ATI RN
ATI nsg 133 Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?
Correct Answer: C
Rationale: The correct answer is C. The statement "It was good. The Queen of England visited me there." is an example of confabulation, which is a symptom of Alzheimer's disease where the individual creates false memories to fill in gaps in their memory. In this case, the client is fabricating a visit from the Queen of England during therapy, which is highly unlikely and indicates confabulation.
Choices A, B, and D do not demonstrate confabulation.
Choice A shows a typical memory issue common in Alzheimer's disease.
Choice B is a repetitive statement, which may indicate cognitive impairment but not necessarily confabulation.
Choice D is a nonsensical statement, which could be a sign of confusion or delirium, but not necessarily confabulation.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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