ATI RN
ATI Mental Health Practice B
1. A healthcare professional is assessing a client with major depressive disorder. Which of the following findings should the professional expect? Select one that does not apply.
- A. Anhedonia
- B. Hypersomnia
- C. Fatigue
- D. Flight of ideas
Correct answer: D
Rationale: In major depressive disorder, common findings include anhedonia (loss of interest or pleasure), hypersomnia (excessive sleepiness), fatigue, and feelings of worthlessness. Flight of ideas, characterized by racing thoughts and rapid speech, is more commonly associated with bipolar disorder, particularly during manic episodes. Therefore, 'Flight of ideas' does not apply to the expected findings in major depressive disorder.
2. What is the appropriate action for a healthcare provider to take when a patient has a high fever and is disoriented?
- A. Administer acetaminophen
- B. Administer antibiotics
- C. Administer fluids
- D. Cool the patient with cold compresses
Correct answer: C
Rationale: Administering fluids is the appropriate action for a healthcare provider to take when a patient has a high fever and is disoriented. Dehydration can worsen confusion and other symptoms in such a situation. Administering acetaminophen or cooling the patient with cold compresses may help reduce the fever but does not address the underlying issue. Administering antibiotics is not indicated for a high fever and disorientation without knowing the cause.
3. What term describes a condition where a person experiences difficulty breathing when lying flat and requires multiple pillows to sleep comfortably?
- A. Orthopnea
- B. Dyspnea
- C. Tachypnea
- D. Bradypnea
Correct answer: A
Rationale: The correct answer is A, Orthopnea. Orthopnea is a condition where a person finds it hard to breathe while lying flat and needs to use multiple pillows to sleep comfortably. This position helps relieve the discomfort by allowing better lung expansion. Choice B, Dyspnea, refers to difficulty breathing in general, not specifically related to lying flat. Choice C, Tachypnea, is rapid breathing and is not directly related to difficulty breathing while lying down. Choice D, Bradypnea, is slow breathing and does not describe the condition of having trouble breathing when lying flat.
4. Which parenting style is characterized by warmth, control, and communication?
- A. Authoritarian
- B. Permissive/indulgent
- C. Authoritative
- D. Neglectful/uninvolved
Correct answer: C
Rationale: The correct answer is C. The authoritative parenting style is characterized by a balance of warmth, control, and communication. This style promotes a nurturing environment where rules are established, but there is also room for open communication and understanding. Choice A, Authoritarian, is characterized by high control and low warmth, with strict rules and limited communication. Choice B, Permissive/indulgent, is characterized by high warmth and low control, with few rules and little discipline. Choice D, Neglectful/uninvolved, is characterized by low warmth, low control, and lack of communication or involvement in the child's life.
5. What is a likely effect on a patient whose lab results reveal hypoalbuminemia?
- A. Infection
- B. Rickets
- C. Hypertension
- D. Edema
Correct answer: D
Rationale: Hypoalbuminemia, which refers to low albumin levels in the blood, is often associated with edema. Albumin helps maintain oncotic pressure, which keeps fluid within blood vessels. When albumin levels are low, this pressure decreases, leading to fluid leakage from the blood vessels into the surrounding tissues, resulting in edema. The other choices are less likely effects of hypoalbuminemia. Hypoalbuminemia doesn't directly cause infections (Choice A), rickets (Choice B) caused by vitamin D deficiency, or hypertension (Choice C) associated with factors like high sodium intake, obesity, and genetic predisposition.
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