ATI RN
ATI Mental Health Final Questions
Question 1 of 5
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer's disease, the client begins to have a catastrophic reaction to feeding himself. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Remain calm and reassuring. In this situation, the nurse should first prioritize maintaining a calm and reassuring presence to help de-escalate the situation. Remaining calm can help prevent further agitation in the client. Restraining the client (B) could escalate the situation and should only be used as a last resort for safety. Drawing the curtains (C) may not address the immediate issue of the client's distress. Offering to feed the client (D) may be a helpful intervention, but establishing a calm environment and approach should come first.
Question 2 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations. Rationale: 1. First-generation antipsychotic medications are primarily used to target positive symptoms of schizophrenia, such as hallucinations. 2. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. 3. Memory problems, depressive episodes, and social interactions are not directly addressed by first-generation antipsychotics. 4. Therefore, the nurse should inform the patient that the medication is likely to help reduce her hallucinations, leading to an improvement in her symptoms.
Question 3 of 5
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
Correct Answer: A
Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment. Choices B, C, and D are incorrect because: B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment. C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses. D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.
Question 4 of 5
Lester and Eileen have always enjoyed gambling. Lately, Eileen has discovered that their savings account is down by $50,000. Eileen insists that Lester undergo therapy for his gambling behavior. The nurse recognizes that Lester is making progress when he states:
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Gambling activating the reward pathways in the brain is a scientific fact. 2. Recognizing this fact shows self-awareness and understanding of the underlying issue. 3. Acknowledging the neurological aspect of gambling addiction is crucial in therapy. 4. This awareness can lead to developing healthier coping mechanisms. 5. Understanding the brain's response to gambling can aid in breaking the addiction cycle. Summary of other choices: A. Blaming oneself as a bad person does not address the root cause of the addiction. C. Associating gambling with feeling alive does not indicate progress towards overcoming addiction. D. Dismissing Eileen's concerns and not recognizing the addiction's impact is a sign of denial and lack of progress.
Question 5 of 5
An unconscious client with a self-inflicted gunshot wound to the head is admitted. Family members allude to the existence of a living will in which the client mandates no implementation of life support. What is the legal obligation of the health-care team?
Correct Answer: B
Rationale: The correct answer is B: Follow the directions given in the living will because of mandates by state law. In this scenario, the living will is a legal document that expresses the client's wishes regarding medical treatment in case they become incapacitated. State laws typically require healthcare providers to honor living wills. This legal obligation supersedes the family's wishes, ethical principles like nonmaleficence (do no harm) or beneficence (do good). Therefore, it is essential for the health-care team to follow the specific directives outlined in the living will to respect the client's autonomy and ensure their wishes are honored.