ATI RN
ATI N200 Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client was recently diagnosed with mild Alzheimer's disease. Which of the statements shared by the client's child about their risk for Alzheimer's disease indicates the need for re-teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A: Incorrect. Eating dessert every night may lead to unhealthy eating habits, which can impact brain health. B: Incorrect. Alzheimer's disease can affect both males and females. C: Correct. Genetic testing can provide valuable information about the risk of Alzheimer's disease. D: Incorrect. Managing blood pressure is important for overall health but not directly related to Alzheimer's risk. E: Incorrect. Regular physical activity, such as a daily walk, can help reduce the risk of Alzheimer's disease.
Therefore, options A, B, and E need re-teaching to provide accurate information about Alzheimer's disease risk.
Question 2 of 5
A nurse is preparing a presentation at a community center about complementary and alternative therapies. Which of the following therapies should the nurse describe as the use of an electronic monitoring device to help clients learn to control physical responses to stress?
Correct Answer: A
Rationale: The correct answer is A: Biofeedback. Biofeedback is the use of electronic monitoring devices to provide clients with real-time information about their physiological responses, such as heart rate or muscle tension, enabling them to learn to control these responses consciously. This therapy helps individuals manage stress by increasing awareness and control over their bodily functions. Acupuncture (
B) involves the insertion of thin needles into specific points on the body to promote healing. Reiki (
C) is a form of energy healing where practitioners channel energy into the patient. Autogenic training (
D) is a relaxation technique involving self-suggestions to promote relaxation. These therapies are not focused on using electronic monitoring devices to control physical responses to stress like biofeedback.
Question 3 of 5
A nurse would expect to administer which of the following medications to a client who is escalating to the point of a possible assault?
Correct Answer: A
Rationale: The correct answer is A: Lorazepam. Lorazepam is a benzodiazepine used for acute management of agitation and aggression. It has a rapid onset of action and can help calm the client quickly in a crisis situation. Valproic Acid (
B) is used for seizure disorders and bipolar disorder, not acute agitation. Bupropion (
C) is an antidepressant and not indicated for acute agitation. Sertraline (
D) is an antidepressant used for long-term management of depression and anxiety, not for acute agitation.
Question 4 of 5
A nurse working on a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. Which of the following are therapeutic communication techniques? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. Restating (
A) involves paraphrasing the client's words to show understanding. Maintaining neutral responses (
C) helps prevent judgment and shows acceptance. Listening (E) is essential for understanding the client's perspective. Giving advice (
B) is non-therapeutic as it imposes the nurse's opinions. Asking the client 'Why?' (
D) can be seen as confrontational or judgmental. In summary, therapeutic communication involves active listening, empathy, and non-judgmental responses to promote trust and understanding.
Question 5 of 5
A nurse notices that a client with paranoid schizophrenia stops in mid-sentence when talking and tilts his head to the side as if to listen. The most appropriate intervention by the nurse would be to:
Correct Answer: A
Rationale: The correct answer is A: Ask the client, 'What are the voices saying to you?' This is the most appropriate intervention because the client's behavior suggests he may be experiencing auditory hallucinations, a common symptom of paranoid schizophrenia. By directly addressing the possibility of hearing voices, the nurse acknowledges the client's experience and opens up communication for further assessment and support. This intervention demonstrates empathy and understanding, essential in building therapeutic rapport with clients with schizophrenia.
Other choices are incorrect:
B: Giving a PRN dose of benztropine is not appropriate as the client's behavior is not indicative of extrapyramidal symptoms that would require anticholinergic medication.
C: Reporting the behavior to the physician without first assessing the client directly may delay necessary intervention and support.
D: Dismissing the client's behavior as a distraction may lead to further communication barriers and hinder the therapeutic relationship.