ATI RN
ATI Mental Health Proctored Exam 2023
1. When providing care for 10-year-old Harper diagnosed with posttraumatic stress disorder (PTSD), which goal should be addressed initially?
- A. Harper will be able to identify feelings through the use of play therapy.
- B. Harper and her parents will have access to protective resources available through social services.
- C. Harper will demonstrate the effective use of relaxation techniques to restore a sense of control over disturbing thoughts.
- D. Harper and her parents will demonstrate an understanding of the personal human response to traumatic events.
Correct answer: C
Rationale: The initial goal when caring for a child with PTSD like Harper is to address restoring a sense of control over disturbing thoughts by teaching relaxation techniques. This approach helps the child manage their distressing emotions and promotes a feeling of empowerment in dealing with their condition.
2. What repetitive stress injury is a factory worker at risk of?
- A. Plantar fasciitis
- B. Osteomalacia
- C. Carpal tunnel syndrome
- D. Osteoporosis
Correct answer: C
Rationale: Factory workers are at risk of developing Carpal Tunnel Syndrome due to repetitive hand movements involved in their work. This condition occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Plantar fasciitis (choice A) is a condition affecting the foot, not typically associated with factory work. Osteomalacia (choice B) is a softening of the bones due to a lack of vitamin D or calcium, not directly related to repetitive stress in factory work. Osteoporosis (choice D) is a condition characterized by weak and brittle bones, usually associated with aging or hormonal changes rather than repetitive stress injuries.
3. When a client is receiving treatment with methotrexate, which supplement should the nurse instruct the client to take?
- A. Folic acid
- B. Vitamin D
- C. Calcium
- D. Iron
Correct answer: A
Rationale: Folic acid supplementation is crucial for clients undergoing methotrexate treatment because methotrexate functions as a folic acid antagonist. By supplementing with folic acid, the risk of methotrexate toxicity can be minimized, improving the treatment's effectiveness and safety. Vitamin D, calcium, and iron are not specifically recommended in conjunction with methotrexate therapy and may not provide the same protective benefits as folic acid.
4. Which best describes an effective approach to community health assessment?
- A. Using standardized assessment tools
- B. Collecting qualitative and quantitative data
- C. Engaging community members in the assessment process
- D. Analyzing health trends over time
Correct answer: C
Rationale: Engaging community members in the assessment process is crucial for an effective community health assessment. By involving community members, the assessment becomes more comprehensive, inclusive, and reflective of the actual needs and priorities of the community. This approach helps in gathering insights, perspectives, and first-hand experiences that may not be captured through standardized tools or data analysis alone. Community engagement fosters trust, collaboration, and empowerment within the community, leading to more meaningful and sustainable health interventions.
5. Which of the following steps occurs first during hemostasis?
- A. Vascular spasm
- B. Platelet plug
- C. Coagulation
- D. Dissolution of the clot
Correct answer: A
Rationale: Vascular spasm is the initial step in hemostasis, where blood vessels constrict to reduce blood flow to the injured area. This constriction helps limit blood loss until further steps like platelet plug formation and coagulation can take place. Platelet plug formation and coagulation occur after the vascular spasm, making them incorrect choices. Dissolution of the clot happens much later in the healing process, after the injury has sufficiently healed.
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