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
Terrell is a thirty-two-year-old male client who was just diagnosed with bipolar disorder and alcohol abuse disorder. He does not meet criteria for hospital admission and is currently able to work and safely care for himself at home. He is also on a new medication regimen that will need frequent lab draws and adjustments for the first several weeks. What is the best setting for treatment for Terrell?
Correct Answer: B
Rationale: The correct answer is B: an intensive community (outpatient) program (IOP). This setting is appropriate for Terrell as he is able to work and care for himself at home, does not require hospitalization, and needs close monitoring due to the new medication regimen. IOP provides structured treatment while allowing Terrell to maintain his daily routine. Choice A: a halfway house, is not the best option as Terrell is currently able to live independently at home and does not need the level of structure and support provided in a halfway house. Choice C: a residential treatment center (RTC), is not necessary as Terrell does not require 24/7 supervision and can continue living at home while attending regular treatment sessions. Choice D: Narcotics Anonymous (NA) is not the best setting for Terrell as his primary issues are bipolar disorder and alcohol abuse, not narcotics addiction. An IOP will provide the appropriate level of care and support for his current needs.
Question 3 of 5
Which is the goal for the orientation phase of the nurse-client relationship?
Correct Answer: B
Rationale: The goal for the orientation phase is to establish trust. This is crucial for building a strong nurse-client relationship. Trust forms the foundation for effective communication and collaboration. By establishing trust, the nurse can create a safe and supportive environment for the client to open up and engage in the therapeutic process. Exploring self-perceptions (choice A) is typically done in the working phase, not the orientation phase. Promoting change (choice C) and evaluating goal attainment (choice D) are also more relevant to the later phases of the relationship when interventions and outcomes are being assessed. Therefore, the correct answer is B as it aligns with the primary focus of the orientation phase.
Question 4 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 5 of 5
After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?
Correct Answer: B
Rationale: The correct answer is B: Milieu. In behavioral care, the milieu refers to the therapeutic environment or setting where the treatment takes place. It includes factors such as the physical environment, staffing, structure, and culture of the treatment setting. Understanding the milieu is crucial for providing effective care and promoting positive outcomes for patients. Signs and symptoms (choice A) are not service variables but indicators of a patient's condition. Risk (choice C) is related to assessing potential harm or danger to the patient and is not a service variable. Social support (choice D) is important for patient recovery but is not a service variable directly associated with determining settings along the continuum of behavioral care.