ATI RN
ATI Mental Health Book Questions
Question 1 of 5
Two nursing students are discussing psychiatric-mental health nursing and the role it has played in nursing's overall history. Which statement is most accurate?
Correct Answer: A
Rationale: The correct answer is A: The importance of using therapeutic communication was stressed by Nightingale. Florence Nightingale, considered the founder of modern nursing, emphasized the significance of therapeutic communication in nursing practice. Nightingale's focus was on creating an environment conducive to healing through effective communication with patients. Explanation: Nightingale's emphasis on therapeutic communication laid the foundation for psychiatric-mental health nursing. Incorrect Answers: B: The use of self-care to enhance the immune system was taught by Dorothea Dix. Dorothea Dix was a mental health advocate, not known for teaching self-care to enhance the immune system. C: The moral treatment of mental illness was a primary focus of deinstitutionalization. Deinstitutionalization aimed to shift care from mental hospitals to community-based settings, not primarily focusing on moral treatment. D: Peplau was the first nurse to stress the importance of therapeutic communication. While Peplau made significant contributions to psychiatric nursing, Night
Question 2 of 5
After teaching a class about childhood and adolescent mental health, the instructor determines that additional teaching is needed when the class identifies which of the following as promoting mental health in children?
Correct Answer: A
Rationale: The correct answer is A: Difficult temperament. Children with difficult temperaments may face challenges in regulating emotions and behavior, which can impact their mental health. - B: Age-appropriate physical development is important but not directly related to mental health. - C: Secure attachment is crucial for promoting mental health by providing a sense of security and support. - D: Normal psychosocial development is essential for mental health as it encompasses social, emotional, and cognitive growth. In summary, difficult temperament can hinder mental health, while the other choices promote it through various means.
Question 3 of 5
A client is admitted to the hospital with dementia related to Parkinson's disease. The client is being treated for a fractured tibia from a recent fall. The nurse should assess the client's history for use of which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Anticholinergics. In Parkinson's disease, anticholinergics are commonly used to manage symptoms by blocking the action of acetylcholine, which is an excitatory neurotransmitter. These medications can worsen cognitive impairment in patients with dementia. Assessing for anticholinergic use in the client's history is crucial to prevent exacerbating cognitive decline. Summary of incorrect choices: B: Dopamine agonists are used to treat Parkinson's disease and would not be directly related to worsening cognitive impairment in this scenario. C: Anxiolytics are used to treat anxiety and would not directly impact cognitive impairment related to Parkinson's disease. D: Benzodiazepines are used to treat anxiety and insomnia, but they are not typically associated with worsening cognitive impairment in Parkinson's disease.
Question 4 of 5
A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Check for an allergy to eggs. This is crucial because some fat emulsions used in TPN solutions are derived from egg phospholipids, potentially causing an allergic reaction in patients with egg allergies. By checking for an egg allergy before administering the TPN with fat supplements, the nurse can prevent a serious allergic reaction in the client. A: Piggyback 0.9 sodium chloride with TPN solution - Incorrect. This is not necessary for administering TPN with fat supplements. C: Discuss the TPN solution for 12 hours - Incorrect. There is no need to discuss the TPN solution for such a long duration. D: Monitor for hypoglycemia - Incorrect. While monitoring for hypoglycemia is important with TPN administration, checking for an egg allergy is more directly related to the addition of fat supplements in the TPN solution.
Question 5 of 5
A group of nursing students is reviewing the various agents used to treat insomnia. The students demonstrate an understanding of the information when they identify which agent as a melatonin receptor agonist?
Correct Answer: D
Rationale: The correct answer is D: Ramelteon. Ramelteon is a melatonin receptor agonist, specifically targeting the MT1 and MT2 receptors to regulate the sleep-wake cycle. This mechanism of action helps in promoting sleep onset and regulating the circadian rhythm. Trazodone (A) is a serotonin antagonist and reuptake inhibitor used off-label for insomnia. Estazolam (B) is a benzodiazepine used as a hypnotic. Mirtazapine (C) is an antidepressant with sedating effects but does not act as a melatonin receptor agonist.