ATI RN
ATI Mental Health Practice A
1. Which therapeutic approach is considered most effective for treating posttraumatic stress disorder (PTSD)?
- A. Cognitive processing therapy
- B. Psychoanalysis
- C. Medication management
- D. Group therapy
Correct answer: A
Rationale: Cognitive processing therapy is a specialized form of cognitive-behavioral therapy that has been shown to be highly effective in treating posttraumatic stress disorder (PTSD). This therapy focuses on helping individuals process and make sense of their traumatic experiences, leading to symptom reduction and improved coping mechanisms. Psychoanalysis, medication management, and group therapy can be beneficial in some cases, but cognitive processing therapy is specifically tailored for addressing the symptoms and underlying causes of PTSD. Psychoanalysis may not be as effective for PTSD due to its focus on unconscious conflicts rather than trauma processing. Medication management can be useful as an adjunct to therapy but does not address the core issues of PTSD. Group therapy can provide support but may not offer the individualized approach that cognitive processing therapy provides.
2. What dietary recommendation should be given to a patient with GERD?
- A. Avoid mint and spicy foods
- B. Eat large meals before bedtime
- C. Consume liquids with meals
- D. Eat three large meals per day
Correct answer: A
Rationale: The correct recommendation for a patient with GERD is to avoid mint and spicy foods. Mint and spicy foods can aggravate GERD symptoms by relaxing the lower esophageal sphincter and increasing stomach acid production, leading to acid reflux. Choices B, C, and D are incorrect. Eating large meals before bedtime can worsen GERD symptoms as lying down can promote acid reflux. Consuming liquids with meals can also exacerbate GERD by increasing stomach distension and pressure on the lower esophageal sphincter. Eating three large meals per day can overload the stomach and trigger acid reflux episodes in patients with GERD.
3. Surgery schedules are communicated to the OR usually a day prior to the procedure by the nurse of the floor or ward where the patient is confined. For orthopedic cases, what department is usually informed to be present in the OR?
- A. Rehabilitation department
- B. Laboratory department
- C. Maintenance department
- D. Radiology department
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
4. When the blastocyst burrows deep into the uterine lining, __________.
- A. implantation occurs
- B. pregnancy does not occur
- C. it stops growing
- D. the cells of the zygote first duplicate
Correct answer: A
Rationale: When the blastocyst burrows deep into the uterine lining, this process is known as implantation. Implantation is a crucial step in the early stages of pregnancy where the blastocyst attaches to the uterine wall in order to receive nourishment and continue developing. Choice B is incorrect because implantation is a necessary step for pregnancy to occur. Choice C is incorrect as implantation marks the beginning of further growth and development. Choice D is incorrect as the duplication of cells occurs during earlier stages of development, not during implantation.
5. A nurse manager assigns a task outside the scope of a nursing assistant. How should the assistant respond?
- A. Refuse the task and report it to the charge nurse.
- B. Perform the task without reporting.
- C. Ask another nurse to perform the task.
- D. Accept the task but document it later.
Correct answer: A
Rationale: When a task is assigned that is outside the scope of a nursing assistant, it is essential for the assistant to refuse the task and report it to the charge nurse. This ensures that tasks are appropriately delegated, maintaining patient safety and adherence to professional standards. Performing the task without reporting can lead to potential risks for the patient and legal implications. Asking another nurse to perform the task may not address the issue of improper delegation. Accepting the task but documenting it later does not resolve the immediate concern of working within the assistant's scope of practice and seeking appropriate delegation.
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