ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 5
An older adult client is brought to the emergency department after ingesting an unknown substance. The client, who appears to have dementia, has tremors, ataxia of the upper and lower extremities, depression, and confusion. The nurse suspects ingestion of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Mercury. The symptoms described (tremors, ataxia, depression, confusion) are indicative of mercury poisoning. Mercury affects the nervous system, leading to neurological symptoms. Lead poisoning would typically present with abdominal pain, anemia, and cognitive impairment. Aluminum toxicity is associated with bone pain, fractures, and dialysis encephalopathy. Manganese toxicity is linked to Parkinson's-like symptoms such as tremors and rigidity. Mercury is the most likely substance ingested based on the presented symptoms.
Question 2 of 5
A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output?
Correct Answer: D
Rationale: The correct answer is D: Left lateral. Placing the client in a left lateral position helps optimize cardiac output by improving venous return to the heart, reducing pressure on the vena cava, and enhancing blood flow to the placenta. This position also minimizes the risk of supine hypotensive syndrome, which can occur when lying flat on the back and compressing the vena cava. Choices A (The chest) and B (Standing) are incorrect as they do not facilitate optimal venous return and may increase cardiac workload. Choice C (Supine) is incorrect as it can lead to decreased cardiac output and potentially compromise fetal oxygenation due to vena cava compression.
Question 3 of 5
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
Correct Answer: A
Rationale: The correct answer is A because Carolina should show genuine interest in the patient's decision and willingness to learn more about the therapy app. This approach demonstrates empathy, openness to new technologies, and a collaborative attitude. It also allows Carolina to explore the app's features, efficacy, and potential benefits for the patient's treatment. By engaging with the patient in this way, Carolina can better understand the patient's perspective and tailor her approach accordingly. Choices B, C, and D are incorrect because they either dismiss the patient's choice outright (B), express reluctance without further exploration (C), or come off as confrontational (D). These responses may alienate the patient, hinder the therapeutic relationship, and impede progress. It's essential for Carolina to maintain a supportive and client-centered approach in addressing the patient's decision.
Question 4 of 5
Which statement made by a 9-year-old child after hitting a classmate is a typical comment associated with childhood conduct disorder?
Correct Answer: B
Rationale: The correct answer is B because saying "He deserved it for being a sissy" shows a lack of empathy and justification for aggressive behavior, which is a common trait in children with conduct disorder. Children with conduct disorder often lack remorse and blame others for their actions. Choice A shows remorse, Choice C shows minimization of the act, and Choice D shows blaming the victim, which are not typical of conduct disorder.
Question 5 of 5
Isadora is a middle-aged woman living in a group home after being discharged from a psychiatric institution nearly 20 year ago. Isadora keeps to herself, stays in her room most of the day, and only ventures out for meals. Cassandra, the house manager, encourages Isadora to:
Correct Answer: B
Rationale: The correct answer is B: Join a day program clubhouse. This option is the most appropriate as it offers Isadora socialization, structured activities, and support, which can help her overcome isolation and improve her mental well-being. Looking for a job (A) may be too overwhelming for Isadora at this point. Assisting in the kitchen (C) may not address her socialization needs. Taking on a roommate (D) could potentially increase Isadora's stress levels instead of addressing her social isolation.