ATI RN
ATI RN Mental Health Online Practice 2023 B Questions
Question 1 of 5
A nurse is developing a teaching plan for a client with schizophrenia. Which method would the nurse use to be most effective?
Correct Answer: B
Rationale: The correct answer is B because having the client write down information after being directly given the correct information is most effective for clients with schizophrenia. This method helps reinforce learning through repetition and aids memory retention. Writing down information also allows the client to refer back to it for reinforcement. A: Engaging the client in trial and error learning can be frustrating and overwhelming for someone with schizophrenia, leading to confusion. C: Asking the client to guess at the correct answer may increase anxiety and decrease confidence, which can hinder the learning process. D: Using colorful visual aids may be distracting and overwhelming for a client with schizophrenia, making it harder to focus on the information being presented.
Question 2 of 5
A patient with multi-infarct dementia lashes out and kicks at people who walk past in the hall of a skilled nursing facility. Intervention by the nurse should begin by
Correct Answer: C
Rationale: The correct answer is C because reassuring the patient that the environment is safe can help reduce their feelings of anxiety or fear, which may be causing the aggressive behavior. This approach focuses on creating a calming and supportive atmosphere, which is essential in managing challenging behaviors in dementia patients. A: Gently touching the patient's arm may escalate the situation and provoke a negative response. B: Asking the patient 'What do you need?' may not address the underlying cause of the behavior and could be perceived as confrontational. D: Directing the patient to cease the behavior may be seen as threatening and could lead to further aggression.
Question 3 of 5
A nurse is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care?
Correct Answer: A
Rationale: The correct answer is A: Draw a troponin level every four hours. Troponin levels are important indicators of myocardial infarction. Drawing troponin levels every four hours allows the nurse to closely monitor the client's cardiac enzyme levels for any signs of ongoing myocardial damage. This frequent monitoring helps in early detection of complications and guides further treatment decisions. Explanation for why the other choices are incorrect: B: Performance EKG every 12 hours - While EKG monitoring is important in assessing cardiac function, performing it every 12 hours may not be as frequent as needed in the acute phase post-myocardial infarction. C: Plant oxygen tent fell over minutes via rebreather mask - This intervention does not directly address the client's recovery from myocardial infarction and is not a standard post-MI care measure. D: Obtain a cardiac rehabilitation consult - While cardiac rehabilitation is essential for long-term recovery, it is not a point-of-care intervention immediately post-my
Question 4 of 5
A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.
Correct Answer: C
Rationale: Correct Answer: C. Assess the patient's weight; determine foods and amounts eaten. Rationale: The best initial action is to assess the patient's nutritional status by evaluating weight and food intake. This step helps identify potential malnutrition or other health issues related to the patient's eating habits. By understanding the patient's dietary patterns, the nurse can develop a targeted intervention plan to address the patient's physical health needs. This approach focuses on gathering essential information before making any further decisions or interventions. Summary of Other Choices: A: Exploring ways to help the patient stop smoking is important but addressing the patient's nutritional needs takes precedence. B: Reporting to the shelter manager may not directly address the patient's health concerns and may not lead to appropriate intervention. D: Hospitalization should be considered only if there is an immediate threat to the patient's health and after a comprehensive assessment has been conducted.
Question 5 of 5
The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit which of the following as a response?
Correct Answer: B
Rationale: The correct answer is B because children often express grief through physical symptoms like aches and pains. This is known as somatic complaints. Children may find it difficult to articulate their emotions verbally, so physical symptoms may manifest instead. Option A is incorrect as talking about scary novels is not a common response to grief in children. Option C is incorrect as fear of leaving home is more associated with separation anxiety. Option D is incorrect as becoming obsessed with religious rituals is not a typical response to grief in children.