ATI RN
ATI Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?
Correct Answer:
Rationale:
Correct Answer: D: Carotid
Rationale: Assessing the carotid pulse bilaterally simultaneously can compress the carotid arteries, potentially reducing blood flow to the brain and causing harm. It is crucial to assess the carotid pulse one side at a time to prevent any adverse effects on cerebral circulation.
Summary:
A: Femoral - Can be assessed bilaterally.
B: Popliteal - Can be assessed bilaterally.
C: Brachial - Can be assessed bilaterally.
D: Carotid - Should not be assessed bilaterally due to the risk of reducing cerebral blood flow.
E: - Not applicable.
F: D - Incorrect.
G: - Not applicable.
Question 2 of 5
A nurse is performing an admission assessment for a client admitted to the behavioral health unit. Which social/cultural category will the nurse document that may be contributing to the client's degree of mental illness? (Select All that Apply.)
Correct Answer:
Rationale:
Correct Answer: F: B,C,D,E
Rationale: The correct answer includes choices B, C, D, and E because these social/cultural factors can contribute to the client's mental illness. Lack of family support (
B), financial stress and lack of work/housing (
C), discrimination (
D), and a sense of disconnection and lack of support (E) are all external factors that can significantly impact mental health. These factors can lead to increased stress, feelings of isolation, and exacerbate underlying mental health issues. By documenting these factors, the nurse can better understand the client's situation and provide appropriate support and interventions.
Summary:
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Choice A is incorrect as lack of meaning in life is an internal factor and not directly related to social/cultural influences.
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Choice G is incorrect as it oversimplifies the complex interplay of social/cultural factors on mental health and does not address specific client scenarios.
Question 3 of 5
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include?
Correct Answer:
Rationale:
Correct Answer: F: A, B, E
Rationale:
1. Grooming: Assessing grooming habits helps evaluate the client's ability to perform activities of daily living, which can be affected in dementia.
2. Long-term memory: Testing long-term memory provides insight into the client's cognitive function, a key aspect of dementia evaluation.
3. Affect: Evaluating affect helps determine the client's emotional state and can indicate changes related to dementia progression.
Therefore, including grooming, long-term memory, and affect in the MSE is crucial for assessing self-care abilities, cognitive function, and emotional well-being in a client with dementia.
Summary of other choices:
- Support systems: While important for overall care, assessing support systems is not a direct component of the MSE for dementia evaluation.
- Presence of pain: While assessing pain is important, it is not typically included in a standard MSE for dementia diagnosis.
Question 4 of 5
A client unable to work due to relapsing schizophrenia is receiving Social Security Benefits. Which benefit will this provide to the client experiencing serious mental illness?
Correct Answer:
Rationale:
Correct Answer: C: The client will be able to maintain some level of independence financially.
Rationale: Social Security Benefits help individuals with disabilities, such as schizophrenia, maintain financial independence by providing a source of income when they are unable to work. This financial support can help cover basic needs and expenses, reducing financial burden and promoting stability for the individual.
Summary:
A: While Social Security Benefits can help cover psychiatric services, it does not guarantee access to services regardless of the setting.
B: Social Security Benefits may provide financial assistance, but it may not cover all bills and medication costs.
D: Social Security Benefits do not limit the client to only obtaining inpatient treatment; they can access a variety of mental health services.
E, F: These choices are incomplete or redundant.
G: While Social Security Benefits support financial independence, it is not the only purpose; it also aims to provide financial stability during times of inability to work.
Question 5 of 5
The nurse is creating a plan of care for a client experiencing a situational crisis. Which is the most measurable and obtainable goal for the client to achieve?
Correct Answer:
Rationale:
Correct Answer: C: The client will resume the pre-crisis level of functioning
Rationale:
1. Measurability: This goal is measurable as it involves assessing the client's current level of functioning and progress towards returning to their pre-crisis state.
2. Obtainability: Resuming pre-crisis functioning is attainable as it focuses on restoring known skills and abilities that the client had before the crisis.
3. Client-Centered: It is client-centered as it aims to help the client regain their previous level of functioning, which is specific and achievable.
4. Progress Monitoring: Progress towards this goal can be objectively tracked through assessments of the client's abilities and comparing them to their pre-crisis state.
Summary:
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Choice A is vague and subjective, making it difficult to measure and achieve.
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Choice B focuses on expressing emotions, which may not directly help the client in resolving the crisis.
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Choice D is more focused on understanding the causes of the crisis rather