ATI RN
ATI Mental Health Practice A
1. For a patient diagnosed with borderline personality disorder exhibiting self-harming behavior, which therapeutic approach is most appropriate?
- A. Dialectical behavior therapy
- B. Psychoanalysis
- C. Supportive therapy
- D. Pharmacotherapy
Correct answer: A
Rationale: The most appropriate therapeutic approach for a patient diagnosed with borderline personality disorder exhibiting self-harming behavior is dialectical behavior therapy (DBT). DBT is specifically designed to address the core symptoms of borderline personality disorder, including self-harming behaviors. It focuses on teaching patients skills to manage emotions, improve interpersonal relationships, and enhance distress tolerance. Psychoanalysis (Choice B) is not the most appropriate for immediate symptom management in this case. Supportive therapy (Choice C) may not provide the structured approach needed to address self-harming behaviors effectively. Pharmacotherapy (Choice D) may be used as an adjunct in some cases, but DBT is the frontline therapy for managing self-harming behaviors in borderline personality disorder.
2. Which pulse's absence may not be a significant finding when a patient is admitted to the hospital?
- A. Apical
- B. Radial
- C. Pedal
- D. Femoral
Correct answer: C
Rationale: The absence of the pedal pulse may not be significant if the patient has poor peripheral circulation or if the healthcare provider is focused on other pulse points. The pedal pulse is often weaker and may not always be palpable due to various factors, making its absence less concerning in certain situations. However, the absence of other pulses like radial or femoral pulses may indicate more critical conditions and require immediate attention.
3. Dr. George predicted that positive reinforcement would increase prosocial behavior in preschoolers. Dr. George's prediction is an example of a __________.
- A. theory
- B. research question
- C. hypothesis
- D. research design
Correct answer: C
Rationale: Dr. George's prediction that positive reinforcement would increase prosocial behavior in preschoolers is an example of a hypothesis. A hypothesis is a specific, testable prediction about the relationship between variables based on existing knowledge or theories. In this case, Dr. George is making a prediction about the effect of positive reinforcement on prosocial behavior, which can be tested through research. Choice A, 'theory,' is incorrect because a theory is a broader explanation that integrates a range of findings and observations. Choice B, 'research question,' is incorrect as it refers to an inquiry that asks about the relationship between variables but lacks the specificity and testability of a hypothesis. Choice D, 'research design,' is incorrect as it pertains to the overall strategy or plan for conducting a research study, not the specific prediction Dr. George made.
4. When can a patient's medical record become a potential issue for the doctor or nurse?
- A. When the record is extensive
- B. When a medical record is subpoenaed in court
- C. When it is missing
- D. When the medical record is inaccurate, incomplete, or inadequate
Correct answer: D
Rationale: The correct answer is D. A medical record becomes a potential issue for a doctor or a nurse when it is inaccurate, incomplete, or inadequate. This is because a medical record is a key tool for healthcare professionals to track a patient's history, treatment, and progress. If the record is not accurate or complete, it can lead to misdiagnosis, incorrect treatment, or other potential problems in patient care. While missing records (Choice C) could be a problem, they do not directly implicate the doctor or nurse in the same way that inaccurate or inadequate records do. An extensive record (Choice A) or a record being subpoenaed in court (Choice B) are not inherently problematic for healthcare professionals and do not necessarily reflect negatively on their work.
5. A nurse is assessing a client who is 1 day postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Blood pressure of 110/70 mm Hg
- B. Heart rate of 88/min
- C. Respiratory rate of 20/min
- D. Temperature of 37.3°C (99.1°F)
Correct answer: D
Rationale: The correct answer is D because a temperature of 37.3°C (99.1°F) is slightly elevated, indicating a possible infection or inflammatory response, which should be reported to the provider for further evaluation. Choices A, B, and C are within normal limits for a client postoperative, so they do not require immediate reporting. Elevated temperature can be a sign of infection or other complications, making it a priority for reporting and further assessment.
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