Questions 66

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ATI Mental Health Exam N200 Group 2 Exam Questions

Extract:


Question 1 of 5

A client is diagnosed with Alzheimer's disease. When asked about the previous evening,the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?

Correct Answer: D

Rationale: Confabulation involves the creation of false memories or stories without the intention to deceive. This is common in Alzheimer's disease as the brain attempts to fill gaps in memory. Aphasia is a language disorder that affects a person's ability to communicate and does not involve false memories. Delirium is an acute change in mental status causing confusion but not typically characterized by fabricated stories. Apraxia is a motor disorder affecting task performance unrelated to memory fabrication.

Question 2 of 5

A client is noted to be pacing on the unit with their hands clenched and mumbling curses. The nurse knows that the initial approach to this client would be to:

Correct Answer: C

Rationale: speak softly and calmly. A calm non-threatening approach de-escalates agitation and builds rapport. Confronting hiding hands or offering caffeine may escalate the situation.

Question 3 of 5

The nurse is interviewing a newly admitted client. Which of the following nursing statements is an example of offering a "general lead"?

Correct Answer: D

Rationale: Yes, I see. Go on. This encourages the client to continue speaking without directing the topic characteristic of a general lead.

Question 4 of 5

A 16-year-old client diagnosed with schizophrenia disorder experiences command hallucinations to harm others. The client's parents ask a nurse,Where do the voices come from?

Correct Answer: A

Rationale: There is a chemical imbalance of the brain, which leads to altered perceptions. Schizophrenia involves brain chemistry abnormalities causing hallucinations. Medication interactions serotonin alone or hormones are not primary causes.

Question 5 of 5

The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?

Correct Answer: D

Rationale: Increased restlessness can be a sign of pain anxiety hypoxia or other complications and should be addressed promptly. Blood pressure 110/70 and heart rate 86 are within normal ranges hypoactive bowel sounds are common post-operatively and a negative Homan's sign is a positive finding.

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