Which statement by an older patient with a mild neurocognitive disorder demonstrates a safe response to beginning a new medication?

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Mental Health ATI Proctored 2023 Questions

Question 1 of 5

Which statement by an older patient with a mild neurocognitive disorder demonstrates a safe response to beginning a new medication?

Correct Answer: B

Rationale: The correct answer is B because having a family member present during appointments ensures accurate information retention and understanding, especially for older patients with mild neurocognitive disorders who may have difficulty remembering or processing information independently. This support system can help clarify any confusion, address concerns, and monitor medication adherence. A: While reading the information provided by the pharmacist is helpful, it may not be sufficient for patients with cognitive impairments. C: While knowing they can call the doctor is important, relying solely on this may not provide immediate or real-time support when needed. D: Following instructions on the medication bottle is essential, but older patients with cognitive disorders may need additional assistance to ensure proper medication management.

Question 2 of 5

The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is explaining to the family about the major cause of the client's condition. Which statement by the nurse would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C because delirium is characterized by a rapid onset of altered consciousness. Delirium is an acute condition that manifests quickly, unlike dementia which is more gradual. The sudden change in consciousness is a key factor in diagnosing delirium. Choice A is incorrect as talking normally is not a primary diagnostic criterion for delirium. Choice B is incorrect as gradual confusion over time is more indicative of dementia rather than delirium. Choice D is incorrect as exposure to an infectious agent is not a primary cause for delirium, although it could contribute in some cases.

Question 3 of 5

The nurse is assessing a newly admitted client diagnosed with schizoaffective disorder. The nurse assesses the client's level of anxiety and reactions to stressful situations, obtaining this information for which reason?

Correct Answer: C

Rationale: The correct answer is C: To act as a predictor of the client's risk for a suicide attempt. Assessing the client's level of anxiety and reactions to stressful situations is crucial in determining the likelihood of a suicide attempt, as individuals with schizoaffective disorder are at a higher risk for suicide. By understanding the client's anxiety levels and responses to stress, the nurse can intervene early to prevent potential harm. Choice A is incorrect because assessing anxiety levels is more focused on immediate risk factors rather than long-term outcomes. Choice B is incorrect because mental competency is typically assessed through other means. Choice D is incorrect as social skills evaluation is not the primary purpose of assessing anxiety levels in this context.

Question 4 of 5

A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?

Correct Answer: D

Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.

Question 5 of 5

Which activity is most appropriate for a child with ADHD?

Correct Answer: D

Rationale: The correct answer is D: Tennis. Physical activities like tennis are beneficial for children with ADHD as they help release excess energy and improve focus. Tennis involves physical movement, coordination, and strategy, which can enhance concentration and self-regulation skills. Reading an adventure novel (A) may be too sedentary for a child with ADHD, limiting their ability to focus. Monopoly (B) and Checkers (C) are good for cognitive development but may not provide enough physical activity to help manage ADHD symptoms effectively. Tennis, on the other hand, offers a combination of physical exercise and mental engagement, making it the most appropriate choice for a child with ADHD.

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