ATI Custom NSG 133 Mental Health Final Exam Summer (2023) |

Extract:

Question 1 of 5

A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification by the home health nurse?

A. I know that men who are abusers gain power through intimidation.' B. I have heard that abusers think of themselves as important and have high self-esteem.' C. I know that abusers lack social supports and social skills.' D. I have heard that abusers try to keep their partner isolated from others.'

Correct Answer: B

Rationale: The correct answer is B. This statement indicates a need for clarification because it suggests that abusers have high self-esteem and see themselves as important, which is not accurate. Abusers often have low self-esteem and use power and control tactics to compensate. This misconception could lead to misunderstanding and misidentification of domestic violence situations.

Statement A is correct as abusers do gain power through intimidation. Statement C is correct as abusers often lack social supports and skills. Statement D is correct as abusers often isolate their partners to control them. Thus, the need for clarification lies in statement B only.

Question 2 of 5

A nurse on the medical unit is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)

A. Tachycardia. B. Tremors. C. Hallucinations. D. Hypotension. E. Seizures.

Correct Answer: A,B,C,E

Rationale: The correct answer is A, B, C, and E. Tachycardia, tremors, hallucinations, and seizures can all be potential physical symptoms of alcohol withdrawal. Tachycardia is an increased heart rate, often seen during withdrawal due to the body's response to alcohol leaving the system. Tremors, or shaking of the hands or other body parts, are also common withdrawal symptoms. Hallucinations can occur, ranging from mild to severe visual or auditory disturbances. Seizures are a severe complication of alcohol withdrawal known as delirium tremens.

Choices D, F, and G are incorrect as hypotension (low blood pressure) is not typically associated with alcohol withdrawal, and options F and G are not provided in the question stem.

Question 3 of 5

A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?

A. You are feeling very depressed. I felt the same way when I decided to leave my husband.' B. I can understand you are feeling depressed. It was a difficult decision. I'll sit with you.' C. You seem depressed. It was a difficult decision to make. Would you like to talk about it?' D. I know this is a difficult time for you. Would you like medication for anxiety?'

Correct Answer: A

Rationale: The correct answer is A because it demonstrates empathy rather than sympathy, as the nurse is sharing her own experience to connect with the client. This can create a sense of validation and understanding for the client's emotions.
Choice B acknowledges the client's feelings and offers support, making it a therapeutic response.
Choice C also acknowledges the client's feelings and offers an opportunity for discussion, making it a therapeutic response.
Choice D is non-therapeutic as it jumps to suggesting medication without fully exploring the client's emotional needs.

Question 4 of 5

A nurse is caring for a client who lost all his possessions in a house fire and states, 'I have no idea what I am going to do. I cannot think right now.' Which of the following actions should the nurse take?

A. Identify other housing options and sources of transportation. B. Notify the facility chaplain to request scheduling an appointment. C. Confirm that everything will be all right because belongings can be replaced. D. Maintain eye contact with the client and summarize the client's feelings.

Correct Answer: D

Rationale: The correct answer is D: Maintain eye contact with the client and summarize the client's feelings. This is the best option because it shows active listening and empathy towards the client's emotional state. By maintaining eye contact, the nurse conveys attentiveness and support, which can help the client feel heard and understood. Summarizing the client's feelings also validates their emotions and can help them process their thoughts.

Option A is incorrect because focusing on practical solutions may not address the client's immediate emotional needs. Option B is inappropriate as involving the chaplain may not be necessary at this moment. Option C is dismissive of the client's feelings and does not offer emotional support.

Question 5 of 5

A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?

A. Aggressive behavior. B. Attention-seeking conduct. C. Mild fidgeting. D. Mild difficulty problem-solving.

Correct Answer: A

Rationale: The correct answer is A: Aggressive behavior. Severe anxiety can trigger a fight-or-flight response, leading to aggression. This can manifest as verbal or physical outbursts.
Choice B, attention-seeking conduct, is not typically associated with severe anxiety but rather with other underlying issues.
Choice C, mild fidgeting, is more common in mild anxiety cases.
Choice D, mild difficulty problem-solving, is not a typical manifestation of severe anxiety but may occur in more severe mental health conditions.

ATI Custom NSG 133 Mental Health Final Exam Summer (2023) | Nurselytic

Nurselytic

ATI RN

ATI RN