ATI RN Mental Health 2023 with NGN | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Autonomy. Autonomy refers to respecting the client's right to make their own decisions about their treatment. By supporting the client's refusal of medications, the nurse is upholding the principle of autonomy and acknowledging the client's right to choose what happens to their own body. This empowers the client and promotes self-determination.
Other choices are incorrect because:
B: Beneficence focuses on doing good for the client, which would involve ensuring the client receives necessary treatment.
C: Veracity relates to truth-telling, not the client's right to refuse treatment.
D: Justice is about fairness and equal treatment, not specifically related to respecting the client's autonomy.

Correct Answer: C

Rationale: The correct answer is C: Explain to the client that the duration of grief is highly variable and can last for years. This is the best action because it validates the client's experience and provides reassurance that prolonged grieving is normal. It helps the client understand that everyone copes with loss differently and that there is no set timeline for the grieving process. This approach promotes empathy and allows the client to feel heard and supported.

Explanation for other choices:
A: Cautioning against feeling angry can invalidate the client's emotions and hinder the therapeutic relationship.
B: Recommending solitary activities may isolate the client further and not address the underlying grief.
D: Encouraging avoidance of discussing the death can prevent the client from processing emotions and seeking support.

Correct Answer: A

Rationale: The correct recommendation is A: Try guided imagery before bedtime. Guided imagery is a relaxation technique that can help reduce anxiety and promote better sleep. By engaging in guided imagery, the client can focus on positive mental images, calming their mind and body, leading to improved sleep. This technique is evidence-based and has been shown to be effective in managing anxiety and improving sleep quality.
Other choices are incorrect:
B: Lie in bed and try to make yourself fall asleep - This can increase anxiety and worsen sleep disturbances.
C: Eat something substantial before getting ready for bed - Eating a large meal before bed can disrupt sleep and exacerbate anxiety.
D: Restrict the amount of sleep you are getting - Restricting sleep can worsen anxiety symptoms and lead to further sleep disturbances.

Correct Answer: B

Rationale: The correct answer is B: "Can you tell me how you have been feeling lately?" This response shows empathy and allows the client to express their emotions, which is crucial in understanding their mental state and providing appropriate care.
Choice A may come off as judgmental, implying the client's actions were unwarranted.
Choice C minimizes the severity of the client's condition.
Choice D suggests a solution without first understanding the client's feelings.

Correct Answer: D

Rationale: The correct answer is D: Delay cognitive impairment with NMDA receptor antagonist medications. NMDA receptor antagonists, such as memantine, are commonly used to slow the progression of cognitive decline in Alzheimer's disease by regulating glutamate activity in the brain. This treatment option aims to improve cognitive function and delay the worsening of symptoms. Initiating hospice care (
A) is not appropriate for a client newly diagnosed with Alzheimer's disease. Transcranial magnetic stimulation (
B) may help with depression but does not directly improve cognitive status. Barbiturate medications (
C) are not recommended for anxiety in Alzheimer's disease due to their potential side effects. In summary, choosing NMDA receptor antagonist medications is the most appropriate option to address the client's condition effectively.