ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
During an interview with a patient, which question asked of an older adult is associated with the Patient Self-Determination Act?
Correct Answer: B
Rationale: The correct answer is B because the Patient Self-Determination Act emphasizes the importance of discussing end-of-life choices with family or a designated surrogate. This question aligns with the act's goal of promoting patient autonomy and ensuring that patients have a say in their healthcare decisions. Choices A, C, and D are incorrect because they do not directly address the act's focus on end-of-life planning and decision-making with family or a designated surrogate. A focuses on access to medical information, C on informed decision-making about treatment, and D on helping the patient feel comfortable, which are important but not specifically related to the Patient Self-Determination Act.
Question 2 of 5
What is a cause of pseudodementia?
Correct Answer: B
Rationale: The correct answer is B: severe depression. Pseudodementia refers to cognitive symptoms that mimic dementia but are actually caused by a psychiatric disorder like severe depression. This condition can be reversed with appropriate treatment for the underlying depression. Medication reaction (choice A) can cause cognitive impairment but is not specific to pseudodementia. Old age (choice C) is not a direct cause of pseudodementia. Genetics (choice D) may play a role in some forms of dementia but not in pseudodementia caused by severe depression.
Question 3 of 5
The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse observes that the drawing lacks arms and feet. The nurse interprets this as indicating which of the following? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Inadequacy. The patient's drawing lacking arms and feet suggests feelings of inadequacy, as these missing body parts symbolize a lack of capability and completeness. The absence of arms and feet can be interpreted as the patient feeling incapable or incomplete in some aspect of their life. This interpretation aligns with the concept of inadequacy, where the individual may perceive themselves as not measuring up to standards or feeling insufficient. In contrast, choices A, B, and C do not directly relate to the specific symbolism of the missing body parts and are not supported by the information provided in the question.
Question 4 of 5
A nurse, client, and family meet to discuss the client's discharge. During the meeting, the client speaks and makes eye contact only with family. From a cultural perspective, how might the nurse interpret this behavior?
Correct Answer: D
Rationale: The correct answer is D: The client has respect for members of the health-care team. Rationale: 1. In some cultures, making direct eye contact with authority figures, like healthcare professionals, can be seen as a sign of respect. 2. By making eye contact only with the family, the client might be showing deference and respect towards the healthcare team. 3. This behavior suggests that the client values the input and presence of the healthcare team in the decision-making process. 4. Choices A, B, and C do not align with the behavior described and are not supported by the cultural perspective of respect and communication.
Question 5 of 5
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
Correct Answer: B
Rationale: Correct Answer: B (Oliguria) Rationale: 1. Oliguria (decreased urine output) is a classic sign of decreased cardiac output due to poor perfusion to the kidneys. 2. Decreased cardiac output results in reduced blood flow to the kidneys, leading to decreased urine production. 3. Shivering is a common postoperative response, not directly related to cardiac output. 4. Bradypnea (slow breathing) and constricted pupils are not typical signs of decreased cardiac output.