not dictate the scope of practice for RNs in specific settings. It is crucial for nurses to be aware of and adhere to the regulations set forth by their respective state to ensure safe and legal practice.

Question 4 of 5

Mr. Dilip is a forty-nine-year-old male who has been out of work for six years due to substance use issues. He wants to rejoin the workforce in his previous career as a woodworker. What type of workforce reentry programs would most directly benefit this client?

Correct Answer: D

Rationale: The correct answer is D: vocational rehabilitation program. This program would directly benefit Mr. Dilip by providing him with the necessary skills, training, and support to re-enter the workforce as a woodworker. Vocational rehabilitation programs are specifically designed to assist individuals with disabilities or barriers to employment, such as substance use issues, in obtaining and maintaining meaningful employment. These programs offer services like career counseling, job training, job placement assistance, and ongoing support to help individuals like Mr. Dilip successfully reintegrate into the workforce. A: Peer support program - While peer support can be beneficial for individuals in recovery, it may not provide the structured training and skills development needed for Mr. Dilip to re-enter his previous career as a woodworker. B: Entrepreneurship program - While entrepreneurship can be a viable option for some individuals, it may not be the most direct path for Mr. Dilip to rejoin the workforce as a woodworker. C: Mental health integration program - While mental health support

Question 5 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.

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