ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis?
Correct Answer: D
Rationale: The correct answer is D: Call for transportation to the hospital. In this crisis situation, the priority is ensuring that the employee can reach her child at the hospital quickly. By calling for transportation to the hospital, the nurse is taking immediate action to support the employee in being with her child. This response shows empathy and practical assistance, addressing the urgent need of the situation.
Choice A: Tell me what you think should happen - This response puts the decision-making burden on the employee when she is in distress and needs guidance.
Choice B: How serious was the collision? - While gathering information is important, in this scenario, the immediate need is to support the employee in reaching her child at the hospital.
Choice C: What do you think you should do? - Similar to choice A, this response does not provide direct assistance in a crisis situation.
In summary, choice D is the best because it prioritizes immediate action to help the employee be with her child, while the other choices either shift
Question 2 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
Correct Answer: B
Rationale: The correct answer is B: "I can hear that your sister comments are overwhelming you." This response demonstrates empathy and active listening, acknowledging the client's feelings without dismissing them. It validates the client's experience and fosters a therapeutic relationship.
Choice A is incorrect as it dismisses the client's feelings and does not address the underlying issue.
Choice C can be perceived as confrontational and may make the client defensive.
Choice D is a good therapeutic technique but does not directly address the client's emotional distress caused by her sister's comments. Overall, choice B is the best response as it shows empathy and understanding towards the client's situation.
Question 3 of 5
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis?
Correct Answer: D
Rationale: The correct answer is D: Call for transportation to the hospital. In this crisis situation, the priority is ensuring that the employee can reach her child at the hospital quickly. By calling for transportation to the hospital, the nurse is taking immediate action to support the employee in being with her child. This response shows empathy and practical assistance, addressing the urgent need of the situation.
Choice A: Tell me what you think should happen - This response puts the decision-making burden on the employee when she is in distress and needs guidance.
Choice B: How serious was the collision? - While gathering information is important, in this scenario, the immediate need is to support the employee in reaching her child at the hospital.
Choice C: What do you think you should do? - Similar to choice A, this response does not provide direct assistance in a crisis situation.
In summary, choice D is the best because it prioritizes immediate action to help the employee be with her child, while the other choices either shift
Question 4 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D:
To have a less positive outcome. Gilbert's symptoms of odd behavior, academic decline, social withdrawal, and obsession with locks indicate a significant impact on his daily functioning, suggesting severe impairment. Schizophrenia typically has a chronic course with fluctuating symptoms and poor functional outcomes, especially when onset is early and symptoms are persistent. While medication and psychosocial interventions can help manage symptoms, the early and slow onset of schizophrenia in Gilbert suggests a more challenging prognosis.
Choices A and C are incorrect because they imply a more optimistic outlook that may not align with the severity of Gilbert's symptoms.
Choice B is incorrect as Gilbert's symptoms indicate more than just a relapse stage.
Question 5 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. This is because MAO inhibitors have a higher risk of interactions with certain foods and other medications, which can be challenging for a patient with a mild intellectual disability to manage due to potential cognitive limitations. Selective serotonin reuptake inhibitors (
Choice
A) and Serotonin and norepinephrine reuptake inhibitors (
Choice
C) are generally safer options and are commonly used in patients with depression, including those with intellectual disabilities. Choosing "All of the above" (
Choice
D) is incorrect as it includes options that are not suitable for a patient with mild intellectual disability.