ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE), the nurse should include which of the following data? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale:
Correct Answer: A, C, D, E
Rationale:
1. Ability to perform calculations: Assessing calculation skills can indicate cognitive functioning.
2. Recall ability: Testing recall assesses memory function, important in dementia evaluation.
3. Long-term memory: Evaluating long-term memory helps identify any significant memory deficits.
4. Level of orientation: Orientation to time, place, and person is crucial in assessing cognitive status.
Incorrect
Choices:
- Coping skills: While important, coping skills are not typically assessed in an MSE for dementia.
- (
Choices F and G are not provided in the question, so they are not applicable for evaluation in this context.)
Question 2 of 5
Where should a nurse assign a client experiencing manic behavior?
Correct Answer: B
Rationale: The correct answer is B. A client experiencing manic behavior requires a calm and quiet environment to prevent overstimulation. A private room in a quiet location would help reduce external stimuli and promote relaxation. Placing the client in a semi-private room across from the day room (choice
A) or snack area (choice
C) may lead to increased stimulation, exacerbating manic symptoms. Additionally, a shared room near the nursing station (choice
D) could be disruptive for both the client and other patients.
Therefore, choice B is the most appropriate option for managing manic behavior effectively.
Question 3 of 5
Which intervention should a nurse prioritize when caring for a client with alcohol use disorder?
Correct Answer: B
Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial in managing alcohol use disorder as it addresses the physical consequences of excessive alcohol consumption, such as dehydration and exhaustion. Hydration helps prevent complications like electrolyte imbalances and detoxification, while rest supports the body's healing process. Helping the client identify positive personality traits (
A) may be beneficial for self-esteem but is not a priority in the acute care phase. Confronting denial and defense mechanisms (
C) can lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but may not be effective if the client is not physically stable.
Question 4 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how alcohol use affects the client's psychosocial behaviors?
Correct Answer: A
Rationale:
Rationale: Asking how alcohol use affects work performance helps assess psychosocial impact by identifying functional impairment related to alcohol. This question can reveal issues with productivity, relationships, and financial stability. Other options focus on treatment history, age of onset, and mental health, which are important but not directly related to current psychosocial impact.
Question 5 of 5
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hand tremors are a common early symptom of alcohol withdrawal.