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

Extract:

Question 1 of 5

A male client is admitted to the unit with a possible diagnosis of delirium. Which statement by the client's wife best supports the diagnosis?

A. This is supposed to happen when you get old, right?' B. Since his mother died, he has not been feeling well.' C. My husband just didn't seem to know what he was doing. He has been forgetful for years.' D. The changes in his behavior came on so quickly! I wasn't sure what was happening.'

Correct Answer: D

Rationale: The correct answer is D because delirium is characterized by a rapid onset of confusion, changes in behavior, and cognitive impairment. The wife's statement indicates that the changes in the husband's behavior came on suddenly, which aligns with the acute nature of delirium.

Choices A, B, and C do not specifically address the sudden onset of symptoms that differentiate delirium from other cognitive disorders like dementia.
Choice A implies a misconception about aging.
Choice B attributes the symptoms to grief, and choice C suggests long-standing forgetfulness rather than a sudden change.

Question 2 of 5

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A. A child who has a BMI indicating obesity. B. A child who uses the call light frequently. C. A child who has frequent visitors. D. A child whose parents answer questions for the child.

Correct Answer: D

Rationale: The correct answer is D because a child whose parents answer questions for them could indicate potential abuse, as it may suggest controlling behavior or fear of speaking out.
Choice A (obesity) is not a definitive sign of abuse.

Choices B (call light use) and C (frequent visitors) are not necessarily indicators of abuse, as they could have other explanations.

Question 3 of 5

The nurse is caring for a client diagnosed with Severe Intellectual Disability. Which of the following characteristics should the nurse recognize to be associated with Severe Intellectual Disability?

A. Other than possible coordination problems, the client's psychomotor skills are not affected. B. The client communicates wants and needs by 'acting out behaviors.' C. The client can perform some self-care activities independently. D. The client has advanced speech development.

Correct Answer: B

Rationale: The correct answer is B: The client communicates wants and needs by 'acting out behaviors.' Individuals with Severe Intellectual Disability often have limited communication skills and may resort to behaviors such as acting out to express their needs and desires. This is a common characteristic of Severe Intellectual Disability.

Other choices are incorrect:
A: Other than possible coordination problems, the client's psychomotor skills are not affected - This is incorrect because individuals with Severe Intellectual Disability may have challenges with both cognitive and motor skills.
C: The client can perform some self-care activities independently - This is incorrect as individuals with Severe Intellectual Disability often require assistance with most self-care activities.
D: The client has advanced speech development - This is incorrect as individuals with Severe Intellectual Disability typically have delayed or impaired speech development.

Question 4 of 5

A client with a history of substance abuse is admitted to an acute care facility. Which of the following actions should the nurse perform first?

A. Obtain a complete health history from the client. B. Administer medications prescribed for detoxification. C. Assess the client for signs of withdrawal. D. Plan the client's discharge goals with the family.

Correct Answer: C

Rationale: The correct answer is C: Assess the client for signs of withdrawal. This should be the first action because withdrawal symptoms can be life-threatening and need immediate attention. The nurse must assess the client's physical and mental status to determine the severity of withdrawal and provide appropriate interventions. Obtaining a complete health history from the client (
A) may be important but not as urgent as assessing for withdrawal symptoms. Administering medications prescribed for detoxification (
B) should only be done after assessing the client's withdrawal symptoms. Planning discharge goals with the family (
D) is premature and should be done after stabilization.

Question 5 of 5

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions by the client should the nurse interpret as a compulsive behavior?

A. The client continually thinks about death. B. The client performs handwashing rituals several times a day. C. The client expresses fears of contamination. D. The client demonstrates excessive dependency on others.

Correct Answer: B

Rationale: The correct answer is B because handwashing rituals are a common compulsive behavior in individuals with OCD. These rituals are performed in an attempt to reduce anxiety or prevent harm related to obsessive thoughts. Continual thoughts about death (
A) may be distressing but not necessarily a compulsive behavior. Fears of contamination (
C) are common in OCD, but expressing these fears alone does not indicate a compulsive behavior. Excessive dependency on others (
D) may be a sign of another mental health issue, such as dependent personality disorder, but not specific to OCD compulsions.

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

Nurselytic

ATI RN

ATI RN