How does the nurse interpret assessment data in planning client care?

Questions 20

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RN Mental Health 2023 ATI Proctored Questions

Question 1 of 5

How does the nurse interpret assessment data in planning client care?

Correct Answer: B

Rationale: The correct answer is B: analyzing cues. In the nursing process, assessing data involves collecting information about the client's health status. Analyzing cues means interpreting and making sense of the collected data to identify patterns, issues, and potential problems. This step is crucial in planning client care as it helps the nurse understand the client's needs and develop appropriate interventions. Generating solutions (A) comes after analyzing cues, taking action (C) is part of implementing the care plan, and evaluating outcomes (D) is the final step to assess the effectiveness of the interventions. Therefore, B is the correct choice as it directly relates to the interpretation of assessment data in planning client care.

Question 2 of 5

During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks the patient, 'How would your life be different?' Which type of question is the therapist using?

Correct Answer: B

Rationale: The correct answer is B: Miracle question. This question is used to help clients envision a future where their problems have miraculously disappeared, allowing them to explore how their life would be different without those issues. It encourages clients to imagine a positive change and helps them identify their desired outcomes. A: Exception question focuses on times when the problem did not occur. C: Relationship question explores how relationships may be impacting the issue. D: Scaling question involves rating progress or motivation levels, not imagining a problem-free scenario.

Question 3 of 5

A nurse is planning care for a client with a sealed radiation implant who is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?

Correct Answer: B

Rationale: Step-by-step rationale for the correct answer B: 1. Wearing a dosimeter film badge helps monitor the nurse's radiation exposure. 2. This is important as the nurse will be in close proximity to the client with the radiation implant. 3. The badge will measure the nurse's radiation exposure levels to ensure they are within safe limits. 4. This precaution is crucial to protect the nurse's health during the client's stay. Summary of why other choices are incorrect: A: Removing dirty linens does not directly relate to radiation safety for the nurse. C: Limiting client visits does not address the nurse's radiation exposure. D: Ensuring family members stay 3 feet away does not protect the nurse from radiation exposure.

Question 4 of 5

The DSM-V classifies:

Correct Answer: D

Rationale: The correct answer is D because the DSM-V classifies mental disorders people have. This classification is based on a comprehensive assessment of specific criteria outlined in the DSM-V for various mental health conditions. Deviant behaviors (A) alone do not necessarily indicate a mental disorder. Present disability or distress (B) is a consequence of mental disorders, but not the sole criteria for classification. Classifying all people with mental disorders (C) is too broad and does not account for individuals without a diagnosed mental disorder. Therefore, the correct classification focuses on mental disorders individuals have (D) based on specific diagnostic criteria.

Question 5 of 5

How does the nurse interpret assessment data in planning client care?

Correct Answer: B

Rationale: The correct answer is B: analyzing cues. In the nursing process, assessing data involves collecting information about the client's health status. Analyzing cues means interpreting and making sense of the collected data to identify patterns, issues, and potential problems. This step is crucial in planning client care as it helps the nurse understand the client's needs and develop appropriate interventions. Generating solutions (A) comes after analyzing cues, taking action (C) is part of implementing the care plan, and evaluating outcomes (D) is the final step to assess the effectiveness of the interventions. Therefore, B is the correct choice as it directly relates to the interpretation of assessment data in planning client care.

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