ATI RN
ATI Mental Health Proctored Exam 2019
1. When educating the family of a client diagnosed with dissociative identity disorder, which of the following instructions should the nurse include?
- A. Encourage the client to avoid stressful situations.
- B. Encourage the client to participate in daily activities.
- C. Encourage the client to express their feelings.
- D. Encourage the client to develop a daily routine.
Correct answer: D
Rationale: In cases of dissociative identity disorder, it is beneficial for the client to establish a daily routine. This structure can enhance symptom management and provide a sense of stability, which is particularly important for individuals with this condition. Encouraging the client to avoid stressful situations (Choice A) may not always be possible and does not address the need for structure. While encouraging the client to participate in daily activities (Choice B) is important, having a routine is more crucial for managing dissociative identity disorder. Expressing feelings (Choice C) is valuable but establishing a routine takes precedence in this situation.
2. A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the healthcare provider that the patient has bleeding from the GI tract?
- A. Complete blood count
- B. Guaiac test
- C. Vital signs
- D. Abdominal girth
Correct answer: B
Rationale: A positive guaiac test is used to detect the presence of occult (hidden) blood in the stool, suggesting bleeding from the gastrointestinal tract. It is a rapid screening test that can provide immediate information to the healthcare provider about possible gastrointestinal bleeding in patients presenting with symptoms such as nausea, vomiting, diarrhea, and severe abdominal pain.
3. During a mental health assessment on an adult client, which client action would demonstrate the highest achievement in terms of mental health according to Maslow's hierarchy of needs?
- A. Maintaining a long-term, faithful, intimate relationship
- B. Achieving a sense of self-confidence
- C. Possessing a feeling of self-fulfillment and realizing full potential
- D. Developing a sense of purpose and the ability to direct activities
Correct answer: C
Rationale: In Maslow's hierarchy of needs, self-actualization is the highest level. Possessing a feeling of self-fulfillment and realizing full potential reflects self-actualization. This level represents achieving personal growth, self-improvement, and reaching one's full potential, indicating optimal mental health. Choices A, B, and D represent lower levels of needs according to Maslow's hierarchy. Maintaining a long-term relationship indicates belongingness and love needs, achieving self-confidence pertains to esteem needs, and developing a sense of purpose relates to self-esteem and self-actualization needs, but they are not at the pinnacle of self-actualization as in choice C.
4. A manager has a budget request deadline today at 3:00. He stops his work to answer the phone, check emails as they arrive, and speak with staff who stop by his office. As a result, he misses the deadline. What best describes the cause of missing his deadline?
- A. Goal setting
- B. Organization
- C. Time wasters
- D. Assertiveness
Correct answer: C
Rationale: The best choice that describes the cause of the manager missing his deadline is 'Time wasters.' In this scenario, the manager's focus was diverted by tasks like answering the phone, checking emails, and speaking with staff, which are considered time wasters when they prevent him from meeting his deadline. Choices A, B, and D are incorrect in this context. Goal setting was not the issue as the manager was aware of the deadline; organization did not play a significant role as his tasks were interrupted by external factors, and assertiveness was not the cause of missing the deadline.
5. A patient with chronic kidney disease may require dietary restrictions. Which of the following diets should the healthcare provider prescribe?
- A. Low sodium diet
- B. Potassium restricted diet
- C. High phosphorus diet
- D. High protein diet
Correct answer: B
Rationale: Patients with chronic kidney disease often require a potassium-restricted diet to help manage their electrolyte levels. Excessive potassium intake can be harmful to individuals with compromised kidney function. While monitoring sodium intake is also important for these patients, a low sodium diet is not specifically indicated in the question. High phosphorus diet and high protein diet are not recommended for individuals with chronic kidney disease as they can further stress the kidneys and worsen the condition.
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