ATI RN
ATI Mental Health Practice A
1. A patient with generalized anxiety disorder (GAD) is prescribed escitalopram. The nurse should educate the patient that the full therapeutic effect of this medication may take:
- A. 1-2 days
- B. 1-2 weeks
- C. 2-4 weeks
- D. 6-8 weeks
Correct answer: D
Rationale: Escitalopram, an SSRI used in treating generalized anxiety disorder, typically takes 6-8 weeks to achieve its full therapeutic effect. While some improvement may be noticed earlier, the maximum benefit is usually experienced after this timeframe. Options A, B, and C are incorrect because they underestimate the time required for escitalopram to reach its full effectiveness. Educating patients about the realistic timeline for medication effectiveness is crucial in managing expectations and ensuring adherence to the prescribed treatment.
2. A family came to the emergency department with complaints of food poisoning. Which client should the nurse see first?
- A. 32-year-old with diarrhea for 6 hours
- B. 2-year-old with 1 wet diaper in 24 hours
- C. 40-year-old with abdominal cramping
- D. 10-year-old who is nauseated
Correct answer: B
Rationale: The correct answer is B because a 2-year-old with reduced urine output (1 wet diaper in 24 hours) is at high risk for dehydration. Dehydration can occur rapidly in young children and can be life-threatening. The nurse should prioritize assessing and managing the dehydration of the 2-year-old. Choices A, C, and D, although they may also require attention, do not present the same level of immediate risk as a dehydrated 2-year-old.
3. Through the client’s health history, you gather that Mr. Dizon smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?
- A. 15 minutes
- B. 30 minutes
- C. 1 hour
- D. 5 minutes
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. Which type of diabetes is often associated with a BMI greater than 25 and an increased percentage of body fat, particularly in the abdominal region, contributing to insulin resistance?
- A. Type 1 Diabetes
- B. Type 2 Diabetes
- C. Gestational Diabetes
- D. Prediabetes
Correct answer: B
Rationale: The correct answer is B. Type 2 Diabetes is often associated with a BMI greater than 25 and an increased percentage of body fat, particularly in the abdominal region, contributing to insulin resistance. Type 1 Diabetes is an autoimmune condition not primarily linked to BMI or body fat percentage. Gestational Diabetes occurs during pregnancy and is not directly related to BMI. Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be diagnosed as Type 2 Diabetes; although it can be associated with higher BMI, it is not as definitive as in Type 2 Diabetes.
5. The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?
- A. “Tell me about what medication you are taking”
- B. “What physical limitations are you experiencing?”
- C. “How does this impact your role in your family?”
- D. “What therapies are you using to reduce swelling?”
Correct answer: “How does this impact your role in your family?”
Rationale:
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