ATI RN
ATI Mental Health Practice A 2023 Questions
Question 1 of 5
Assessment of a family reveals that the youngest child has moved out of the family home to live by herself. One of the other two children is married, and the other child has just gotten engaged. The nurse interprets this family to be in which stage of the family life cycle?
Correct Answer: B
Rationale: The correct answer is B: Launching children and moving on. This stage typically occurs when children leave the family home to live independently, get married, or become engaged. In this scenario, the youngest child has already moved out to live by herself, and one of the other children is married while the remaining child has just gotten engaged. These events indicate that the family is transitioning into the stage of launching children and moving on, where parents adjust to an empty nest and focus on their own pursuits. Choices analysis: A: Families with adolescents - This stage typically involves children still living at home during their teenage years, which does not align with the information provided in the question. C: Families in later life - This stage occurs later in the family life cycle when children have grown up and left the family home, usually after retirement. The events in the question do not indicate this stage. D: Leaving home: single young adults - This stage involves young adults leaving the family home for the first time to
Question 2 of 5
When assessing a client for possible disordered water balance, the nurse checks the client's urine specific gravity. Which result would lead the nurse to suspect that the client is experiencing severe disordered water balance?
Correct Answer: D
Rationale: The correct answer is D (1.002). A urine specific gravity of 1.002 indicates very dilute urine, suggesting the client may be experiencing severe water imbalance, such as overhydration or excessive fluid intake. In contrast, choices A, B, and C represent more concentrated urine, which would typically be seen in conditions like dehydration or fluid retention. Therefore, D is the correct answer as it indicates a significant deviation from the normal range, signaling a severe water balance issue.
Question 3 of 5
The nurse working with patients diagnosed with posttraumatic stress disorder (PTSD) is aware of the need to intervene early in order to de-escalate a patient's increasing anxiety level. Which patient behavior is likely an early indication of escalating anxiety?
Correct Answer: A
Rationale: The correct answer is A: Talking rapidly. This behavior is likely an early indication of escalating anxiety because rapid speech can reflect heightened arousal and internal distress. When a person starts talking rapidly, it can indicate a sense of urgency or agitation, which are common signs of increasing anxiety levels. In contrast, pacing around the unit (B) may indicate restlessness or agitation but not necessarily escalating anxiety. Staring out the window (C) could suggest dissociation or introspection rather than escalating anxiety. Refusing to go to therapy (D) might indicate resistance or avoidance but does not directly correlate with escalating anxiety levels.
Question 4 of 5
A client with body dysmorphic disorder is admitted to the inpatient unit. Based on the nurse's understanding about this disorder, the nurse would assess this client closely for which of the following?
Correct Answer: A
Rationale: The correct answer is A: Suicidal ideation. Clients with body dysmorphic disorder often experience severe distress and preoccupation with perceived flaws in their appearance, leading to significant emotional and psychological distress. This can increase the risk of suicidal ideation and self-harm. Assessing for suicidal ideation is crucial to ensure the client's safety and provide appropriate interventions. Summary of why other choices are incorrect: B: Escalating violence - While individuals with body dysmorphic disorder may experience distress and frustration, there is no direct correlation between the disorder and escalating violence. C: Anorexia - Body dysmorphic disorder and anorexia are separate disorders, although they may co-occur. Anorexia focuses on distorted body image related to weight and shape, while body dysmorphic disorder focuses on specific perceived flaws in appearance. D: Psychosis - Body dysmorphic disorder is not typically associated with psychosis, which involves a loss of touch with reality. Clients with body
Question 5 of 5
An elderly client tells the nurse that she had been constipated for the last few days and decided to use an over-the-counter fiber laxative that is dissolved in water. When reviewing the use of this laxative with the client, which of the following would the nurse include as a possible side effect?
Correct Answer: C
Rationale: The correct answer is C: Flatus. When an elderly client uses a fiber laxative, it can increase the bulk of stool, leading to increased gas production and flatus. This is a common side effect of fiber laxatives due to the fermentation of fiber by gut bacteria. Diarrhea (A) is unlikely with fiber laxatives as they usually work by adding bulk to the stool. Nausea (B) is not a common side effect of fiber laxatives. Stomach pain (D) may occur if the client experiences bloating from increased gas but is less likely than flatus. Therefore, the most likely side effect of using a fiber laxative dissolved in water is increased flatus.