ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: Cognitive-behavioral therapy aims to address negative thought patterns and behaviors.
Choice B demonstrates a cognitive restructuring process where the patient challenges a negative thought with evidence to the contrary, promoting a more positive self-perception. This indicates progress in therapy.
Choices A and D describe maladaptive behaviors, while choice C indicates difficulty applying coping strategies. The correct answer, B, reflects the patient's ability to challenge and reframe negative thoughts, a key component of cognitive-behavioral therapy.
Question 2 of 5
Child protective services have removed 10-year-old Christopher from his parents’ home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. Christopher's positive outlook despite experiencing neglect indicates resilience, the ability to adapt well in the face of adversity. His attachment to the woman next door and love for school show his capacity to form positive relationships and thrive academically despite challenging circumstances. This response highlights Christopher's inner strength and coping skills, emphasizing his ability to overcome adversity.
Choice A, Temperament, focuses on inherent behavioral traits, which may influence how a child responds to situations, but in this case, Christopher's resilience is more relevant.
Choice B, Genetic factors, refers to inherited characteristics that can impact a child's development but does not explain Christopher's positive response to neglect.
Choice D, Paradoxical effects of neglect, suggests contradictory outcomes from neglect, which do not fully capture Christopher's resilience in this scenario.
Question 3 of 5
Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Level of cognitive development. Young children's cognitive abilities are still developing, making it challenging to accurately assess and diagnose mental health issues. This impacts their ability to express thoughts and emotions clearly. Limited language skills (
A) can be a factor, but cognitive development plays a larger role. Emotional development (
C) can influence behavior, but it is not a primary factor in diagnosing mental illness. Parental denial (
D) may hinder early intervention but does not directly impact the diagnostic process.
Question 4 of 5
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Administer a medication such as benztropine IM to correct this dystonic reaction. The patient is exhibiting signs of acute dystonia, a side effect of haloperidol characterized by sustained muscle contractions. Benztropine is an anticholinergic medication that can help alleviate these symptoms quickly. Holding the medication (option
A) is not the priority as the immediate focus should be on managing the acute symptoms. Wiping with cold water or alcohol (option
B) may provide temporary relief but does not address the underlying issue. Reassuring the patient about tardive dyskinesia (option
D) is not relevant at this point as the priority is to address the acute dystonic reaction.
Question 5 of 5
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?
Correct Answer: A
Rationale: The correct answer is A. Clonidine is an antihypertensive medication that can lower blood pressure. With blood pressure readings of 90/62 mmHg to 92/58 mmHg, the client already has hypotension, which can be exacerbated by clonidine, leading to further lowering of blood pressure and potential adverse effects like dizziness, lightheadedness, or fainting.
Therefore, the RN should withhold the clonidine prescription to prevent a significant drop in blood pressure.
Option B is incorrect because a pulse rate of 68-78 BPM is within normal range and not a contraindication for clonidine administration. Option C is incorrect as a temperature of 99.5-99.7 F is also normal and not a reason to withhold clonidine. Option D is incorrect as a respiration rate of 24 breaths per minute is within normal limits and does not warrant withholding clonidine.