ATI RN
Mental Health Proctored ATI 2023 Quizlet Questions
Question 1 of 5
When considering an eating disorder, what is a physical criterion for hospital admission?
Correct Answer: A
Rationale: The correct answer is A: A daytime heart rate of less than 50 beats per minute. This criterion indicates severe bradycardia, which is a sign of cardiac compromise in individuals with eating disorders. Bradycardia is a serious medical complication associated with malnutrition and can lead to cardiac arrhythmias, heart failure, and even sudden death. Monitoring heart rate is crucial in assessing the severity of an eating disorder and the need for hospitalization. Choice B (an oral temperature of 100°F or more) is not a specific criterion for hospital admission in eating disorders. Choice C (90% of ideal body weight) is an important indicator of malnutrition but does not directly reflect the severity of cardiac compromise. Choice D (systolic blood pressure greater than 130 mm Hg) is not typically a criterion for hospital admission in eating disorders unless it is extremely elevated and indicating hypertensive crisis.
Question 2 of 5
A parent says, 'My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?' Select the nurse's best reply.
Correct Answer: B
Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often exhibit defiance and assert independence. Refusal of toilet training and saying 'No' are typical behaviors. 2. Toilet training readiness varies among children, and it is not uncommon for some to resist training until later. 3. Acknowledging the child's developmental stage and need for independence validates their behavior and helps parents understand it's a normal phase. Summary: - Choice A is incorrect as forcing firmer control can lead to power struggles and hinder the child's autonomy. - Choice C is incorrect as toilet training readiness varies, and it's not a definitive sign of developmental problems. - Choice D is incorrect as seeking a child psychologist for typical behavior may be unnecessary and premature.
Question 3 of 5
A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse's interpretation, the nurse would expect which behavior by the patient?
Correct Answer: B
Rationale: The correct answer is B because individuals with type A personalities are typically characterized by impatience, time urgency, and a desire for efficiency. Wanting the interview to be over as quickly as possible aligns with these traits. Choice A is incorrect as type A personalities are often characterized by being competitive and high-strung rather than relaxed. Choice C is incorrect as type A personalities tend to be impatient and may not be pleased with the pace of the interview. Choice D is incorrect as type A personalities are known for being quick to respond rather than speaking slowly.
Question 4 of 5
A group of nursing students is reviewing information about the different types of group. The students demonstrate understanding of the information when they identify which of the following as a characteristic of a self-help group that differentiates it from a supportive therapy group?
Correct Answer: B
Rationale: The correct answer is B: The group is led by a consumer. In a self-help group, members lead the group as they have personal experience with the issue being discussed. This is crucial for creating a supportive environment where individuals can share their experiences and provide guidance based on their own journeys. Option A is incorrect because self-help groups are typically not led by professionals. Option C is incorrect because even though there may not be a formal leader, members often take on leadership roles. Option D is incorrect because while self-help groups do focus on specific problems, the key differentiating factor is that they are led by individuals who have lived through those problems.
Question 5 of 5
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?
Correct Answer: B
Rationale: The correct answer is B because monitoring the client's vital signs is crucial in assessing for early signs of alcohol withdrawal, which is a life-threatening condition. This is a priority as the client has a history of experiencing alcohol withdrawal after previous admissions. Administering mood-stabilizing medications (A) may be necessary but not the immediate priority. Asking the client to refrain from being intrusive (C) is not addressing the underlying issue of alcohol withdrawal and bipolar disorder. Referring the client to a substance abuse treatment center (D) is important but not the priority when the client is exhibiting signs of potential alcohol withdrawal.