ATI RN
ATI Proctored Nutrition Exam 2019 Questions
Question 1 of 5
Obsessive compulsive disorder is classified under:
Correct Answer: D
Rationale: In pharmacology, understanding the classification of mental health disorders is crucial for proper diagnosis and treatment. Obsessive compulsive disorder (OCD) is classified under the category of anxiety disorders, specifically under the umbrella of neurotic disorders. The correct answer is B) Neurotic disorders. Neurotic disorders are characterized by excessive anxiety or distress, leading to maladaptive behaviors like obsessive thoughts and compulsive actions seen in OCD. This classification is based on the predominant symptomatology and underlying mechanisms of these disorders. Option A) Psychotic disorders involve a loss of touch with reality, such as schizophrenia, which is not characteristic of OCD. Option C) Major depressive disorder pertains to a mood disorder marked by persistent feelings of sadness and loss of interest, not the core symptoms of OCD. Option D) Bipolar disorder involves mood swings between mania and depression, which is distinct from the repetitive, intrusive thoughts and behaviors seen in OCD. Educationally, understanding the classification of OCD provides a foundation for healthcare professionals to differentiate between various mental health disorders, leading to accurate assessments and tailored treatment plans. This knowledge is essential in pharmacology to ensure appropriate medication selection and management for individuals with OCD.
Question 2 of 5
In alcoholic patient, the nurse knows that the vitamin deficient to these types of clients that leads to psychoses is:
Correct Answer: A
Rationale: In alcoholic patients, the vitamin deficiency that can lead to psychoses is thiamine, also known as Vitamin B1. Thiamine plays a crucial role in brain function and a deficiency can result in serious neurological complications such as Wernicke-Korsakoff syndrome, characterized by confusion, ataxia, and memory issues. Alcohol interferes with thiamine absorption and utilization, making alcoholic individuals particularly prone to deficiency. Option A (Thiamine) is the correct answer as explained above, addressing the specific vitamin deficiency seen in alcoholic patients that can lead to psychoses. Option B (Vitamin C) is incorrect because while Vitamin C deficiency can lead to scurvy, a condition characterized by weakness and bleeding gums, it is not associated with psychoses. Option C (Niacin) is incorrect as niacin deficiency can lead to pellagra, a condition characterized by dermatitis, diarrhea, and dementia, but it is not the primary vitamin deficiency leading to psychoses in alcoholic patients. Option D (Vitamin A) is incorrect as Vitamin A deficiency is associated with vision problems and immune system issues, but not psychoses. Understanding the specific vitamin deficiencies related to alcoholism is crucial for nurses to provide appropriate care and prevent serious complications in alcoholic patients. Education on nutrition and the impact of alcohol on vitamin absorption is essential for nurses to recognize and address these deficiencies in their practice.
Question 3 of 5
The purpose of ECT in clients with depression is to:
Correct Answer: A
Rationale: The correct answer is A) Stimulation in the brain to increase brain conduction and counteract depression. Electroconvulsive therapy (ECT) is a treatment option for severe depression that involves delivering electrical currents to the brain to induce a controlled seizure. This process is believed to increase brain activity and promote the release of neurotransmitters like serotonin and norepinephrine, which are essential for mood regulation. ECT is not about creating brain damage or charging neurons; it aims to stimulate brain function and improve symptoms of depression. Option B) Mainly Biologic, increasing the norepinephrine and serotonin level, is incorrect because ECT works through electrical stimulation rather than directly increasing neurotransmitter levels. Option C) Creates a temporary brain damage that will increase blood flow to the brain is incorrect as ECT does not aim to cause brain damage; it is a carefully monitored procedure with minimal side effects. Option D) Involves the conduction of electrical current to the brain to charge the neurons and combat depression is incorrect because the goal of ECT is not to "charge" neurons but to modulate brain activity to alleviate depressive symptoms. In an educational context, understanding the mechanism of action of ECT is crucial for healthcare professionals working with clients with severe depression. It is important to differentiate between the myths and facts surrounding ECT to provide accurate information and support to clients considering this treatment option.
Question 4 of 5
A client says to the nurse ¢â‚¬Å“I am worthless person, I should be dead¢â‚¬ The nurse best replies:
Correct Answer: A
Rationale: The correct answer is option A) “Don’t say you are worthless, you are not a worthless person.” This response is the best because it directly addresses the client's statement of feeling worthless by providing reassurance and challenging the negative self-perception. This approach can help the client feel supported, validated, and may prevent further escalation of negative thoughts. Option B) “We are going to help you with your feelings” is not as effective as it does not directly address the client's statement about feeling worthless. It is important to acknowledge and challenge the negative self-talk rather than just offering general assistance. Option C) “What makes you feel you’re worthless?” while showing empathy, does not challenge the negative statement directly. It is important to provide immediate support and positive reinforcement in such situations. Option D) “What you say is not true” is dismissive and can invalidate the client's feelings. It is crucial to approach the situation with empathy and understanding rather than outright denial. In an educational context, this question highlights the importance of therapeutic communication skills in nursing practice, especially when dealing with clients experiencing emotional distress or expressing negative thoughts. Nurses must be equipped to respond empathetically, provide support, and challenge negative self-perceptions to promote mental health and well-being in their clients.
Question 5 of 5
Cocaine is derived from the leaves of coca plant; the nurse knows that cocaine is classified as:
Correct Answer: A
Rationale: In pharmacology, it is crucial for nurses to understand the classifications of drugs to provide safe and effective patient care. In this case, the correct answer is B) Stimulant. Cocaine is a powerful central nervous system stimulant that increases levels of dopamine in the brain, leading to feelings of euphoria and increased energy. Option A) Narcotic is incorrect because narcotics typically refer to opioids which have different mechanisms of action compared to cocaine. Option C) Barbiturate is incorrect as barbiturates are a class of drugs that act as central nervous system depressants, not stimulants like cocaine. Option D) Hallucinogen is incorrect as hallucinogens alter one's perception, mood, and cognitive processes in a different manner than cocaine. Educationally, understanding drug classifications is essential for nurses to recognize potential drug interactions, side effects, and implications for patient care. Knowing that cocaine is a stimulant helps nurses anticipate its effects on the body and identify appropriate interventions for patients who may have ingested this substance. This knowledge ultimately contributes to promoting patient safety and well-being.