ATI RN
ATI Mental Health Proctored Exam 2019
1. A client with borderline personality disorder exhibits self-mutilating behavior. Which nursing intervention should the nurse implement to address this behavior?
- A. Encourage the client to discuss underlying issues.
- B. Set firm limits on the client's behavior.
- C. Provide a safe environment to prevent self-harm.
- D. Discuss the consequences of self-mutilating behavior.
Correct answer: C
Rationale: The correct intervention when dealing with a client exhibiting self-mutilating behavior, especially with borderline personality disorder, is to provide a safe environment to prevent self-harm. This approach is crucial in ensuring the client's physical safety and well-being. Setting firm limits may be appropriate in some situations, but the immediate priority is to prevent self-harm. Encouraging the client to discuss underlying issues and discussing consequences are important aspects of therapy; however, in the case of acute self-mutilating behavior, the primary focus should be on creating a safe environment to prevent harm.
2. How do socioeconomic factors affect mental health?
- A. Socioeconomic factors do not affect mental health.
- B. Socioeconomic factors are one of the primary determinants of mental health.
- C. Socioeconomic factors only affect mental health in extreme cases.
- D. Socioeconomic factors have no clear impact on mental health.
Correct answer: B
Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.
3. A client with a history of alcohol use disorder is admitted to the hospital. Which assessment finding would indicate early alcohol withdrawal?
- A. Bradycardia
- B. Hypotension
- C. Diaphoresis
- D. Hypothermia
Correct answer: C
Rationale: In a client experiencing early alcohol withdrawal, one of the key assessment findings is diaphoresis (excessive sweating). This is due to autonomic hyperactivity commonly seen during this phase, along with other signs like tremors and tachycardia. Bradycardia (slow heart rate), hypotension (low blood pressure), and hypothermia (low body temperature) are not typically associated with early alcohol withdrawal, making them incorrect choices.
4. A client with increased intracranial pressure is receiving Mannitol. Which finding should the nurse report to the provider?
- A. Blood glucose 150 mg/dL
- B. Urine output 40 mL/hr
- C. Dyspnea
- D. Bilateral equal pupil size
Correct answer: C
Rationale: Dyspnea is a concerning finding in a client receiving Mannitol as it can be a manifestation of heart failure, an adverse effect of the medication. It suggests potential fluid overload or exacerbation of heart conditions, both of which require immediate attention. Reporting dyspnea promptly allows for timely evaluation and management. Blood glucose levels and urine output are important parameters to monitor but are not directly related to the administration of Mannitol for increased intracranial pressure. Bilateral equal pupil size is a normal and expected finding.
5. A client was exposed to anthrax. Which of the following antibiotics should be administered?
- A. Fluconazole
- B. Tobramycin
- C. Ciprofloxacin
- D. Vancomycin
Correct answer: C
Rationale: The correct answer is Ciprofloxacin. Ciprofloxacin is an antibiotic effective in treating anthrax exposure. Fluconazole (Choice A) is an antifungal medication used for fungal infections, not anthrax. Tobramycin (Choice B) is an antibiotic used for bacterial infections but is not the first line of treatment for anthrax. Vancomycin (Choice D) is also an antibiotic, but it is not the preferred choice for treating anthrax.
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