ATI RN
ATI Mental Health Practice B
1. A client has been diagnosed with generalized anxiety disorder. Which of the following findings should the nurse expect?
- A. Shortness of breath
- B. Chest pain
- C. Excessive worry
- D. Decreased appetite
Correct answer: C
Rationale: Individuals with generalized anxiety disorder commonly exhibit symptoms like excessive worry, restlessness, and difficulty concentrating. Physical manifestations such as muscle tension and sleep disturbances are also prevalent. Shortness of breath and chest pain are more commonly associated with panic attacks rather than generalized anxiety disorder. Decreased appetite may be present in some cases, but excessive worry is a hallmark characteristic of generalized anxiety disorder.
2. A nurse assesses an area of skin over a bony prominence. What finding would be most concerning?
- A. Redness
- B. Non-blanching
- C. Blanching
- D. Warmth
Correct answer: Redness
Rationale:
3. A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next?
- A. Check for orthostatic hypotension
- B. Use a gait belt
- C. Position the chair on the strong side
- D. Ask for assistance
Correct answer: A
Rationale: The correct next action for the nurse to take is to check for orthostatic hypotension. This step is crucial as it ensures the client's safety during the transfer process. Orthostatic hypotension is a drop in blood pressure that can occur when a person moves from a lying down position to a sitting or standing position. By checking for orthostatic hypotension before transferring the client, the nurse can prevent potential complications such as dizziness, lightheadedness, or falls. Choices B, C, and D are incorrect in this scenario as they do not address the immediate safety concern of assessing for orthostatic hypotension.
4. A Nurse Manager completes an interruption log and identifies two staff members who take an inordinate amount of time with drop-in issues that are not urgent. What are some methods to address this behavior in an attempt to better manage time? (Select all that apply.)
- A. Designate specific time slots for drop-in visits.
- B. Position the desk chair so it is not facing the hallway.
- C. Communicate with staff about using e-mail for non-urgent matters to improve time management.
- D. When staff members drop in, the manager should stand and remain standing during the conversation.
Correct answer: A
Rationale: Designating specific time slots for drop-in visits helps in managing interruptions effectively by consolidating them into designated periods. This approach allows the Nurse Manager to allocate focused time for addressing these issues without disrupting workflow. Option B, repositioning the desk chair, is not a standard strategy for managing time or interruptions. Option C, promoting the use of e-mail for non-urgent matters, may help in some cases but may not entirely address the behavior of extended drop-in visits. Option D, standing during conversations, may not be practical for longer discussions and does not provide a structured approach to address time management issues.
5. From the cognitive-behavioral perspective, an important limitation with the behavioral perspective is that ________.
- A. Behaviorists went too far in attacking the psychoanalytic perspective.
- B. Behaviorists failed to attend to the importance of mental processes.
- C. Behaviorists were too focused on explaining how abnormal behavior is acquired.
- D. Behaviorists underestimated the role of reinforcement.
Correct answer: B
Rationale: The correct answer is B because behaviorists, from the cognitive-behavioral perspective, are criticized for not considering the significance of mental processes. This limitation is a key point in the cognitive-behavioral perspective, which emphasizes the interplay between thoughts, feelings, and behaviors. Choices A, C, and D are incorrect because they do not directly address the specific limitation of failing to account for mental processes in the behavioral perspective.
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