ATI RN
ATI Mental Health Proctored Exam 2019
1. A client with bipolar disorder is experiencing a depressive episode. Which nursing intervention is most appropriate?
- A. Encourage the client to avoid physical activity.
- B. Encourage the client to engage in social activities.
- C. Encourage the client to participate in group therapy.
- D. Encourage the client to set realistic goals.
Correct answer: C
Rationale: Encouraging the client to participate in group therapy is the most appropriate nursing intervention for a client with bipolar disorder experiencing a depressive episode. Group therapy provides a supportive environment where the client can share experiences, learn coping strategies, and receive emotional support from peers and mental health professionals. It can help reduce feelings of isolation, improve social skills, and enhance overall well-being. Group therapy also promotes a sense of belonging and understanding, which are essential for individuals dealing with bipolar disorder and depressive symptoms. Choices A, B, and D are not the most appropriate interventions for a client experiencing a depressive episode in bipolar disorder. Encouraging the client to avoid physical activity may worsen their symptoms, promoting social activities may not address the underlying issues effectively, and setting goals may be overwhelming during a depressive episode.
2. Calcium concentration in the blood is controlled by which of the following glands?
- A. Hypothalamus gland
- B. Thyroid gland
- C. Pituitary gland
- D. Parathyroid glands
Correct answer: Parathyroid glands
Rationale: The correct answer is Parathyroid glands. The parathyroid glands are responsible for regulating calcium levels in the blood by secreting parathyroid hormone (PTH). PTH helps increase calcium levels in the blood when they are too low. The other glands listed, such as the Hypothalamus, Thyroid, and Pituitary glands, do not directly control calcium concentration in the blood.
3. A client with asthma has new prescriptions for cromolyn and albuterol by nebulizer. Which statement by the client indicates an understanding of the teaching?
- A. If my breathing begins to feel tight, I will use the cromolyn immediately.
- B. I will be sure to take the albuterol before taking the cromolyn.
- C. I will use both medications immediately after exercising.
- D. I will administer the medications 10 minutes apart.
Correct answer: B
Rationale: The correct answer is B. Taking albuterol before cromolyn ensures that the airways are open, allowing the cromolyn to reach the lungs effectively. Choice A is incorrect because cromolyn is a preventive medication and should be used regularly, not just when symptoms worsen. Choice C is incorrect because medications should be used as prescribed, not based on a specific event like exercising. Choice D is incorrect because there is no need to wait 10 minutes between administering these two medications when using a nebulizer.
4. A medical-surgical nurse is concerned about the incidence of complications related to IV therapy, including bloodstream infection. Which intervention should the nurse suggest to the management team to make the biggest impact on decreasing complications
- A. Initiate a dedicated team to insert access devices
- B. . Require additional education for all nurses.
- C. Limit the use of peripheral venous access devices.
- D. Perform quality control testing on skin preparation products.
Correct answer: Initiate a dedicated team to insert access devices
Rationale:
5. For minimal change nephrotic syndrome (MCNS), prednisone is effective when what occurs?
- A. Appetite increases and blood pressure is normal
- B. Urinary tract infection is gone and edema subsides
- C. Generalized edema subsides and blood pressure is normal
- D. Diuresis occurs as urinary protein excretion diminishes
Correct answer: D
Rationale: The effectiveness of prednisone in treating MCNS is indicated by diuresis and a decrease in urinary protein excretion. Subsidence of generalized edema is also a positive sign, but the key indicator is the reduction in proteinuria, which is achieved through diuresis.
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