An instructor overhears the nursing student ask a client,"This is your third admission. Why did you stop taking your medications?" Which would be the most appropriate instructor response?

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Mental Health Proctored ATI 2023 Quizlet Questions

Question 1 of 5

An instructor overhears the nursing student ask a client,"This is your third admission. Why did you stop taking your medications?" Which would be the most appropriate instructor response?

Correct Answer: A

Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients. Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm. Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive. Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.

Question 2 of 5

A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa?

Correct Answer: D

Rationale: The correct answer is D because in bulimia nervosa, individuals often have enmeshed relationships with their mothers, feeling overly dependent or fused with them. Choice D suggests a healthy boundary between the client and her mother, indicating a level of independence not typically associated with bulimia nervosa. Choices A, B, and C all align with common themes seen in individuals with bulimia nervosa, such as seeking emotional support from the mother, feeling responsible for the mother's emotions, and experiencing a lack of structure or rules within the family dynamic.

Question 3 of 5

A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?

Correct Answer: B

Rationale: The correct answer is B because monitoring the client's vital signs is crucial in assessing for early signs of alcohol withdrawal, which is a life-threatening condition. This is a priority as the client has a history of experiencing alcohol withdrawal after previous admissions. Administering mood-stabilizing medications (A) may be necessary but not the immediate priority. Asking the client to refrain from being intrusive (C) is not addressing the underlying issue of alcohol withdrawal and bipolar disorder. Referring the client to a substance abuse treatment center (D) is important but not the priority when the client is exhibiting signs of potential alcohol withdrawal.

Question 4 of 5

A distraught mother brings her ten-year-old-son to the pediatrician and explains that no matter how much she tries to encourage her son to read books, he shows no interest and gets really upset when she pushes him to have reading time. In school, he gets average grades and explains that he gets frustrated because the schoolwork makes no sense. What diagnosis would the nurse suspect?

Correct Answer: D

Rationale: The correct answer is D: dyslexia. Dyslexia is a specific learning disability that affects reading and related language-based processing skills. In this case, the child's lack of interest in reading, frustration with schoolwork, and difficulty understanding the material points towards dyslexia. Dysphagia (choice A) is difficulty swallowing, not related to reading. Dyscalculia (choice B) is a learning disability related to math, not reading. Dysgraphia (choice C) is a learning disability related to writing, not reading. Therefore, based on the symptoms described, dyslexia is the most likely diagnosis.

Question 5 of 5

Which qualifications are appropriate to the scope of practice of the psychiatric/mental health registered nurse generalist?

Correct Answer: C

Rationale: Rationale: Choice C is correct because psychiatric/mental health registered nurse generalists are qualified to implement crisis intervention as part of their scope of practice. This is crucial in addressing acute mental health crises. Incorrect choices: A: Having a master's degree is not a specific qualification for psychiatric/mental health nursing practice. B: Nurse generalists cannot independently order medications based on tests; this is typically done by a physician or under their supervision. D: While nurses can contribute to assessing and documenting a client's condition, diagnosing medical conditions is typically done by physicians.

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