The nurse is integrating Peplau's model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?

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ATI Mental Health Proctored Exam 2024 Quizlet Questions

Question 1 of 5

The nurse is integrating Peplau's model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?

Correct Answer: B

Rationale: The correct answer is B: Anxiety. In Peplau's model of nursing, the nurse helps patients identify and understand their feelings, with anxiety being a key component in mental illness. The nurse assists the patient in exploring and managing their anxiety, leading to improved mental health outcomes. Self-care (C) is important but not a specific key component in Peplau's model. Suffering (A) is a broad term and not a central focus of Peplau's theory. Nonverbal behaviors (D) are important in communication but not a key component in Peplau's model for mental illness care.

Question 2 of 5

A client visits the clinic and complains of chronic pain in her leg as a result of a fall 6 months ago. Which of the following would be most important for the nurse to do first when developing the client's plan of care?

Correct Answer: A

Rationale: The correct answer is A: Acknowledge the client's pain. This is the most important step as it establishes trust, validates the client's experience, and shows empathy. By acknowledging the pain first, the nurse can build a therapeutic relationship with the client, which is crucial in developing an effective plan of care. Identifying situations that increase the pain (B) and having the client rate her pain (C) are important but secondary steps that can follow after acknowledging the pain. Reviewing the client's current medications (D) is also important but not the first priority in this scenario.

Question 3 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.

Question 4 of 5

Terry is a young male in a chemical dependency program. Recently he has become increasingly distracted and disengaged. The nurse concludes that Terry is:

Correct Answer: D

Rationale: Step 1: Terry's increasing distraction and disengagement suggest a lack of readiness for change. Step 2: This behavior is common in individuals not prepared to address their issues. Step 3: Option D, "Not ready to change," accurately reflects Terry's current state. Summary: Option A is incorrect as boredom does not capture the severity of Terry's behavior. Option B, depression, is not supported by the information provided. Option C, bipolar disorder, is unlikely given the limited symptoms described.

Question 5 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.

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