ATI RN
Adult Behavioral Health Nursing Questions
Question 1 of 5
For a palliative care patient whose cancer tumor is impinging on a nerve, the drug that may show some usefulness is
Correct Answer: A
Rationale: In the case of a palliative care patient with a cancer tumor impinging on a nerve, the most appropriate drug from the given options is Amitriptyline (Option A). Amitriptyline is a tricyclic antidepressant that is commonly used in the management of neuropathic pain, which is pain caused by damage or disease affecting the somatosensory nervous system. In this scenario, where the tumor is impinging on a nerve, causing neuropathic pain, Amitriptyline can be effective in reducing pain perception and improving the patient's quality of life. Option B, Atropine, is a medication used to treat certain types of nerve agent and pesticide poisonings and to reduce salivation and bronchial secretions before surgery. It is not indicated for neuropathic pain management. Option C, Hyoscine, is primarily used to relieve smooth muscle spasms (e.g., in the gastrointestinal tract) and motion sickness. It is not typically used for neuropathic pain. Option D, Fluoxetine, is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, anxiety disorders, and certain types of eating disorders. It is not the first-line choice for managing neuropathic pain associated with nerve impingement by a tumor. In an educational context, understanding the rationale behind choosing Amitriptyline in this scenario highlights the importance of selecting medications based on their mechanism of action and their efficacy in addressing specific symptoms or conditions. It also emphasizes the need for healthcare providers to have a comprehensive knowledge of pharmacology to make informed decisions that optimize patient care and outcomes.
Question 2 of 5
The nurse is admitting a patient to the operating room. Which of the following nursing actions should be given the highest priority by the nurse?
Correct Answer: C
Rationale: In adult behavioral health nursing, ensuring patient safety and preventing errors are paramount. The highest priority action before surgery is to verify the patient's identification and correct operative permit (Option C). This step is crucial in preventing wrong-patient, wrong-site, or wrong-procedure surgeries, which are serious, preventable medical errors. Verifying the patient's identity and surgical consent ensures that the correct patient receives the appropriate procedure in the right location. Assessing the patient's level of consciousness (Option A) is important but takes precedence after confirming the patient's identity and consent. Checking vital signs (Option B) is essential for monitoring the patient's physiological status but can be done concurrently with other tasks. Positioning and skin preparation (Option D) are necessary for surgery but are secondary to ensuring patient identification and consent. In an educational context, emphasizing the significance of patient safety protocols, such as verifying identification and consent, highlights the nurse's role in preventing errors and promoting quality care. This scenario underscores the critical nature of thorough patient assessment and preparation in the perioperative setting, where attention to detail and adherence to protocols are essential for safe patient outcomes.
Question 3 of 5
The following are members of the sterile team in the operating room, except:
Correct Answer: D
Rationale: In the context of adult behavioral health nursing, understanding the roles within the operating room's sterile team is crucial for providing safe and effective patient care. In this scenario, the correct answer is D) Circulating nurse. The circulating nurse is not a member of the sterile team in the operating room. Their role is to manage the overall nursing care within the operating room, coordinate activities, and ensure the environment is safe and conducive to the surgical procedure. The circulating nurse does not scrub in and maintain the sterile field like the scrub nurse or the surgeon. The surgeon (option A), scrub nurse (option B), and anaesthetist (option C) are all members of the sterile team in the operating room. The surgeon performs the surgical procedure, the scrub nurse assists the surgeon by passing instruments and maintaining the sterile field, and the anaesthetist administers anesthesia and monitors the patient's vital signs during surgery. Understanding the roles within the operating room team is essential for nurses working in behavioral health settings, as they may encounter patients requiring surgical interventions. Knowing who is responsible for what aspects of patient care in the operating room ensures proper communication, collaboration, and patient safety throughout the perioperative process.
Question 4 of 5
A patient is referred to the mental health center by the family health care provider. Over the past year, the patient has cooked gourmet meals for family members, but eats only tiny portions of the food. The patient wears layers of loose clothing, saying, 'It’s just my style.' The patient’s weight has dropped from 130 to 95 pounds. The patient has amenorrhea. The history and symptoms are most consistent with which medical diagnosis?
Correct Answer: A
Rationale: Per DSM-5, anorexia nervosa (Option A) is characterized by restricted eating, significant weight loss (here, 35 pounds), amenorrhea, and distorted body image (loose clothing to hide thinness), consistent with the patient’s symptoms. Bulimia (B) involves normal weight with binge-purge cycles, binge eating (C) involves overeating without purging, and EDNOS (D) lacks specific criteria matching this case.
Question 5 of 5
What is a nurse’s legal responsibility if child abuse or neglect is suspected?
Correct Answer: B
Rationale: In the context of adult behavioral health nursing, it is crucial for nurses to understand their legal responsibilities when child abuse or neglect is suspected. The correct answer is B) Report the suspected abuse or neglect according to state regulations. This is the correct response because nurses are mandated reporters, meaning they are legally obligated to report any suspected cases of child abuse or neglect to the appropriate authorities. Option A is incorrect because discussing the findings with individuals outside of the healthcare team may compromise the confidentiality and integrity of the investigation. Option C is also incorrect as documenting suspicions in the medical record alone does not fulfill the legal obligation of reporting abuse or neglect. Option D, continuing the assessment, is not appropriate when there are suspicions of child abuse or neglect as immediate action is required to ensure the safety and well-being of the child. Educationally, understanding the legal responsibilities of nurses in cases of suspected child abuse or neglect is essential for providing comprehensive and ethical care. By reporting such cases, nurses play a critical role in protecting vulnerable populations and promoting the welfare of children. This knowledge not only ensures compliance with legal requirements but also upholds the professional and ethical standards of nursing practice.