ATI RN
ATI Mental Health Exam N200 Group 2 Exam Questions
Question 1 of 5
A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?
Correct Answer: A
Rationale: Assist the client with bathing and toileting. This intervention addresses the client's immediate and essential needs. Ensuring basic hygiene and toileting are crucial for maintaining the client's health dignity and comfort. Assisting with activities of daily living (ADLs) is a priority for clients who are unable to perform these tasks independently. Design a bulletin board to represent the current season. While this can help with orientation and provide a sense of time and place it is not as critical as addressing the client's basic physical needs. Present evidence of objective reality to improve cognition. Reality orientation can be beneficial but it is not a priority intervention compared to meeting the client's immediate physical needs. Label the door to the client's room with name and number. This helps with orientation and independence but is less critical than ensuring the client's hygiene and toileting needs are met.
Question 2 of 5
A client is diagnosed with Alzheimer's disease. When asked about the previous evening,the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?
Correct Answer: D
Rationale: Confabulation involves the creation of false memories or stories without the intention to deceive. This is common in Alzheimer's disease as the brain attempts to fill gaps in memory. Aphasia is a language disorder that affects a person's ability to communicate and does not involve false memories. Delirium is an acute change in mental status causing confusion but not typically characterized by fabricated stories. Apraxia is a motor disorder affecting task performance unrelated to memory fabrication.
Question 3 of 5
A client tells the nurse,I feel bad because my mother does not want me to return home after I leave the hospital. Which nursing response is therapeutic?
Correct Answer: A
Rationale: You feel that your mother does not want you to come back home? This response uses reflection a therapeutic communication technique to encourage the client to express and explore their feelings further. The other options either dismiss the client's feelings provide unsolicited advice or make assumptions which are less therapeutic.
Question 4 of 5
A nurse working in a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. All of the following are therapeutic communication techniques except:
Correct Answer: D
Rationale: asking the client Why? can be non-therapeutic as it may make the client feel defensive and pressured to justify their feelings or actions hindering open communication. Restating maintaining neutral responses and listening are all therapeutic as they promote understanding and rapport.
Question 5 of 5
The nurse is assessing an inpatient client with a known history of violence. The client suddenly displays clenched fists. What additional behavior by the client would suggest that the aggression is escalating? The client:
Correct Answer: C
Rationale: is pacing around the milieu. Pacing can be a sign of increasing agitation and is often observed in clients who are escalating towards aggressive behavior. This physical activity can indicate restlessness and an inability to calm down. Refusing lunch or requesting medications does not directly indicate aggression and sitting with peers suggests social engagement.