ATI RN Mental Health 2023 with NGN | Nurselytic

Correct Answer: D

Rationale: The correct answer is D. Offering to contact the client's spiritual advisor shows support for the client's spiritual needs, providing them with an opportunity to seek comfort and guidance from someone who shares their beliefs. This action respects the client's autonomy and individual preferences. It acknowledges the importance of spirituality in the grieving process, which can provide solace and coping mechanisms.

Options A, B, and C are incorrect:
A: Encouraging the client to internalize their feelings may hinder the grieving process and inhibit emotional expression, potentially leading to unresolved issues.
B: Changing the subject when the client expresses anger dismisses their emotions and prevents them from processing their feelings effectively.
C: Allowing the client to be alone during times of spiritual inadequacy may exacerbate feelings of isolation and hinder their ability to seek support and comfort.

Correct Answer: C

Rationale: The correct answer is C: Varenicline. Varenicline is a medication used to help individuals quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It works by targeting the nicotine receptors in the brain, making smoking less satisfying. Naltrexone (
A) is used for alcohol dependence, not smoking cessation. Disulfiram (
B) is used for alcohol aversion therapy, not smoking cessation. Donepezil (
D) is used for Alzheimer's disease, not smoking cessation.
Therefore, the nurse should expect the provider to prescribe varenicline to help the client quit smoking successfully.

Correct Answer: B

Rationale: The correct answer is B: Obtain a prescription for seclusion within 30 minutes. This is crucial as seclusion should be prescribed by a healthcare provider promptly to ensure it is appropriate and necessary for the client's safety. Keeping the client in seclusion for a specific time frame (choice
A) may not align with the client's individual needs. Monitoring vital signs (choice
C) and documenting behavior (choice
D) are important but not as time-sensitive as obtaining the prescription. It is essential to prioritize the client's immediate safety by following the appropriate protocols and obtaining the necessary authorization for seclusion promptly.

Correct Answer: B

Rationale: The correct answer is B: "Let's discuss what you feel embarrassed about." This response shows empathy and encourages open communication, which is crucial in therapeutic relationships. By inviting the client to share their feelings, the nurse creates a safe space for the client to express themselves and address their concerns.
Choice A is incorrect because it generalizes the client's feelings without directly addressing their specific situation.
Choice C may come across as dismissive and invalidating the client's emotions.
Choice D is incorrect as it assumes that sharing the secret will automatically make the client feel better without considering the potential consequences.

Correct Answer: A

Rationale: The correct answer is A. A client with mania often exhibits rapid and excessive talking, a common symptom of mania. This behavior is known as pressured speech. Option B, memory loss, is not typically associated with mania but may occur in certain situations. Option C, sleeping over 10 hours a day, is more indicative of depression rather than mania. Option D, expressing feelings of inferiority, is more aligned with symptoms of depression, not mania.