ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 5
The nurse is presenting a community educational program focusing on older adults and mental health protective factors. One of the participants asks what the influence of co-parenting one's grandchild has on the mental health of the grandparent. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Step 1: The correct answer is B because research shows that although there may be stresses involved with grandparenting, the positive benefits such as increased sense of purpose, emotional satisfaction, and intergenerational bonding tend to outweigh the negatives. Step 2: Choice A is incorrect because the well-being of grandmothers is not always statistically more significant when they co-parent their grandchildren. It depends on individual circumstances. Step 3: Choice C is incorrect as it generalizes by stating that all white grandmothers experience less well-being when co-parenting, which is not supported by research. Step 4: Choice D is incorrect because it specifies only grandfathers and does not provide a well-rounded view of the influence of co-parenting on the mental health of grandparents.
Question 2 of 5
The nurse is reviewing the medical record of a client with bipolar disorder. The nurse would most likely expect to find a history of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Panic disorder. Bipolar disorder and panic disorder commonly co-occur due to similarities in symptoms and underlying mechanisms. Both disorders involve periods of intense anxiety, fear, and impaired functioning. Research also suggests shared genetic and environmental risk factors. The other choices (B: Schizophrenia, C: Delusional disorder, D: Posttraumatic stress disorder) are less likely to be found in conjunction with bipolar disorder based on their distinct features and diagnostic criteria.
Question 3 of 5
A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?
Correct Answer: D
Rationale: Rationale: - The correct answer is D because monitoring weight changes is crucial in the early stages of SSRI treatment, as weight gain could be a side effect. - A is incorrect because SSRIs do not typically affect fluid intake. - B is incorrect because abruptly stopping an SSRI can lead to withdrawal symptoms and should only be done under medical guidance. - C is incorrect as menstrual irregularities are not a common side effect of SSRIs. Summary: Monitoring weight changes is essential when taking SSRIs to address potential side effects. Other choices are incorrect as they do not align with the usual considerations for SSRI treatment.
Question 4 of 5
A nurse is preparing to assess a 9-year-old child who has been sexually abused. Which of the following would be the priority for the nurse?
Correct Answer: D
Rationale: The correct answer is D because ensuring a safe and supportive environment is the priority in assessing a sexually abused child. Safety and comfort are crucial for the child to feel secure and open up about their experience. This approach helps build trust and rapport, leading to a more effective assessment and support. A: Finding out when the abuse occurred is important but not the immediate priority. B: Documenting for court is necessary but not the first step in caring for the child's well-being. C: Using anatomically correct dolls can be helpful in some cases, but it should not be the priority over ensuring the child's safety and well-being.
Question 5 of 5
A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first?
Correct Answer: D
Rationale: The correct answer is D: Stabilize the client's physical health status. This should be done first because addressing immediate physical health needs is crucial for the client's well-being. Without stable physical health, the client may not be able to engage effectively in accessing benefits or finding safe facilities. Referring to social services (A) and discussing privacy (C) are important but secondary to addressing physical health. Providing a list of safe facilities (B) is also important but not as critical as stabilizing the client's health. By addressing physical health first, the nurse can ensure the client is in a better position to address other needs effectively.