ATI RN
ATI Mental Health Proctored Exam 2024 Quizlet Questions
Question 1 of 5
When obtaining a client's history, the nurse determines that the client has been experiencing delusions and hallucinations for the past 3 months, which has caused some problems in his ability to function on a daily basis at work. He also is exhibiting catatonic excitement, echopraxia, loose associations, and pressured speech. The nurse suspects which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizophreniform disorder. This disorder is characterized by symptoms similar to schizophrenia but lasting between 1 to 6 months. In this case, the client has been experiencing delusions, hallucinations, catatonic excitement, echopraxia, loose associations, and pressured speech for the past 3 months. This aligns with the timeframe and symptomatology of schizophreniform disorder. A: Schizophrenia is a long-term mental disorder lasting for at least 6 months. The client's symptoms have been present for only 3 months, making schizophrenia less likely. B: Schizoaffective disorder involves both psychotic symptoms and mood disturbances. There is no mention of mood disturbances in the client's presentation, making this choice less likely. C: Brief Psychotic disorder involves sudden onset of psychotic symptoms lasting less than 1 month. The client's symptoms have been present for 3 months, ruling out this diagnosis. In summary, the client's presentation of symptoms
Question 2 of 5
A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, 'I've always wondered what is happening in my body when I become sexually aroused.' The nurse would incorporate an understanding of which of the following as the control mechanism?
Correct Answer: C
Rationale: The correct answer is C: Parasympathetic nervous system. When a person becomes sexually aroused, the parasympathetic nervous system is responsible for promoting relaxation and increasing blood flow to the genital area, facilitating arousal. This physiological response is a part of the body's control mechanism for sexual arousal. The sympathetic nervous system (choice A) is responsible for the fight or flight response and not directly involved in sexual arousal control. The endocrine system (choice B) regulates hormone production but is not the primary control mechanism for sexual arousal. The central nervous system (choice D) includes the brain and spinal cord but is not the specific control mechanism for sexual arousal.
Question 3 of 5
A group of nursing students is reviewing information about delirium and dementia. The students demonstrate a need for additional review when they identify which of the following as characteristics of dementia?
Correct Answer: A
Rationale: The correct answer is A because fluctuating changes within a 24-hour period are characteristic of delirium, not dementia. In dementia, cognitive impairment is typically stable and progressive. Choice B is incorrect because hallucinations can occur in dementia. Choice C is incorrect because psychomotor activity may be affected in dementia. Choice D is correct as globally impaired cognition is a hallmark of dementia. In summary, A is incorrect as it is a characteristic of delirium, while B, C, and D are all characteristics of dementia.
Question 4 of 5
A client visits the clinic and complains of chronic pain in her leg as a result of a fall 6 months ago. Which of the following would be most important for the nurse to do first when developing the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Acknowledge the client's pain. This is the most important step as it establishes trust, validates the client's experience, and shows empathy. By acknowledging the pain first, the nurse can build a therapeutic relationship with the client, which is crucial in developing an effective plan of care. Identifying situations that increase the pain (B) and having the client rate her pain (C) are important but secondary steps that can follow after acknowledging the pain. Reviewing the client's current medications (D) is also important but not the first priority in this scenario.
Question 5 of 5
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions is appropriate?
Correct Answer: B
Rationale: Correct Answer: B (Place the client in a private room) Rationale: 1. Clostridium difficile is spread through fecal-oral route. 2. Placing the client in a private room prevents transmission to other clients. 3. Private room allows for dedicated equipment and prevents cross-contamination. Summary: A: Wearing a face shield is not necessary for Clostridium difficile, transmission is not airborne. C: Negative pressure room is not required, private room is sufficient. D: Alcohol-based hand rub is not effective against Clostridium difficile spores.