Mental Health ATI Quizlet -Nurselytic

Questions 20

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Mental Health ATI Quizlet Questions

Question 1 of 5

An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?

Correct Answer: B

Rationale: The correct answer is B because it indicates a personal connection and emotional reaction from the nurse due to her past experiences with alcoholic parents, suggesting countertransference.
Choice A focuses on the patient's denial, not the nurse's reaction.
Choice C pertains to the patient's lack of goals, not the nurse's feelings.
Choice D relates to the patient's comment about the nurse, not the nurse's emotional response. In summary, B is correct as it directly reflects the nurse's personal history impacting her feelings towards the patient, while the other choices do not address the nurse's emotional reaction.

Question 2 of 5

The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?

Correct Answer: C

Rationale:
Rationale:
Choice C is correct because borderline personality disorder is believed to be associated with frontal lobe dysfunction, impacting emotional regulation and impulsivity. The frontal lobe plays a crucial role in personality development.

Choices A, B, and D are incorrect because there isn't conclusive evidence linking the disorder to increased serotonin or decreased dopamine activity, or hormonal imbalances.

Question 3 of 5

Assessment of an older adult client reveals that the client is receiving psychiatric medications. The client states, 'I get dizzy periodically and have trouble walking.' Which of the following should the nurse do first?

Correct Answer: A

Rationale: The correct answer is A: Compare the client's baseline blood pressure with the client's current blood pressure. This is the first step to assess for orthostatic hypotension which can be a side effect of psychiatric medications. It is important to rule out any potential medication-induced hypotension before making any changes to the client's medication regimen.


Choice B is incorrect because abruptly stopping psychiatric medications can lead to withdrawal symptoms and exacerbate the client's condition.


Choice C is incorrect because while assessing coping skills and stress levels is important, addressing the client's current symptoms of dizziness and difficulty walking takes precedence.


Choice D is incorrect as using an alcohol-based mouthwash is unrelated to the client's symptoms and may not address the underlying cause of the client's issues.

Question 4 of 5

Charlie is coping well with a severe mental illness diagnosis. He and his 91-year-old father live together on the family farm. This stable and secluded life has allowed Charlie to live with minimal stimulation, and his relapses have been few. Charlie's caseworker makes a visit to open up a conversation on where Charlie will live when his father can no longer care for him. By bringing up the topic now, the caseworker is hoping to:

Correct Answer: B

Rationale: The correct answer is B because the caseworker is trying to avert a potential relapse and preserve stability in Charlie's life by initiating a discussion about his future living arrangements. By addressing this issue proactively, the caseworker can help Charlie transition smoothly when his father can no longer care for him, minimizing disruptions and maintaining his mental health.


Choice A is incorrect because it only focuses on arranging housing for Charlie after his father's death, without considering the immediate impact on Charlie's stability.
Choice C is incorrect as it assumes a crisis will occur, which may not be the case if proactive steps are taken.
Choice D is incorrect because it may not be realistic or beneficial to make Charlie realize he will soon live independently without proper planning and support.

Question 5 of 5

Home health nurse is carefully planned for Alzheimer's disease. To the following action should the nurse include in the plan of care

Correct Answer: A

Rationale: The correct answer is A because placing a daily calendar in the kitchen helps individuals with Alzheimer's disease maintain a sense of time and routine. This aids in reducing confusion and anxiety.
Choice B is incorrect as it does not directly address the cognitive needs of the individual.
Choice C is incorrect as it may not be feasible or necessary for everyone.
Choice D is incorrect as maintaining a consistent routine is beneficial for individuals with Alzheimer's disease to reduce disorientation.

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