ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, 'I’m not able to fall asleep easily or stay asleep.' Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Try meditation before you go to bed at night. Meditation is a relaxation technique that can help reduce stress and calm the mind, making it easier to fall asleep. By engaging in meditation before bedtime, the client can promote a sense of relaxation and improve sleep quality.
Choice A: Catching up on lost sleep by napping during the daytime can disrupt the client's sleep cycle and make it harder to fall asleep at night.
Choice B: Avoiding reading in the evenings prior to bedtime may be a helpful suggestion, but it does not directly address the client's difficulty falling and staying asleep.
Choice C: Dimming the screen on the cellphone can reduce exposure to blue light, which can interfere with sleep, but it may not be as effective as meditation in promoting relaxation.
In summary, meditation is the best recommendation as it directly targets the client's sleep difficulties by promoting relaxation and reducing stress.
Question 2 of 5
A nurse is providing teaching for a client who has an alcohol use disorder. Which of the following statements should the nurse make to help prevent relapse?
Correct Answer: A
Rationale: The correct answer is A: "List the negative effects of alcohol use in your life." This statement is effective in preventing relapse as it helps the client identify the consequences of their alcohol use, increasing their motivation to change. It promotes self-reflection and awareness of the harmful impact of alcohol on their life.
Choice B is incorrect because attending support group meetings may be helpful but does not directly address the client's personal consequences of alcohol use.
Choice C is incorrect as prescribing lorazepam is not a recommended method for preventing relapse in alcohol use disorder.
Choice D is incorrect as revisiting familiar places associated with drinking can trigger cravings and increase the risk of relapse.
Question 3 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose 256 mg/dL (74 to 106 mg/dL). This finding is concerning because risperidone, an antipsychotic medication, can cause metabolic side effects such as hyperglycemia. High blood glucose levels can lead to serious complications like diabetic ketoacidosis. The nurse should notify the provider for further evaluation and management.
The other choices (B, C,
D) fall within the normal reference ranges and do not indicate any immediate concerns related to the client's condition or medication.
Therefore, they do not require immediate notification to the provider.
Question 4 of 5
A nurse is providing teaching to a client who is newly diagnosed with Alzheimer's disease. Which of the following treatment options should the nurse include in the teaching?
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.
Question 5 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience difficulties with memory and cognitive function, leading to the inability to recognize familiar objects or people. This is due to the progressive deterioration of brain cells affecting memory and perception. Altered level of consciousness (
A) is not a typical finding in Alzheimer's disease unless there is a medical complication. Excessive motor activity (
C) is not commonly associated with Alzheimer's, as individuals often exhibit decreased motor skills. Rapid mood swings (
D) may occur in some cases, but failure to recognize familiar objects is a more characteristic finding.