A nurse is assessing an older adult client. Which of the following would the nurse interpret as most indicative of mental health and wellness?

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ATI Mental Health Final Quizlet Questions

Question 1 of 5

A nurse is assessing an older adult client. Which of the following would the nurse interpret as most indicative of mental health and wellness?

Correct Answer: B

Rationale: The correct answer is B because interacting with others in the environment is a key indicator of mental health and wellness in older adults. Social interaction promotes cognitive function, emotional well-being, and overall quality of life. It helps prevent isolation and depression. Choice A is incorrect as minimal social contacts can lead to feelings of loneliness and isolation. Choice C is incorrect because relying solely on family for assistance may indicate limited social support network. Choice D is incorrect because experiencing bereavement is a normal part of life and does not necessarily indicate mental health and wellness.

Question 2 of 5

A nurse is caring for a client who is in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate?

Correct Answer: B

Rationale: The correct answer is B: Eat 15 g of fiber per day. This is because increasing fiber intake helps alleviate constipation by promoting bowel movement and softening stool. Fiber-rich foods like fruits, vegetables, whole grains, and legumes are recommended during pregnancy. Option A is incorrect as vitamins and supplements should not be reduced without consulting a healthcare provider. Option C is incorrect as pregnant women are generally advised to drink at least 64 ounces of water daily for hydration and to prevent constipation. Option D is incorrect as drinking hot water with lemon juice may not have a significant impact on constipation compared to increasing fiber intake.

Question 3 of 5

James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening, empathy, and encourages further exploration of the patient's experience without dismissing or invalidating their feelings. By asking James to share more about his experience, it shows that you are engaged, caring, and willing to understand his perspective. This approach can help build trust and rapport with the patient, which is important in therapeutic communication. Option A is incorrect because it denies the patient's experience and may lead to feelings of invalidation. Option B is incorrect as it dismisses the patient's feelings of fear and may come across as patronizing. Option D is incorrect as it focuses more on reassurance rather than addressing the patient's emotional distress and exploring their experience.

Question 4 of 5

Darnell is an 84-year-old widower who has lived alone since his wife died 6 years ago. A neighbor called Darnell's son to tell him that Darnell was trying to start his car from the passenger's side. He became angry and aggressive when the car would not start. After a medical assessment, Darnell was diagnosed with a major neurocognitive disorder. The nurse realized additional family teaching is necessary when Darnell's son states:

Correct Answer: D

Rationale: The correct answer is D. In person-centered care, the individual's preferences, needs, and values should be prioritized to provide tailored care. However, in this scenario, Darnell's son's statement indicates a lack of understanding about the severity and implications of his father's major neurocognitive disorder. This disorder will likely progress, impacting Darnell's ability to live independently. Therefore, the son's belief that his father can continue to live at home with person-centered care is unrealistic and indicates a need for further education. Choices A, B, and C are incorrect because they all reflect accurate statements related to Darnell's diagnosis and situation.

Question 5 of 5

Individuals with severe mental illness (SMI) diagnoses can suffer from ineffective healthcare. Providers may be unaccustomed to working with this population or not comprehend obscure details described by the person seeking medical attention. This hurdle can be overcome by:

Correct Answer: D

Rationale: The correct answer is D: Integrating mental and physical health in one setting. This approach ensures that individuals with SMI receive holistic care addressing both their mental and physical health needs simultaneously. By having mental health professionals collaborate with medical providers in one setting, communication barriers are reduced, leading to more effective treatment. This integrated approach also helps in better coordination of care and ensures that all aspects of the individual's health are considered. Choice A (Seeking medical attention at the emergency department) is incorrect because it does not address the long-term need for integrated care for individuals with SMI. Choice B (Having a community clinic in the area where the SMI live) might help with accessibility but does not guarantee the integration of mental and physical health services. Choice C (Medicating the patient before a medical examination) is inappropriate as it does not address the underlying issue of healthcare disparity for individuals with SMI.

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