ATI RN
ATI RN Mental Health Online Practice 2023 A Questions
Question 1 of 5
When performing a comprehensive geriatric assessment of an older adult, what aspect of the client should the nursing assessment focus on?
Correct Answer: C
Rationale: The correct answer is C: functional abilities. A comprehensive geriatric assessment should focus on assessing the older adult's functional abilities to determine their ability to carry out activities of daily living independently. This is crucial in evaluating their overall health and quality of life. By assessing functional abilities, nurses can identify areas of impairment and develop appropriate interventions to maintain or improve the client's independence. Physical signs of aging (Choice A) may provide some information about the client's health status, but focusing solely on this aspect may overlook important functional deficits. Immunological function (Choice B) is important but may not be the primary focus of a geriatric assessment unless specific health concerns are present. Chronic illness (Choice D) is also important to consider but does not encompass the holistic assessment of functional abilities needed in geriatric care.
Question 2 of 5
A nurse is caring for a psychiatric patient who is receiving an antacid that contains aluminum salts. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Administer the antacid 1 hour after the antipsychotic medication. Aluminum salts can reduce the absorption of certain medications, including antipsychotics. Giving the antacid 1 hour after the antipsychotic medication allows for adequate absorption of the antipsychotic while still providing relief from gastric symptoms. Option A would not be ideal as it may interfere with the absorption of the antipsychotic. Option B could potentially decrease the effectiveness of the antipsychotic by reducing its absorption. Option D is not recommended as aluminum salts can cause reflux when lying down, potentially worsening the patient's symptoms.
Question 3 of 5
What is the primary reason the nurse should include the family of a patient with a serious mental illness in treatment planning?
Correct Answer: C
Rationale: The correct answer is C because family members are often the primary support system for individuals with serious mental illness. In treatment planning, involving the family can provide crucial insights into the patient's social and emotional needs, enhance communication between the patient and healthcare providers, and increase the likelihood of treatment adherence. Family support can also help in crisis situations and promote better outcomes for the patient. Choice A is incorrect because while family members may have valuable insights, they may not always know the patient's struggles comprehensively. Choice B is incorrect as willingness to listen is not a guarantee, especially in cases where mental illness may affect the patient's judgment. Choice D is incorrect as the patient may not always turn to family first, especially if the relationship is strained or if the family is not supportive.
Question 4 of 5
The nurse is caring for an older adult patient who has no history of violence but is agitated and appears ready to strike out at a staff member. The nurse would assess the patient for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Sensory losses. In this scenario, the older adult patient's agitation and readiness to strike out may be due to sensory losses such as hearing or vision impairment, leading to frustration and miscommunication. Assessing for sensory losses is crucial to understand the root cause of the patient's behavior and provide appropriate interventions. A: Panic disorder - This choice is incorrect as panic disorder typically presents with sudden and intense episodes of fear or anxiety, not necessarily leading to physical aggression. B: Epilepsy - This choice is incorrect as epilepsy is a neurological disorder characterized by seizures, not typically associated with sudden aggression. C: Bipolar disorder - This choice is incorrect as bipolar disorder involves distinct episodes of mania and depression, which may not directly cause the patient's behavior in this situation.
Question 5 of 5
A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C. REM sleep and body temperature cycles are inversely related. During REM sleep, our body temperature decreases, which is essential for the body to conserve energy and maintain a state of relaxation. This decrease in body temperature during REM sleep helps promote the restoration and rejuvenation of the body. It is crucial for the nurse to convey this information accurately to the community group to emphasize the importance of quality sleep for overall health. Choice A is incorrect because there is indeed an observable relationship between REM sleep and body temperature. Choice B is incorrect as higher levels of REM sleep are associated with lower body temperatures, not higher. Choice D is incorrect as the experience of REM sleep is not directly proportional to a rise in body temperature; instead, it is inversely related.