ATI RN
ATI Mental Health Proctored Exam 2024 Questions
Question 1 of 5
The older patient is discussing chronic pain and asks the primary care provider for a prescription. Which medication should the nurse anticipate being ordered rather than an opioid?
Correct Answer: A
Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (C) and Fentanyl (D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin. Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.
Question 2 of 5
A nurse is assisting a patient in using simple relaxation techniques. Which of the following would the nurse do first?
Correct Answer: C
Rationale: The correct answer is C: Ensure a quiet, nondisrupting environment. This is the first step because creating a peaceful setting is essential for relaxation techniques to be effective. It helps the patient focus and unwind. - Choice A is incorrect as assuming a relaxed position comes after setting the environment. - Choice B is incorrect as advising the patient to let sensations happen is a later step in the process. - Choice D is incorrect as instructing the patient to take a deep breath is also a subsequent step once the environment is conducive to relaxation.
Question 3 of 5
After reviewing the major beliefs of Hinduism, a nursing student identifies the following castes. The student demonstrates understanding by identifying which of the following as the highest caste?
Correct Answer: C
Rationale: The correct answer is C: Brahmans. In Hinduism, Brahmans are considered the highest caste due to their traditional role as priests and scholars who perform religious rituals and preserve sacred knowledge. They are tasked with upholding spiritual and moral values in society. Kshatriyas are the warrior caste, Vaisyas are the merchant and farmer caste, and Untouchables are considered outside the caste system and historically faced discrimination. Brahmans hold the highest social status and are respected for their spiritual knowledge and leadership in religious practices.
Question 4 of 5
A client in treatment for obsessive-compulsive personality disorder (OCPD) is experiencing extreme anxiety after their therapy session. What is a good technique for de-escalating the client?
Correct Answer: C
Rationale: The correct technique for de-escalating a client with OCPD experiencing extreme anxiety is employing active listening. Active listening involves fully concentrating, understanding, responding, and remembering what the client is saying. This technique can help the client feel heard, validated, and understood, which can reduce their anxiety. It also allows the client to express their thoughts and feelings, promoting a sense of control and autonomy. This approach is client-centered and respectful, aligning with the principles of effective therapy for OCPD. Summary: A: Physically directing the client may increase their anxiety and worsen the situation. B: Holding steady eye contact may be perceived as confrontational and intrusive, escalating the client's anxiety. D: Taking control and instructing the client may trigger resistance and exacerbate feelings of lack of control, which are common in OCPD.
Question 5 of 5
A nurse is providing care to a client just recently diagnosed with schizophrenia during an inpatient hospital stay. Throughout the day, the nurse observes the client drinking from the water fountain quite frequently as well as carrying cans of soda and bottles of water with him wherever he goes. Upon entering the client's room, the nurse sees numerous empty cups that had been filled with fluids on his table and in the trash can. The room has an odor of urine. The nurse suspects which of the following?
Correct Answer: B
Rationale: The correct answer is B: Disordered water balance. The client's excessive fluid intake, frequent use of the water fountain, carrying cans of soda and bottles of water, and presence of numerous empty cups suggest polydipsia, a common symptom in schizophrenia due to disordered water balance. This can lead to dilutional hyponatremia and subsequent urinary incontinence, explaining the odor of urine in the room. A: Diabetes mellitus is unlikely as there are no symptoms of hyperglycemia mentioned. C: Tardive dyskinesia is a movement disorder associated with long-term antipsychotic use, not related to excessive fluid intake. D: Orthostatic hypotension is characterized by a drop in blood pressure upon standing, not related to the client's symptoms. In summary, the client's behavior and symptoms point towards disordered water balance, specifically polydipsia, as the likely cause.