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ATI Mental Health Proctored Exam 2023 Quizlet
1. A patient is being assessed for generalized anxiety disorder (GAD). Which symptom is the patient most likely to report?
- A. Excessive worrying about various aspects of life.
- B. Extreme mood swings between euphoria and depression.
- C. Persistent thoughts of self-harm.
- D. Hearing voices that others do not hear.
Correct answer: A
Rationale: Patients with generalized anxiety disorder (GAD) commonly present with excessive worrying about various aspects of life. This persistent and uncontrollable worry is a hallmark symptom of GAD and can significantly impact daily functioning and quality of life. Extreme mood swings (choice B), persistent thoughts of self-harm (choice C), and auditory hallucinations (choice D) are more indicative of other mental health conditions like bipolar disorder, depression, and schizophrenia, respectively. These symptoms are not specific to GAD.
2. The nurse is performing triage on a group of clients in the emergency department. Which of the following clients should the nurse see first?
- A. A 12-year-old oozing blood from a laceration on the left thumb due to a cut from a rusty metal can
- B. A 19-year-old with a fever of 103.8°F who is able to identify her sister but not the place and time
- C. A 49-year-old with a compound fracture of the right leg who is complaining of severe pain
- D. A 65-year-old with a flushed face, dry mucous membranes, and a blood sugar of 470 mg/dL
Correct answer: B
Rationale: The correct answer is B. A 19-year-old with a fever of 103.8°F who is confused and unable to orient to place and time likely has a severe infection or a serious medical condition affecting the central nervous system. This client needs immediate attention as altered mental status combined with a high fever can indicate a life-threatening situation. Choices A, C, and D present important conditions that require medical care, but they are not as urgent as the 19-year-old with a high fever and confusion. The 12-year-old with a laceration may require treatment for bleeding and a tetanus shot, the 49-year-old with a compound fracture needs urgent orthopedic intervention, and the 65-year-old with a high blood sugar is concerning for hyperglycemia but can wait momentarily compared to the client with a fever and altered mental status.
3. A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role?
- A. I will let the client know that I am available as the interpreter.
- B. I will receive a small fee for interpreting for this client.
- C. I am glad I am available today, but when I am not, you can use a family member.
- D. I will let the client know that an interpreter is unavailable during the night shift.
Correct answer: A
Rationale: Choice A is correct because the nurse should inform the client of their availability to interpret, ensuring that communication is clear and culturally appropriate. Choice B is incorrect as interpreters in healthcare settings usually do not receive fees for providing interpretation services. Choice C is incorrect because suggesting the use of a family member as an interpreter may not ensure accurate communication, as they may not be trained or impartial. Choice D is incorrect because stating that an interpreter is unavailable during the night shift does not address the current situation where the nurse has agreed to interpret for the client.
4. RA 7160 mandates the devolution of basic services from the national government to local government units. What is the primary goal of this devolution?
- A. To strengthen local government units
- B. To allow greater autonomy to local government units
- C. To empower the people and promote their self-reliance
- D. To make basic services more accessible to the people
Correct answer: C
Rationale: The major goal of devolution, as outlined in RA 7160, is to empower the people and promote their self-reliance. By devolving basic services to local government units, the aim is to enhance people's participation in decision-making processes and foster self-reliance within communities, ultimately promoting empowerment and self-sufficiency.
5. A nurse is caring for a client receiving IV fluids. Which of the following should the nurse do upon noticing phlebitis at the IV site?
- A. Apply a cold compress to the site
- B. Notify the provider immediately
- C. Remove the IV catheter and restart it in another location
- D. Monitor the site for signs of infection
Correct answer: C
Rationale: Upon noticing phlebitis at the IV site, the nurse should remove the IV catheter and restart it in another location. Phlebitis is inflammation of the vein, and leaving the IV catheter in place can lead to further complications such as infection. Applying a cold compress (Choice A) may provide temporary relief but does not address the underlying issue. Notifying the provider immediately (Choice B) is important, but the immediate action to prevent complications is to remove the IV catheter. Monitoring the site for signs of infection (Choice D) is necessary, but the priority action is to remove and reinsert the IV catheter to prevent worsening of the phlebitis.
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