ATI RN
ATI Mental Health
1. A healthcare professional is assessing a client who is experiencing severe anxiety. Which of the following is an appropriate intervention?
- A. Encourage the client to talk about their feelings.
- B. Provide a quiet and calm environment.
- C. Encourage the client to exercise vigorously.
- D. Encourage the client to participate in group activities.
Correct answer: B
Rationale: During severe anxiety, it is essential to create a quiet and calm environment to help the client feel safe and reduce anxiety levels. Loud or stimulating environments can exacerbate anxiety symptoms, so providing a serene setting can promote relaxation and a sense of security.
2. A client developed fat embolism syndrome (FES) following a fracture. Which of the following laboratory findings should the nurse expect?
- A. Decreased serum calcium level
- B. Decreased level of serum lipids
- C. Decreased erythrocyte sedimentation rate (ESR)
- D. Increased platelet count
Correct answer: Decreased serum calcium level
Rationale: In fat embolism syndrome (FES), fat globules enter the bloodstream and can lead to various complications, including a decrease in serum calcium levels. This occurs due to the formation of fat emboli in the vessels, which can interfere with calcium metabolism. Therefore, a decreased serum calcium level is an expected laboratory finding in a client with fat embolism syndrome.
3. A client with chronic bronchitis is receiving education from a healthcare provider about the condition. Which statement made by the client indicates a need for further teaching?
- A. I should avoid being around people who smoke.
- B. I should try to avoid any exposure to pollutants and irritants.
- C. I should limit my fluid intake to avoid worsening my cough.
- D. I should use my inhaler regularly, even when I don't have symptoms.
Correct answer: C
Rationale: The correct answer is C because limiting fluid intake is not recommended for chronic bronchitis. Hydration is essential as it helps thin mucus, making it easier to clear from the airways. Choices A, B, and D are all correct statements for managing chronic bronchitis. Avoiding exposure to smoke, pollutants, and irritants can help reduce respiratory symptoms and exacerbations. Using the inhaler regularly, even in the absence of symptoms, is crucial for controlling inflammation and maintaining airway function.
4. The nurse is caring for a group of medical-surgical patients. A fire has been reported in an adjacent wing of the hospital. What should the nurse do to ensure the patients' safety?
- A. Wait until the fire department arrives before taking action.
- B. Close all doors.
- C. Identify evacuation routes.
- D. Move bedridden patients in their beds.
Correct answer: B
Rationale: During a fire emergency, it is crucial to close all doors to contain smoke and fire, helping to protect the patients. This action can prevent the spread of fire and smoke to the area where patients are located. Identifying evacuation routes is also important for a timely and orderly evacuation if necessary. Waiting for the fire department to arrive before taking action (Choice A) can waste valuable time and put patients at risk. Moving bedridden patients in their beds (Choice D) can be dangerous during a fire and should be avoided as it can expose patients and staff to more risks.
5. What would a diet manual most likely contain?
- A. Procedures for disinfecting cooking surfaces
- B. Staff sanitation guidelines
- C. Information on specific patients' resting metabolic rates
- D. Specific food preparation methods
Correct answer: D
Rationale: A diet manual typically contains guidance on specific food preparation methods to ensure proper nutrition and health for individuals following the diet. Therefore, choice D is correct. Choices A and B refer to sanitation procedures and staff hygiene issues, which are important but not typically the focus of a diet manual. Choice C, regarding specific patients' resting metabolic rates, is too individualized and detailed for a general diet manual, as it would be part of a personalized dietary plan developed with a healthcare professional.
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