ATI RN
ATI Mental Health Proctored Exam 2023
1. Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
- A. I understand that imaginary friends are abnormal.
- B. I understand that imaginary friends are a maladaptive behavior.
- C. I understand that imaginary friends are a coping mechanism.
- D. I understand that we should tell the child that imaginary friends are unacceptable.
Correct answer: C
Rationale: Imaginary friends can serve as a coping mechanism for children, especially those who have experienced trauma. They can provide comfort and a sense of control in challenging situations. Acknowledging and supporting the child's imaginary friend can be beneficial in their emotional healing and development.
2. 1.A nurse prepares to insert a peripheral venous catheter in an older adult client. Which action should the nurse take to protect the clients skin during this procedure?
- A. Lower the extremity below the level of the heart.
- B. Apply warm compresses to the extremity.
- C. Tap the skin lightly and avoid slapping.
- D. Place a washcloth between the skin and tourniquet
Correct answer: Place a washcloth between the skin and tourniquet
Rationale:
3. During a Romberg test, the patient is asked to assume which position?
- A. Sitting
- B. Standing
- C. Genupectoral
- D. Trendelenburg
Correct answer: B
Rationale: During a Romberg test, the patient is asked to stand with feet together and arms at the sides. The test evaluates proprioception and vestibular function by assessing the patient's ability to maintain balance with eyes closed. Asking the patient to stand helps to detect any balance issues or disturbances in the absence of visual input.
4. What are some common methods used to study genetic influences on behavior?
- A. Genetic influences are studied only through twin studies.
- B. Common methods include twin studies, adoption studies, and gene mapping.
- C. Genetic influences on behavior are only studied through family history.
- D. Genetic influences on behavior are not well understood.
Correct answer: B
Rationale: Common methods used to study genetic influences on behavior include twin studies, adoption studies, and gene mapping. Twin studies help to compare the similarities between identical and fraternal twins to estimate the heritability of a trait. Adoption studies look at the similarities between adopted children and their biological and adoptive parents to determine genetic influences. Gene mapping involves identifying specific genes associated with certain behaviors. Choices A, C, and D are incorrect because genetic influences on behavior are not solely studied through twin studies or family history, and while the understanding of genetic influences may vary, there are established methods to study them.
5. A client is receiving chemotherapy and develops stomatitis. Which of the following interventions should the nurse include in the client's plan of care?
- A. Apply warm compresses to the mouth
- B. Rinse mouth with alcohol-free mouthwash
- C. Increase fluid intake
- D. Clean the mouth gently with a soft toothbrush after meals
Correct answer: A
Rationale: The correct answer is to apply warm compresses to the mouth. Stomatitis is an inflammation of the mucous lining in the mouth and can be a side effect of chemotherapy. Warm compresses can help soothe the affected area and promote healing. Choice B is incorrect because alcohol-based mouthwash can further irritate the mouth. Choice C is also a good intervention as increasing fluid intake can help keep the mouth moist and promote healing. However, the most direct intervention for soothing and healing the affected area is applying warm compresses. Choice D is incorrect because using a firm toothbrush can be too harsh and cause further irritation.
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