A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions is appropriate?

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ATI Mental Health Proctored Exam 2024 Quizlet Questions

Question 1 of 5

A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions is appropriate?

Correct Answer: B

Rationale: Correct Answer: B (Place the client in a private room) Rationale: 1. Clostridium difficile is spread through fecal-oral route. 2. Placing the client in a private room prevents transmission to other clients. 3. Private room allows for dedicated equipment and prevents cross-contamination. Summary: A: Wearing a face shield is not necessary for Clostridium difficile, transmission is not airborne. C: Negative pressure room is not required, private room is sufficient. D: Alcohol-based hand rub is not effective against Clostridium difficile spores.

Question 2 of 5

A patient is experiencing hallucinations and delusions. The nurse would expect the physician to order which class of drug?

Correct Answer: B

Rationale: The correct answer is B: Antipsychotic. Hallucinations and delusions are symptoms of psychosis, indicating an altered perception of reality. Antipsychotic drugs target the symptoms of psychosis by blocking dopamine receptors in the brain, reducing hallucinations and delusions. Mood stabilizers (A) are used for bipolar disorder, antianxiety agents (C) treat anxiety, and stimulants (D) are used for conditions like ADHD. These options do not directly address the symptoms of hallucinations and delusions seen in psychosis.

Question 3 of 5

The following events are important in the development of psychiatric-mental health nursing practice. Which event occurred first?

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Question 4 of 5

A client states,"I don't know what the pills are for or why I am taking them, so I don't want them." Which is an example of the therapeutic communication technique of"giving information"?

Correct Answer: D

Rationale: The correct answer is D because it directly provides the client with essential information about the medication's purpose and potential benefits, promoting understanding and cooperation. Choice A is incorrect as it is directive and does not explain the medication's purpose. Choice B is incorrect as it focuses on the doctor's decision rather than the client's understanding. Choice C is incorrect as it deflects from addressing the client's concerns directly.

Question 5 of 5

A group of nursing students is reviewing information about delirium and dementia. The students demonstrate a need for additional review when they identify which of the following as characteristics of dementia?

Correct Answer: A

Rationale: The correct answer is A because fluctuating changes within a 24-hour period are characteristic of delirium, not dementia. In dementia, cognitive impairment is typically stable and progressive. Choice B is incorrect because hallucinations can occur in dementia. Choice C is incorrect because psychomotor activity may be affected in dementia. Choice D is correct as globally impaired cognition is a hallmark of dementia. In summary, A is incorrect as it is a characteristic of delirium, while B, C, and D are all characteristics of dementia.

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