ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: C
Rationale: The correct answer is C: Forgetfulness gradually progressing to disorientation. In primary dementia, such as Alzheimer's disease, memory loss is a common early symptom that progresses to disorientation as the disease advances. This progression is due to the degeneration of brain cells affecting cognitive function.
Choice A is incorrect because sensory acuity is typically not affected in primary dementia.
Choice B is incorrect as emotional changes are varied and not universally decreased.
Choice D is incorrect as personality changes are more likely to be subtle and related to cognitive decline rather than becoming the opposite of original traits.
Question 2 of 5
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: C
Rationale: The correct answer is C: Forgetfulness gradually progressing to disorientation. In primary dementia, such as Alzheimer's disease, memory loss is a common early symptom that progresses to disorientation as the disease advances. This progression is due to the degeneration of brain cells affecting cognitive function.
Choice A is incorrect because sensory acuity is typically not affected in primary dementia.
Choice B is incorrect as emotional changes are varied and not universally decreased.
Choice D is incorrect as personality changes are more likely to be subtle and related to cognitive decline rather than becoming the opposite of original traits.
Question 3 of 5
A nurse on a mental health unit is caring for clients who have various diagnoses. When determining that the traction is the following client diagnoses as presenting the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. This diagnosis presents the greatest risk for suicide due to the severity of symptoms such as persistent low mood, loss of interest, changes in appetite or sleep, and feelings of hopelessness. Individuals with major depressive disorder are more likely to have suicidal ideation and behaviors. Seasonal affective disorder (
A) typically has depressive symptoms that are related to specific seasons, which may not necessarily increase suicide risk. Persistent depressive disorder (
B) can lead to chronic low mood but may not have the same level of severity as major depressive disorder. Premenstrual dysphoric disorder (
D) is characterized by mood changes before menstruation but is not typically associated with increased suicide risk.
Question 4 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct answers are B, C, D, and E. Calculations assess cognitive function, long-term memory evaluates memory impairment, orientation indicates awareness, and recall ability reflects memory. A: Coping skills are not typically assessed in an MSE. F and G are not applicable.
Question 5 of 5
A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Set limits to prevent exploitation of other clients. Individuals with dependent personality disorder may have difficulty establishing boundaries and may unintentionally exploit others. By setting limits, the nurse helps prevent harm to other clients and promotes a safe therapeutic environment. Monitoring for self-mutilation (
A) is not directly related to dependent personality disorder. Giving positive feedback for assertiveness (
B) may be helpful but does not address the core issue of boundary setting. Discouraging flamboyant or seductive behaviors (
D) is not specific to the care of a client with dependent personality disorder.