Mental Health Nursing ATI Exam -Nurselytic

Correct Answer: C

Rationale:
Rationale: The correct answer is C because establishing rapport and trust with the nurse in the orientation stage is crucial for building a therapeutic relationship. This foundation sets the tone for effective communication, collaboration, and patient engagement throughout the care process. Options A and B focus more on the patient's individuality and personal growth, which are important but secondary to the primary goal of establishing trust. Option D, resolved transference, is not relevant at this early stage and pertains more to deeper stages of therapy.
Therefore, option C is the most appropriate outcome for the orientation stage of a nurse-patient relationship.

Correct Answer: A

Rationale: The correct answer is A: antisocial personality disorder is most likely to be associated with illegal activity. Individuals with this disorder often exhibit a disregard for the rights of others, impulsivity, and a lack of remorse, making them prone to engaging in criminal behavior. Borderline personality disorder (
B) is characterized by unstable relationships and emotions, but not necessarily criminal behavior. Dependent personality disorder (
C) involves an excessive need to be taken care of, and schizoid personality disorder (
D) is characterized by social detachment, both of which are not typically associated with illegal activity.

Correct Answer: A

Rationale:
Correct Answer: A


Rationale: Setting strict limits and communicating them to all staff members is the most appropriate response as a milieu manager. In an inpatient psychiatric unit, creating a structured and consistent environment is crucial for managing challenging behaviors, such as those exhibited by a client with borderline personality disorder. By setting clear boundaries and ensuring all staff members are aware of them, the nurse establishes a safe and therapeutic milieu for all clients. This approach helps maintain a stable and supportive setting, promoting positive interactions among clients and staff.

Summary:
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Choice B (Using role-play): While role-play can be a valuable therapeutic technique, it may not directly address the immediate need to manage challenging behaviors in the milieu.
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Choice C (Seeking orders for forced medications): This is not the appropriate course of action as forcing medications should be a last resort and should only be considered in situations where the client is at imminent risk of harm.
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Choice D (Holding a group session on relationship skills): While group sessions

Correct Answer: B

Rationale: The correct answer is B: severe depression. Pseudodementia refers to cognitive symptoms that mimic dementia but are actually caused by a psychiatric disorder like severe depression. This condition can be reversed with appropriate treatment for the underlying depression. Medication reaction (choice
A) can cause cognitive impairment but is not specific to pseudodementia. Old age (choice
C) is not a direct cause of pseudodementia. Genetics (choice
D) may play a role in some forms of dementia but not in pseudodementia caused by severe depression.

Correct Answer: C

Rationale: The correct answer is C because paranoid delusions of being followed by alien monsters indicate severe psychosis and a distorted perception of reality, leading to potential violent behavior. Delusions involving external threats are associated with a higher risk of aggression.

A: Major depressive disorder with delusions of worthlessness may lead to self-harm but not necessarily violence towards others.
B: Obsessive-compulsive disorder with rituals is more about controlling anxiety and unlikely to result in violent behavior.
D: Completed alcohol withdrawal and starting a rehabilitation program suggest the individual is seeking help and support, which reduces the risk of violence towards others.