ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A nurse is reviewing the prescription for doxazosin with a client. Which of the following should be included in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Rise slowly when sitting up from bed. This is important for clients taking doxazosin, which is an alpha-blocker used to treat high blood pressure and urinary symptoms of enlarged prostate. Doxazosin can cause orthostatic hypotension, a sudden drop in blood pressure when changing positions. Instructing the client to rise slowly helps prevent dizziness and potential falls. Choices A and B are unrelated to the medication's mechanism or side effects. Choice D, taking the medication in the morning, is not as crucial as the safety measure of rising slowly to prevent orthostatic hypotension.
Question 2 of 5
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer's disease, the client begins to have a catastrophic reaction to feeding himself. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Remain calm and reassuring. In this situation, the nurse should first prioritize maintaining a calm and reassuring presence to help de-escalate the situation. Remaining calm can help prevent further agitation in the client. Restraining the client (B) could escalate the situation and should only be used as a last resort for safety. Drawing the curtains (C) may not address the immediate issue of the client's distress. Offering to feed the client (D) may be a helpful intervention, but establishing a calm environment and approach should come first.
Question 3 of 5
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
Correct Answer: A
Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment. Choices B, C, and D are incorrect because: B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment. C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses. D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.
Question 4 of 5
What is a nursing implication derived from the anti-psychiatry movement?
Correct Answer: C
Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process. Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice. Choice A suggests a paternalistic approach, Choice B disregards clients' perspectives, and Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.
Question 5 of 5
A Red Cross nurse is working with tornado victims. The nurse is interviewing a woman whose house was totally destroyed during the night by the tornado; the woman's pet poodle died as a result of the tornado. Which of the following would the nurse most likely expect to hear from the woman?
Correct Answer: A
Rationale: The correct answer is A. The nurse would most likely expect to hear the woman express shock and numbness due to the traumatic event. This response aligns with the concept of psychological numbing, which is a common immediate reaction to severe trauma. The woman's statement of not being able to feel anything and nothing seeming real indicates a dissociative response, which is a typical initial coping mechanism in such situations. Choices B, C, and D are incorrect because they primarily focus on emotional devastation, practical concerns (insurance claim), and grief over the loss of the pet poodle, respectively. While these responses are valid emotional reactions, they do not reflect the typical immediate psychological response to a traumatic event like the one described. In contrast, choice A captures the expected initial shock and numbness often experienced in such circumstances.