ATI RN
Mental Health Final ATI Questions
Question 1 of 5
A nurse is talking with the husband of a female client diagnosed with Alzheimer's disease. During the conversation, the husband tells the nurse that she often begins to scream and curse for no apparent reason. The nurse interprets this as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Hypervocalization. In Alzheimer's disease, individuals may exhibit increased vocalization, including screaming and cursing, due to various factors such as confusion, frustration, or agitation. This behavior is known as hypervocalization. Choice A, hypersexuality, refers to inappropriate sexual behavior, not vocalization. Choice B, disinhibition, involves lack of restraint in behaviors, not specifically vocalization. Choice D, apathy, refers to lack of interest or emotion, not excessive vocalization. Therefore, the most appropriate interpretation in this scenario is hypervocalization due to Alzheimer's disease.
Question 2 of 5
A nurse is caring for a newborn who is under phototherapy lights. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Phototherapy lights can harm the newborn's developing eyes. 2. Eye shields protect the eyes from damage caused by the lights. 3. Ensuring the eye shield covers the eyes is crucial for eye protection. Summary of Incorrect Choices: B: Applying lotion can interfere with the effectiveness of phototherapy. C: Offering glucose water is unnecessary and may interfere with feeding. D: Breastfeeding should not be discontinued as it provides essential nutrients and bonding for the newborn.
Question 3 of 5
A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing intervention will the nurse implement initially?
Correct Answer: B
Rationale: The correct answer is B because a lithium level of 1.7 mEq/L is above the therapeutic range (0.6-1.2 mEq/L), indicating potential toxicity. Instructing the patient to hold the next dose and contact the prescriber is the initial action to prevent further toxicity and adjust the medication regimen. Choice A is incorrect because the level is above the therapeutic range. Choice C is unnecessary unless the patient is experiencing severe symptoms. Choice D is not the initial intervention; holding the next dose is more immediate.
Question 4 of 5
Light projected into the retina is believed to trigger changes in sleep patterns and quality of sleep. Therefore the nurse should suggest:
Correct Answer: C
Rationale: The correct answer is C: Limiting use of electronic devices in the hour before bedtime. Exposure to blue light emitted by electronic devices can disrupt the production of melatonin, a hormone that regulates sleep. By limiting electronic device use before bedtime, the nurse can help the individual maintain a more natural sleep-wake cycle. Choice A is not directly related to the impact of light on sleep patterns. Choice B, exercising before bedtime, can actually stimulate the body and make it harder to fall asleep. Choice D, dimming screens, is a good practice but may not be as effective as completely avoiding electronic devices before bedtime to optimize sleep quality.
Question 5 of 5
Group members are having difficulty deciding what topic to cover in today's session. Which nurse leader response reflects autocratic leadership?
Correct Answer: A
Rationale: The correct answer is A because an autocratic leader makes decisions for the group without consulting them. In this response, the leader dictates the topic without considering input from group members. Choice B involves democratic leadership by seeking input from everyone. Choice C also reflects democratic leadership by allowing the group to reach a decision collectively. Choice D demonstrates a collaborative approach, not autocratic, as the leader is working with the group to find a suitable topic.