ATI Mental Health Chapters 2 and 3 -Nurselytic

Questions 20

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ATI Mental Health Chapters 2 and 3 Questions

Question 1 of 5

Why should the nurse determine the level of anxiety displayed by the older adult client?

Correct Answer: B

Rationale: The correct answer is B. Determining the level of anxiety in an older adult client is crucial for using an effective nursing intervention. By assessing anxiety levels, the nurse can tailor interventions such as relaxation techniques or therapeutic communication to address the client's needs. This personalized approach promotes better outcomes.


Choice A is incorrect because determining anxiety levels should not solely be for administering medication without considering non-pharmacological interventions.
Choice C is incorrect as anxiety assessment is not directly related to offering a specific diet.
Choice D is incorrect because reporting to the prescriber is important but should not be the primary reason for assessing anxiety levels.

Question 2 of 5

During which phase of the nurse–patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?

Correct Answer: C

Rationale: During the working phase of the nurse-patient relationship, identified patient issues are explored and resolved. This phase involves active problem-solving and collaboration between the nurse and patient to address the patient's needs. In contrast, the preorientation phase is for preparation, the orientation phase is for establishing trust, and the termination phase is for closure.
Therefore, the correct answer is C (Working).

Question 3 of 5

What common symptom of borderline personality disorder is described as alternating between extremes of idealization and devaluation of one's partner?

Correct Answer: D

Rationale: The correct answer is D: splitting. Splitting is a common symptom of borderline personality disorder where individuals alternate between extremes of idealization and devaluation of others, such as partners. This behavior stems from the inability to integrate both positive and negative feelings towards the same person or object. It leads to black-and-white thinking and unstable relationships.

A: Body illusion - This term does not relate to the alternating idealization and devaluation of partners seen in borderline personality disorder.
B: Dissociation - Dissociation involves a disconnection from thoughts, feelings, or memories, and does not specifically address the idealization and devaluation pattern in relationships.
C: Grandiosity - Grandiosity refers to an inflated sense of self-importance and superiority, which is not directly related to the pattern of idealization and devaluation in relationships seen in splitting.

Question 4 of 5

After teaching a group of students about the beliefs associated with the major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?

Correct Answer: B

Rationale: The correct answer is B. Confucianism does not advocate for a caste system.

Step 1: Confucianism emphasizes ethical behavior and social harmony, not caste distinctions.

Step 2: People are born good (
A) aligns with Confucian belief in innate goodness.

Step 3: Respecting authority figures (
C) is a core Confucian value.

Step 4: Self-responsibility for self-improvement (
D) is also consistent with Confucian teachings.

Question 5 of 5

A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority?

Correct Answer: C

Rationale: The correct answer is C: a client with indications of hypovolemic shock. This is the priority because hypovolemic shock is a life-threatening condition resulting from severe blood loss. In a mass casualty situation, identifying and treating clients with hypovolemic shock promptly is crucial to prevent further deterioration. Clients with massive head trauma (
A) and full thickness burns (
B) also require urgent care, but hypovolemic shock leads to rapid decline and requires immediate intervention. A client with an open fracture (
D) can be stabilized and managed after addressing the more critical condition of hypovolemic shock.

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