ATI RN
ATI Mental Health Practice B
1. A client has been diagnosed with post-traumatic stress disorder (PTSD) and is having nightmares about the event. The client reports difficulty sleeping at night. Which of the following actions should the nurse take first?
- A. Encourage the client to talk about the event during the day.
- B. Encourage the client to avoid caffeine and alcohol.
- C. Administer a prescribed sedative at bedtime.
- D. Schedule a follow-up appointment with the client's therapist.
Correct answer: A
Rationale: The initial action the nurse should take is to encourage the client to talk about the traumatic event during the day. This approach can assist the client in processing the trauma in a controlled environment, potentially reducing the frequency and intensity of nightmares. It allows for emotional expression and may promote better sleep by addressing the underlying psychological distress associated with PTSD. Encouraging the client to talk about the event during the day promotes therapeutic processing of the trauma and emotional expression, which can lead to improved coping mechanisms and potentially decrease the distressing symptoms like nightmares. Encouraging the client to avoid caffeine and alcohol may be beneficial, but addressing the emotional aspects first is crucial. Administering a sedative should not be the first approach, as it does not address the root cause of the nightmares. Scheduling a follow-up appointment with the therapist is important but should follow addressing the immediate distressing symptoms and promoting coping strategies.
2. Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct answer: A
Rationale: The correct answer is A: Statutory laws. Statutory laws are those created by various legislative bodies, such as state legislatures. In the context of nursing practice, laws that govern it are statutory laws specifically tailored to regulate the profession. Choice B, Common laws, are not specific to regulating nursing practice but rather are based on judicial decisions. Choice C, Administrative laws, deal with regulations set by administrative agencies and may not directly govern nursing practice. Choice D, Constitutional laws, pertain to the fundamental principles outlined in a country's constitution and are not the primary laws that regulate nursing practice.
3. Which of the following interventions is inappropriate for a client experiencing a panic attack?
- A. Provide a well-lit environment.
- B. Encourage deep breathing.
- C. Move the client to a quiet environment.
- D. Administer prescribed antianxiety medication.
Correct answer: A
Rationale: During a panic attack, a well-lit environment might exacerbate the client's symptoms due to sensory overload. Therefore, it is inappropriate to provide a well-lit environment during a panic attack. Encouraging deep breathing, moving the client to a quiet environment, and administering prescribed antianxiety medication are appropriate interventions for managing a panic attack. These actions help create a calming atmosphere and address the physiological symptoms associated with panic attacks.
4. Children with cerebral palsy, Down syndrome, and intellectual disabilities are likely to have abnormal sensory input and muscle tone. A small, underdeveloped tongue is common in many such disorders and results in diminished nutritional status.
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct answer: C
Rationale: The first statement is true, but the second is false. These children often have a large tongue or tongue thrust, which can interfere with feeding and nutrition.
5. A client who takes Chlorpromazine for the treatment of Schizophrenia is due for a follow-up assessment. The nurse should expect the greatest improvement in which of the following manifestations? (Select all that apply.)
- A. Disorganized speech.
- B. Bizarre behavior.
- C. Impaired social interactions.
- D. Hallucinations.
Correct answer: A
Rationale: When a client takes a conventional antipsychotic medication like chlorpromazine, the greatest improvement is typically seen in positive symptoms such as disorganized speech. These medications are more effective in managing positive symptoms like disorganized speech rather than negative symptoms like impaired social interactions or hallucinations. Therefore, the nurse should anticipate improvement in disorganized speech as a positive response to chlorpromazine treatment.
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