ATI RN
ATI Mental Health Proctored Exam 2023
1. Which intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
- A. Screening a group of males aged 15 to 25 for early symptoms.
- B. Forming a support group for females aged 25 to 35 with substance use issues.
- C. Providing coping skills information to a group aged 45 to 55.
- D. Educating parents of developmentally delayed 5- to 6-year-olds on early intervention importance.
Correct answer: A
Rationale: Screening males aged 15 to 25 for early symptoms of schizophrenia is a well-chosen intervention as this age group is at a higher risk for developing the condition. Early identification can lead to timely treatment and better outcomes, making this intervention particularly effective in addressing the population at risk for schizophrenia.
2. Babies who spend more time alert are likely to have __________.
- A. parents who feel incompetent
- B. a slight advantage in mental development
- C. a big disadvantage in social development
- D. parents who must exert great effort to soothe them
Correct answer: B
Rationale: Babies who spend more time alert are likely to have a slight advantage in mental development. Being alert allows babies to engage with their surroundings, explore, and learn, which can contribute to their cognitive development. This is different from social development, which is more related to interactions with others, and not necessarily impacted by the amount of alertness a baby displays. Choices A, C, and D are incorrect because there is no direct correlation between a baby's alertness and their parents' feelings of incompetence, a big disadvantage in social development, or the effort parents need to soothe them.
3. What procedure is most appropriate for the assessment of an abdominal circumference related to a bowel obstruction?
- A. Measuring the abdomen after feedings
- B. Marking the point of measurement with a pen
- C. Measuring the circumference at the symphysis pubis
- D. Using a new tape measure with each assessment to ensure accuracy
Correct answer: B
Rationale: Marking the point of measurement ensures consistent and accurate assessments of abdominal circumference, especially important in conditions like bowel obstruction where changes need to be monitored closely.
4. The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?
- A. Explain the disorder so they can explain it to others.
- B. Help parents understand that this is a minor problem.
- C. Suggest that parents avoid family and friends until the gender is assigned.
- D. Encourage parents not to worry while the tests are being done.
Correct answer: A
Rationale: It is important for the nurse to provide the parents with accurate information so they can confidently explain the situation to others, helping to reduce stress and misinformation. Avoiding family and friends or minimizing the problem is not helpful.
5. A client who had coronary artery bypass grafting yesterday needs care. What actions can the nurse delegate to the unlicensed assistive personnel (UAP)? (SATA)
- A. Assist the client to the chair for meals and to the bathroom.
- B. Encourage the client to use the spirometer every 4 hours.
- C. Ensure the client wears TED hose or sequential compression devices.
- D. Have the client rate pain on a 0-to-10 scale and report to the nurse.
Correct answer: A, C
Rationale: The nurse can delegate tasks such as assisting the client to get up in the chair or ambulate to the bathroom, applying TED hose or sequential compression devices, and taking/recording vital signs to the unlicensed assistive personnel (UAP). Using the spirometer should be encouraged every hour the day after surgery by the nurse. Assessing pain using a 0-to-10 scale is a nursing assessment. However, if the client reports pain, the UAP should inform the nurse for a more detailed assessment.
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