ATI LPN
ATI Mental Health Practice A
1. A patient with panic disorder is being cared for by a healthcare provider. Which medication is commonly prescribed as a first-line treatment?
- A. Benzodiazepines
- B. Tricyclic antidepressants
- C. Selective serotonin reuptake inhibitors (SSRIs)
- D. Monoamine oxidase inhibitors (MAOIs)
Correct answer: C
Rationale: Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed as a first-line treatment for panic disorder due to their efficacy and lower risk of dependence and tolerance development compared to benzodiazepines. Tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs) are not typically recommended as initial treatments for panic disorder because of their side effect profiles and the availability of safer and more effective options like SSRIs.
2. Which of the following is an example of a waterborne disease?
- A. Hepatitis A
- B. Influenza
- C. Measles
- D. Tuberculosis
Correct answer: A
Rationale: Hepatitis A is a waterborne disease caused by a virus that can be transmitted through contaminated water or food. Ingestion of even microscopic amounts of fecal matter from an infected person can lead to infection. It is important to practice good hygiene and ensure water sources are clean to prevent the spread of Hepatitis A.
3. A nurse receives a report from an assistive personnel that a client's BP is 160/95. What should the nurse do first?
- A. Notify the healthcare provider
- B. Recheck the client's BP
- C. Document the findings
- D. Administer antihypertensive medication
Correct answer: B
Rationale: The correct answer is to recheck the client's BP. It is essential for the nurse to verify the accuracy of the initial reading by reassessing the blood pressure. Notifying the healthcare provider or administering antihypertensive medication should only occur after confirming the elevated blood pressure through a recheck. Documenting the findings is important but should follow the confirmation of the BP reading.
4. A client who signed an informed consent form for surgery but has since expressed doubts about the need for surgery should discuss concerns with the surgeon to obtain informed answers. Which statement should the nurse make?
- A. It's normal to feel unsure; the surgery will be beneficial
- B. You can cancel surgery any time without any consequences
- C. I'll inform the surgeon to answer your questions before surgery
- D. We can reschedule surgery for another day
Correct answer: C
Rationale: The correct answer is C because the nurse should facilitate communication between the client and the surgeon to address any doubts and provide necessary information. Choice A may invalidate the client's concerns and might not address the root of the issue. Choice B oversimplifies the situation and might not consider the potential consequences of canceling surgery. Choice D, while offering an alternative, does not address the client's doubts about the surgery.
5. A nurse is caring for a client with a stage 2 pressure ulcer. Define the characteristics of the ulcer.
- A. Intact skin with nonblanchable redness (Stage 1)
- B. Full-thickness tissue loss with subQ damage (Stage 3)
- C. Partial-thickness skin loss involving the epidermis and dermis
- D. Full-thickness tissue loss with damage to muscle or bone (Stage 4)
Correct answer: C
Rationale: The correct answer is C. Stage 2 ulcers involve partial-thickness skin loss with visible and superficial damage, which may appear as an abrasion, blister, or shallow crater. Choice A describes a Stage 1 pressure ulcer characterized by intact skin with nonblanchable redness. Choice B describes a Stage 3 pressure ulcer with full-thickness tissue loss and damage to the subcutaneous tissue. Choice D is indicative of a Stage 4 pressure ulcer, involving full-thickness tissue loss with damage extending to muscle or bone.
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