ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing†to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is built on the foundation of genuine acceptance, respect, and concern for the patient's situation. By exhibiting these qualities, the nurse establishes a trusting and supportive relationship with the patient, which can enhance the therapeutic process. Patients are more likely to appreciate and respond positively to a nurse who demonstrates empathy and understanding. In contrast, choices B, C, and D do not address the core principles of effective communication or the importance of establishing a supportive environment for the patient.
Choice B incorrectly assumes that patients are not interested in what the nurse has to say, choice C disregards the potential harm that insensitive communication can cause, and choice D generalizes about individuals with mental illness.
Question 2 of 5
A client who is admitted with a closed head injury after a fall has a blood alcohol level (BAL) of 0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours following admission should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Place in a side-lying position with head of bed elevated. This intervention is crucial in preventing aspiration and maintaining a patent airway in a client with a high BAL and altered level of consciousness due to the head injury. Placing the client in a side-lying position helps protect the airway by preventing the tongue from obstructing it. Elevating the head of the bed further aids in preventing aspiration.
Choice B is incorrect because administering disulfiram is not indicated in this situation as it is used for treating alcohol dependence, not acute intoxication.
Choice C is incorrect as giving lorazepam can worsen the client's level of consciousness and respiratory status.
Choice D is incorrect because while thiamine and folate are important in alcohol withdrawal treatment, they are not the priority in this scenario where airway protection is crucial.
Question 3 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: B
Rationale: The correct answer is B: Teach the client to develop a plan for daily structured activities. This intervention is effective because it addresses the symptoms of psychomotor retardation, hypersomnia, and motivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of purpose, motivation, and routine, which can improve mood and functioning. Providing education on sleep (choice
A) may help with hypersomnia but does not address the overall lack of motivation and engagement. Developing a list of pleasurable activities (choice
C) may not provide the necessary structure and routine needed for improvement. Encouraging exercise (choice
D) can be beneficial but may be challenging for someone with psychomotor retardation.
Question 4 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 5 of 5
Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to:
Correct Answer: B
Rationale: The correct answer is B: Cerebellum maturation. During adolescence, the cerebellum, responsible for motor control and cognitive functions, undergoes significant development. This maturation contributes to improved emotional regulation and behavioral control. The cerebellum plays a crucial role in coordinating movements and higher cognitive functions, such as decision-making and emotional processing. As it matures, adolescents experience enhanced executive functions, allowing for better impulse control and emotional regulation. Limited executive function (choice
A), cerebral stasis and hormonal changes (choice
C), and a slight reduction in brain volume (choice
D) do not directly correlate with the development of emotional and behavioral control during adolescence.