ATI RN Mental Health 2019 NGN | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Obtain the provider's prescription within 60 min. This is crucial as placing a client in seclusion is considered a restrictive intervention that requires a provider's order for legality and ethical reasons. Obtaining the prescription promptly ensures the client receives appropriate care and legal compliance.
Incorrect choices:
A: Document the client's behavior every 15 min - While documentation is important, obtaining the provider's order takes priority.
C: Offer the client food and fluids every 2 hr - Not the immediate concern when a client is physically aggressive and in seclusion.
D: Monitor the client's vital signs every 4 hr - Monitoring vital signs is important, but obtaining the provider's order is more urgent in this scenario.

Correct Answer: C

Rationale: The correct answer is C: "How have you dealt with similar situations in the past?" This question assesses the client's personal coping skills by exploring their previous experiences and coping strategies. By understanding how the client has managed similar challenges before, the nurse can gain insights into their resilience and coping mechanisms. This question focuses on the client's ability to handle adversity and adapt to stressful situations, providing valuable information for developing an effective care plan.
The other choices are incorrect because:
A: Focuses on the client's current feelings, not their coping skills.
B: Addresses the impact of the situation on the client's future, not their coping strategies.
D: Inquires about how the situation affects the client's life, but doesn't directly assess coping skills.

Correct Answer: A

Rationale: The correct answer is A because following cooking blogs indicates the client's engagement in food-related activities, which is crucial for recovery from anorexia nervosa. This behavior suggests the client is actively participating in learning about food and potentially trying out new recipes, demonstrating adherence to the treatment plan. The other choices are incorrect because B indicates low potassium levels, which could be a sign of poor nutrition; C indicates self-awareness but not necessarily adherence to treatment; and D indicates a very low BMI, which is not a positive sign of adherence to treatment.

Correct Answer: A,B,C,D

Rationale: The correct answer is A, B, C, and D.
A: Bradycardia is common in anorexia nervosa due to malnutrition.
B: Russell's sign, calluses on knuckles from induced vomiting, is seen in bulimia but can occur in anorexia nervosa with purging behaviors.
C: Lanugo, fine hair growth on the body, is a sign of malnutrition in anorexia nervosa.
D: Hypotension can occur due to dehydration and malnutrition.
Incorrect answers:
E: Diarrhea is not typically associated with anorexia nervosa; constipation is more common.

Correct Answer: B

Rationale: The correct answer is B because the client being unable to perform basic hygiene tasks indicates maladaptive grief. This behavior suggests a significant impairment in daily functioning, which is not a typical response to grief. Relocating (
A) and giving away belongings (
C) are common adaptive coping mechanisms. Expressing guilt (
D) is a normal part of the grieving process. The key is to recognize when grief symptoms become severe and impact daily activities, like in choice B.