ATI RN
ATI Mental Health Practice A
1. Which therapeutic approach is most effective for managing obsessive-compulsive disorder (OCD)?
- A. Cognitive-behavioral therapy
- B. Psychoanalysis
- C. Medication management
- D. Group therapy
Correct answer: A
Rationale: Cognitive-behavioral therapy (CBT), especially exposure and response prevention, is considered the most effective therapeutic approach for managing obsessive-compulsive disorder (OCD). CBT helps individuals identify and modify their distorted beliefs and behaviors related to OCD, while exposure and response prevention specifically target the core symptoms of OCD by gradually exposing the individual to feared stimuli and preventing compulsive responses. While medication management can be used as an adjunct to therapy, CBT has shown to have long-lasting benefits in reducing OCD symptoms and improving the overall quality of life. Psychoanalysis focuses more on exploring unconscious conflicts and childhood experiences, which may not be as effective for OCD. Group therapy can be beneficial as a supplemental treatment but is not typically as effective as individual CBT tailored to the specific needs of the individual with OCD.
2. What is the correct response when a patient receiving an enema reports abdominal cramping?
- A. Lower the height of the enema container
- B. Stop the enema procedure
- C. Remove the enema tubing
- D. Continue the enema at a slower rate
Correct answer: A
Rationale: The correct response when a patient receiving an enema reports abdominal cramping is to lower the height of the enema container. Lowering the height reduces the flow rate, which can help relieve cramping. Stopping the procedure (choice B) may not be necessary if adjusting the height resolves the issue. Removing the enema tubing (choice C) is not the initial step to take when addressing abdominal cramping during an enema. Continuing the enema at a slower rate (choice D) might not be as effective as lowering the height of the container to alleviate cramping.
3. A nurse is reviewing the laboratory values of a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following values should the nurse report to the provider?
- A. INR 2.0
- B. Platelet count 150,000/mm3
- C. aPTT 60 seconds
- D. WBC count 8,000/mm3
Correct answer: C
Rationale: The correct answer is C: aPTT 60 seconds. An aPTT of 60 seconds is above the therapeutic range for clients on heparin therapy and indicates a risk of bleeding, so it should be reported to the provider. INR of 2.0 is within the therapeutic range for clients on heparin therapy, so it does not require immediate reporting. Platelet count of 150,000/mm3 and WBC count of 8,000/mm3 are within normal ranges and not directly related to heparin therapy, so they do not need to be reported in this context.
4. Which dietary change is most beneficial for a patient with hypertension?
- A. Increased sodium intake
- B. Decreased potassium intake
- C. Increased fiber intake
- D. Increased cholesterol intake
Correct answer: C
Rationale: The correct answer is C: Increased fiber intake. A diet high in fiber is beneficial for patients with hypertension as it helps lower blood pressure. Increased sodium intake (choice A) is not recommended as it can raise blood pressure. Decreasing potassium intake (choice B) is not advisable as potassium helps regulate blood pressure. Increased cholesterol intake (choice D) is also not recommended as high cholesterol levels can contribute to cardiovascular issues, including hypertension.
5. Which of the following is true regarding health care systems today?
- A. They are all managed care organizations.
- B. They are all privately owned.
- C. Only HMOs are profitable.
- D. There are multiple types of organizations.
Correct answer: D
Rationale: The correct answer is D: 'There are multiple types of organizations.' This statement is true as there are various health care delivery systems in today's world, including but not limited to managed care organizations, privately owned facilities, and other models. Choices A, B, and C are incorrect because not all health care systems are managed care organizations, privately owned, or only profitable if they are HMOs. Health care systems can vary in ownership, management, and profitability, making choice D the most accurate.
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