ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
The nurse is preparing to initiate a behavioral treatment program for a child with encopresis. Which of the following would the nurse most likely implement first?
Correct Answer: B
Rationale: The correct answer is B: Bowel cleansing. This would most likely be implemented first because it helps to clear the colon of retained stool, which is essential in managing encopresis. By cleansing the bowel, it can help reset the child's bowel habits and reduce the likelihood of accidents. Administering mineral oil (choice A) may be used as a lubricant, but it does not address the underlying issue of fecal impaction. A low-fiber diet (choice C) is not recommended as it can exacerbate constipation. Toilet sitting after each meal (choice D) is important but may not be as effective if the colon is impacted with stool.
Question 2 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.
Question 3 of 5
What is the desirable outcome for the orientation stage of a nurse–patient relationship? The patient will demonstrate behaviors that indicate
Correct Answer: C
Rationale: Rationale: The correct answer is C because establishing rapport and trust with the nurse in the orientation stage is crucial for building a therapeutic relationship. This foundation sets the tone for effective communication, collaboration, and patient engagement throughout the care process. Options A and B focus more on the patient's individuality and personal growth, which are important but secondary to the primary goal of establishing trust. Option D, resolved transference, is not relevant at this early stage and pertains more to deeper stages of therapy. Therefore, option C is the most appropriate outcome for the orientation stage of a nurse-patient relationship.
Question 4 of 5
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient's plan of care?
Correct Answer: A
Rationale: Step 1: Buddhism teaches that desire is the root cause of suffering (dukkha). Step 2: By understanding this core belief, the nurse can tailor the care plan to address the patient's desires and potential sources of suffering. Step 3: Integrating this understanding will help the nurse support the patient in reducing attachments and finding inner peace. Step 4: Choices B, C, and D are incorrect as they do not align with Buddhist beliefs and principles, which emphasize the cessation of desires and ego rather than self-indulgence, present unhappiness, or salvation through faith and humility.
Question 5 of 5
A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
Correct Answer: B
Rationale: The correct answer is B: Tachycardia. Sympathetic nervous stimulation in the fight-or-flight response leads to increased heart rate to pump more blood to the muscles. This helps prepare the body for physical activity during stress. A: Hypoglycemia is incorrect because sympathetic stimulation actually leads to increased blood sugar levels for energy. C: Hypotension is incorrect as sympathetic activation causes vasoconstriction, raising blood pressure, not lowering it. D: Hypercoagulability is incorrect as sympathetic activation can lead to increased blood clotting but is not a direct result of sympathetic nervous stimulation.