ATI RN
ATI Mental Health Proctored Exam 2023 Quizlet
1. A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which is the most appropriate nursing response?
- A. Genetics have no influence on your temperament.
- B. How you reacted to past experiences influences how you feel now.
- C. Maintaining good physical health always keeps stress levels low.
- D. Stress can be avoided by using appropriate coping mechanisms.
Correct answer: B
Rationale: The correct answer is B: 'How you reacted to past experiences influences how you feel now.' This response is appropriate because past experiences can shape an individual's current response to stress. It acknowledges the impact of learned patterns and coping mechanisms on one's current adaptation to stressors. Choice A is incorrect because genetics can play a role in temperament to some extent. Choice C is incorrect because while physical health can contribute to stress management, it is not the sole determinant of stress levels. Choice D is incorrect as stress is not always avoidable, but coping mechanisms can help manage and reduce its impact.
2. A client who had a stroke is complaining of left-side weakness. What should the nurse prioritize?
- A. Initiate physical therapy immediately.
- B. Contact the physical therapy team.
- C. Reassess the client after administering pain medication.
- D. Start treatment immediately without consulting anyone.
Correct answer: B
Rationale: The correct answer is to contact the physical therapy team. When a client who had a stroke presents with left-side weakness, the nurse should prioritize coordinating with the physical therapy team rather than immediately initiating physical therapy. The initial step should involve assessing the client's condition and involving the appropriate healthcare team for a comprehensive care plan. Administering pain medication or starting treatment without consulting others can delay or hinder the appropriate care needed for the client's recovery.
3. The nurse manager is talking with the CNA about her time management. Which of the following is an example of a nurse manager as a coach?
- A. Your timely response to patients' call lights is exemplary.
- B. Your appearance is seldom professional.
- C. You must get the vital signs taken on time or you will be disciplined.
- D. You never report AM blood sugar levels on time.
Correct answer: A
Rationale: The correct answer is A: 'Your timely response to patients' call lights is exemplary.' This choice reflects a positive reinforcement approach, providing feedback that praises and encourages good behavior. A coach in a professional setting aims to motivate, guide, and support staff rather than focusing on negative aspects or threats of discipline. Effective coaching involves recognizing and acknowledging employees' strengths and achievements to inspire continuous improvement and development. Choices B, C, and D are not examples of coaching as they either focus on criticism regarding appearance, use threatening language, or highlight a negative behavior without offering guidance or support.
4. A client with frequent kidney stones is receiving dietary teaching from a nurse. Which of the following instructions should the nurse include?
- A. Limit your intake of dairy products.
- B. Increase your consumption of protein-rich foods.
- C. Avoid eating tree nuts, such as almonds.
- D. Take a vitamin C supplement twice daily.
Correct answer: A: Limit your intake of dairy products.
Rationale: The correct answer is to instruct the client to limit their intake of dairy products. Dairy products are high in calcium and can contribute to kidney stone formation in susceptible individuals. Increasing protein intake may lead to higher excretion of calcium, which can exacerbate kidney stone formation. While tree nuts are high in oxalates, which can contribute to kidney stone formation, it is not the primary concern in this case. Vitamin C supplements can increase oxalate levels in the urine, potentially increasing the risk of kidney stone formation, so it should not be recommended.
5. What happens when Mrs. Guevarra, a nurse, delegates aspects of the client's care to the nurse-aide, an unlicensed staff member?
- A. Mrs. Guevarra makes the assignment to instruct the staff member
- B. Mrs. Guevarra is assigning the responsibility to the aide but not the accountability for those tasks
- C. Mrs. Guevarra does not need to directly supervise or evaluate the aide
- D. Mrs. Guevarra must know how to perform the task being delegated
Correct answer: C
Rationale: The correct answer is C. While it is true that Mrs. Guevarra is delegating tasks to the nurse-aide, she does not necessarily have to directly supervise or evaluate the aide. She still retains the overall accountability for the care of the client, but direct supervision of the aide is not a requirement for delegation. Choice A is incorrect because the primary purpose of delegation is not instruction. Choice B is also incorrect because although Mrs. Guevarra is delegating tasks, she still retains accountability for those tasks. Finally, choice D is incorrect because the ability to perform the task being delegated is not a requirement for the delegator; the delegatee should have the necessary skills and knowledge to perform the delegated tasks.
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