ATI LPN
ATI Mental Health Practice A
1. When developing a care plan for a patient with generalized anxiety disorder (GAD), which long-term goal is most appropriate?
- A. The patient will experience no episodes of anxiety.
- B. The patient will recognize and modify anxiety-provoking thoughts.
- C. The patient will avoid situations that cause anxiety.
- D. The patient will take medication as prescribed.
Correct answer: B
Rationale: The most appropriate long-term goal for managing generalized anxiety disorder is for the patient to recognize and modify anxiety-provoking thoughts. By addressing and modifying these thoughts, the patient can develop coping mechanisms and strategies to manage their anxiety more effectively in the long term. Choices A and C are not ideal long-term goals as complete elimination of anxiety episodes or avoidance of anxiety-provoking situations may not be realistic or sustainable. Choice D focuses solely on medication adherence, which is important but does not address the core cognitive-behavioral aspects of managing anxiety in GAD.
2. A nurse is reinforcing teaching about food selection with a client who has a moderate burn injury. Which of the following foods should the nurse recommend as being high in vitamin C?
- A. Tomatoes
- B. Carrots
- C. Avocados
- D. Apricots
Correct answer: A
Rationale: Tomatoes are high in vitamin C, which is crucial for wound healing, making them an excellent recommendation for a client with a burn injury. Carrots, avocados, and apricots are not as rich in vitamin C compared to tomatoes, and therefore, they are not the best choice for promoting healing in this scenario.
3. What are the small, fingerlike projections into the intestinal lumen called?
- A. Villi
- B. Goblets
- C. Lacteals
- D. Polyps
Correct answer: A
Rationale: The correct answer is A: Villi. Villi are small fingerlike projections in the intestine that increase the surface area for nutrient absorption. Goblets (choice B) are mucus-secreting cells in the intestines. Lacteals (choice C) are lymphatic vessels in the small intestine that absorb dietary fats. Polyps (choice D) are abnormal tissue growths.
4. A client with a seizure disorder has a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply)
- A. PTT
- B. Aspartate aminotransferase (AST)
- C. Alanine aminotransferase (ALT)
- D. All of the Above
Correct answer: D
Rationale: The correct answer is D, 'All of the Above.' Valproic acid can impact liver function and coagulation. Monitoring the Prothrombin Time (PTT), Aspartate Aminotransferase (AST), and Alanine Aminotransferase (ALT) is crucial. PTT is monitored to assess coagulation status, while AST and ALT are liver enzymes that indicate liver function. Monitoring these values helps detect any potential adverse effects of valproic acid on the liver and blood clotting. Choices A, B, and C are incorrect because each of these laboratory values plays a critical role in evaluating the client's response to valproic acid therapy and detecting associated complications.
5. A healthcare professional is preparing to administer a dose of nitroglycerin. Which of the following should be assessed first?
- A. Blood pressure
- B. Heart rate
- C. Pain level
- D. Respiratory rate
Correct answer: A
Rationale: The correct answer is to assess blood pressure first before administering nitroglycerin. Nitroglycerin is a vasodilator that can cause a sudden drop in blood pressure, leading to adverse effects such as dizziness or fainting. Assessing blood pressure before administration helps determine if the patient's blood pressure is within the acceptable range for nitroglycerin administration. Heart rate, pain level, and respiratory rate are also important assessments, but blood pressure should take precedence due to the vasodilating effects of nitroglycerin.
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