ATI RN
ATI Mental Health Practice B
1. During an acute panic attack, which intervention should the nurse implement?
- A. Encourage the client to discuss their feelings
- B. Provide a calm environment
- C. Teach the client deep breathing exercises
- D. Leave the client alone to calm down
Correct answer: C
Rationale: During an acute panic attack, the priority intervention is to create a calm and safe environment. Teaching the client deep breathing exercises is crucial as it promotes relaxation and reduces hyperventilation, helping to manage the panic attack effectively. Encouraging the client to discuss their feelings may exacerbate the panic by increasing emotional distress. Providing a busy environment can escalate stress levels rather than alleviate them. Leaving the client alone may lead to feelings of abandonment or worsen the panic attack. Therefore, the most appropriate intervention is to teach deep breathing exercises to help the client regain control and manage the panic attack.
2. The mother of a newborn baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse’s best response?
- A. “You should never go around people after your baby is born,”
- B. “Why do you think that is a bad idea?”
- C. “Tell me more about that.”
- D. “I did that, and my kids turned out just fine.”
Correct answer: “Tell me more about that.”
Rationale:
3. Which of the following best describes the role of a nurse leader?
- A. Managing patient care directly
- B. Enforcing healthcare policies
- C. Inspiring and motivating the healthcare team
- D. Ensuring regulatory compliance
Correct answer: C
Rationale: The correct answer is C: 'Inspiring and motivating the healthcare team.' Nurse leaders play a crucial role in fostering a positive and collaborative work environment by motivating and inspiring their team members. Choice A is incorrect because managing patient care directly is typically the responsibility of staff nurses, while nurse leaders focus on leadership and coordination. Choice B is incorrect as enforcing healthcare policies is usually a function of compliance officers or administrators. Choice D is also incorrect as ensuring regulatory compliance is important but is usually overseen by compliance officers or regulatory affairs specialists, not specifically the role of a nurse leader.
4. A nurse is evaluating care of an immobilized patient. Which action will the nurse take?
- A. Involve primarily the patient's family and healthcare team to determine goal achievement.
- B. Focus on whether the interdisciplinary team is satisfied with the care.
- C. Use objective data solely to determine whether interventions have been successful.
- D. Compare the patient's actual outcomes with the outcomes in the care plan.
Correct answer: D
Rationale: The correct answer is D because comparing the patient's actual outcomes with the outcomes in the care plan is essential in evaluating the effectiveness of care provided to an immobilized patient. This comparison helps in identifying any disparities between the planned care and the actual care received, allowing the nurse to make necessary adjustments to improve patient outcomes. Choices A, B, and C are incorrect because while involving the patient's family and healthcare team, ensuring interdisciplinary team satisfaction, and using objective data are important aspects of patient care, they do not directly address the specific action needed to evaluate care for an immobilized patient.
5. What test measures the electrical activity of the heart over a 24- or 48-hour period?
- A. Holter monitor
- B. Electrocardiogram
- C. Stress test
- D. Chest X-ray
Correct answer: A
Rationale: The correct answer is A, Holter monitor. A Holter monitor is a portable device that continuously records the heart's electrical activity over 24 to 48 hours, aiding in the diagnosis of arrhythmias and other heart conditions. Choice B, an Electrocardiogram, provides a snapshot of the heart's electrical activity at a specific point in time, not over an extended period like a Holter monitor. Choice C, a Stress test, measures how the heart responds to physical activity and is not used for continuous monitoring of electrical activity. Choice D, a Chest X-ray, is used to visualize the structures of the chest, not to measure the heart's electrical activity.
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