ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Assess AP's qualifications: Ensures competency and safety. 2. Delegation based on competence: AP must be capable. 3. Legal and ethical responsibility: Nurse is accountable for delegation. 4. Ensures client safety: Properly trained AP will perform test accurately. Summary: B: Nurse should not perform the test; delegating responsibility is key. C: Asking about medication is not within scope for blood glucose testing. D: Checking prior results is not necessary for performing a current test.
Question 2 of 5
A patient receiving an antipsychotic agent develops acute extrapyramidal symptoms. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The most appropriate response by the nurse is C: "These are the results of the drug that can be treated; your illness is not getting worse." This response acknowledges the side effects of the antipsychotic medication (extrapyramidal symptoms) while reassuring the patient that these symptoms can be managed without indicating a worsening of their condition. It demonstrates empathy, provides accurate information, and offers hope for improvement. Explanation of other choices: A: This response is dismissive and invalidates the patient's experience, which can be harmful to the therapeutic relationship. B: Allergy is not the cause of extrapyramidal symptoms, so changing medication based on this assumption is incorrect and may lead to unnecessary changes. D: Blaming sunlight for the symptoms is inaccurate and does not address the underlying issue of medication side effects, potentially causing confusion for the patient.
Question 3 of 5
A group of nursing students are reviewing information about the evolution of mental health care and are discussing the recommendations of the final report of the Joint Commission on Mental Illness and Health. The students demonstrate understanding of this information when they identify that the report recommended an increase in which of the following?
Correct Answer: C
Rationale: The correct answer is C: Clinics supplemented by general hospital units. The Joint Commission on Mental Illness and Health recommended an increase in community-based mental health services, including clinics supplemented by general hospital units, to provide more accessible and comprehensive care for individuals with mental health issues. This shift in focus from institutional care to community-based services aimed to improve overall mental health care delivery and outcomes. Incorrect choices: A: Numbers of mental health hospitals - The report actually recommended a decrease in reliance on mental health hospitals. B: State funding for mental health care - While funding is important, the report focused more on the type and delivery of mental health services rather than just funding. D: Use of psychotherapy by psychiatrists - While psychotherapy is a valuable treatment modality, the report focused on broader system-level recommendations rather than specific treatment methods.
Question 4 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening. Explanation for incorrect choices: A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention. B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations. D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.
Question 5 of 5
What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort?
Correct Answer: C
Rationale: Rationale for Correct Answer C: 1. St. John's wort can interact with antidepressants, reducing their effectiveness. 2. This herb can also lead to serotonin syndrome when combined with antidepressants. 3. Therefore, it is crucial for the nurse to educate the patient to avoid combining St. John's wort with antidepressants to prevent harmful interactions. Summary of Incorrect Choices: A: Allergic reactions are not common with St. John's wort, so this information is not relevant to the patient's education. B: While liver toxicity is a concern with St. John's wort, regular liver function tests are not typically required for patients taking this herb. D: Gastrointestinal symptoms such as bleeding are not commonly associated with St. John's wort, making this choice incorrect.