ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Which statement demonstrates a well-structured attempt at limit setting?
Correct Answer: A
Rationale: The correct answer is A because it clearly states the behavior that is unacceptable (hitting), expresses the consequence (unacceptable), and sets the boundary. It addresses the specific action and its consequence, providing a clear guideline for behavior.
Choice B lacks specificity, C is a command rather than setting a limit, and D is a vague statement without a clear consequence. Overall, A effectively communicates expectations and consequences for the behavior, making it a well-structured attempt at limit setting.
Question 2 of 5
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The correct answer is D. The CAGE questionnaire is a widely used tool to screen for alcohol use disorder. Each letter in CAGE represents a key question: "C" for efforts to Cut down, "A" for Annoyance with criticism about drinking, "G" for Guilt about drinking, and "E" for using alcohol as an "Eye-opener." These questions help assess the client's attitudes and behaviors related to alcohol consumption, providing valuable information for further evaluation and intervention.
Choices A, B, and C do not directly address the key aspects of alcohol use disorder that the CAGE questionnaire aims to uncover, making them incorrect. It is crucial for the nurse to explore the issues highlighted in answer choice D to gain a comprehensive understanding of the client's alcohol consumption patterns and potential alcohol-related problems.
Question 3 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Ineffective breathing pattern. This is the highest priority because aspiration of a caustic material can lead to respiratory distress or compromise, posing an immediate threat to the client's life. Ensuring adequate oxygenation is crucial. Impaired comfort (
A) and Ineffective coping (
D) are important but secondary to the client's physiological needs. Risk for injury (
B) may be a concern but is not immediate in this scenario.
Question 4 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 5 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is a melatonin receptor agonist that does not have abuse potential or risk of dependence, making it a suitable choice for patients with substance use disorder. Patients with substance use disorder are at higher risk for developing dependence on traditional hypnotics, such as benzodiazepines or Z-drugs.
Choice A, B, and C are incorrect because ramelteon does not specifically target symptoms of obsessive-compulsive disorder, generalized anxiety disorder, or persistent depressive disorder.