ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
The nurse is caring for a client diagnosed with delirium who has been brought for treatment by his son. While taking the client's history, which question would be most appropriate for the nurse to ask the client's son?
Correct Answer: A
Rationale: The correct answer is A: "Has your father taken any medications recently?" This question is most appropriate because delirium can be caused by medication side effects. By asking about recent medications, the nurse can gather important information to help identify potential causes of the client's delirium. Summary of other choices: B: "Are you aware of your father falling or injuring his head in any way?" - This question focuses on physical trauma, which may not necessarily be related to the client's delirium. C: "Has your father had a recent stroke?" - While a stroke can cause delirium, assuming a stroke without evidence may lead to incorrect assessment and treatment. D: "Has your father experienced any major losses recently?" - This question is more related to emotional stressors and may not directly address the potential medical causes of delirium.
Question 2 of 5
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Assess AP's qualifications: Ensures competency and safety. 2. Delegation based on competence: AP must be capable. 3. Legal and ethical responsibility: Nurse is accountable for delegation. 4. Ensures client safety: Properly trained AP will perform test accurately. Summary: B: Nurse should not perform the test; delegating responsibility is key. C: Asking about medication is not within scope for blood glucose testing. D: Checking prior results is not necessary for performing a current test.
Question 3 of 5
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. Christopher's ability to form positive relationships, excel in school, and maintain high academic performance despite experiencing neglect indicates resilience. Resilience refers to the ability to adapt positively in the face of adversity. His behavior shows that he is able to overcome his challenging circumstances and thrive. Temperament (A) refers to inherent traits that influence behavior, genetic factors (B) may play a role but do not fully explain his response, and the paradoxical effects of neglect (D) are not the strongest explanation in this context.
Question 4 of 5
Larry, a middle-aged male in a treatment facility, is loudly displaying anger in the day room with a visiting family member. It is obvious to the nurse this pattern has played out before. Violence is often escalated when family members or authority figures:
Correct Answer: D
Rationale: The correct answer is D: Engage in a power struggle. Engaging in a power struggle can escalate the situation by challenging the individual's sense of control and leading to increased anger and aggression. This behavior can further provoke the individual and worsen the situation. A: Using a soft tone of voice may not address the underlying issues causing the anger and can be perceived as patronizing. B: Moving away in fear can demonstrate avoidance behavior and may not effectively address the situation. C: Using simple words to communicate may not address the power dynamic at play and may not de-escalate the situation effectively. In summary, engaging in a power struggle can exacerbate the situation, while the other choices may not effectively address the root cause of the anger and aggression displayed by Larry.
Question 5 of 5
What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort?
Correct Answer: C
Rationale: Rationale for Correct Answer C: 1. St. John's wort can interact with antidepressants, reducing their effectiveness. 2. This herb can also lead to serotonin syndrome when combined with antidepressants. 3. Therefore, it is crucial for the nurse to educate the patient to avoid combining St. John's wort with antidepressants to prevent harmful interactions. Summary of Incorrect Choices: A: Allergic reactions are not common with St. John's wort, so this information is not relevant to the patient's education. B: While liver toxicity is a concern with St. John's wort, regular liver function tests are not typically required for patients taking this herb. D: Gastrointestinal symptoms such as bleeding are not commonly associated with St. John's wort, making this choice incorrect.