ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D - Can you tell me more about what is upsetting you?
Rationale: This response demonstrates active listening and empathy. By encouraging the client to express their feelings, the nurse can better understand the underlying issues causing dissatisfaction. It shows willingness to address concerns and provide emotional support.
Incorrect
Choices:
A: Asking about family is not directly addressing the client's expressed concern about nursing care.
B: Anticipatory grieving is not the main issue here, so this response may dismiss the client's feelings.
C: Assuming the nurses are doing a good job without addressing the client's specific concerns may invalidate their feelings.
E, F, G: No information provided, but they are likely incorrect as they do not directly address the client's expressed dissatisfaction.
Question 2 of 5
A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D - Can you tell me more about what is upsetting you?
Rationale: This response demonstrates active listening and empathy. By encouraging the client to express their feelings, the nurse can better understand the underlying issues causing dissatisfaction. It shows willingness to address concerns and provide emotional support.
Incorrect
Choices:
A: Asking about family is not directly addressing the client's expressed concern about nursing care.
B: Anticipatory grieving is not the main issue here, so this response may dismiss the client's feelings.
C: Assuming the nurses are doing a good job without addressing the client's specific concerns may invalidate their feelings.
E, F, G: No information provided, but they are likely incorrect as they do not directly address the client's expressed dissatisfaction.
Question 3 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms by reducing anxiety and preventing seizures. It acts by enhancing the inhibitory effects of gamma-aminobutyric acid (GAB
A) in the brain, helping to stabilize the client during withdrawal. Disulfiram (
A) is used to deter alcohol consumption by causing unpleasant effects if alcohol is consumed. Bupropion (
C) is an antidepressant and is not typically used for alcohol withdrawal. Buprenorphine (
D) is a medication used for opioid addiction and is not typically indicated for alcohol withdrawal.
Question 4 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Statement A reflects countertransference as it indicates a personal connection between the nurse and the client based on the nurse's past experience with their brother. This can lead to biased care.
Summary:
- Statement B is focused on the client's responsibility.
- Statement C is about the client's behavior during therapy.
- Statement D is about the client's request for a date with the nurse, which is boundary crossing.
Question 5 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: Delaying cognitive impairment with NMDA receptor agonist medications. NMDA receptor agonists have been shown to slow down the progression of cognitive decline in Alzheimer's disease by modulating glutamate transmission. This treatment option can help improve cognitive function and quality of life for the client.
A: Transcranial magnetic stimulation may help with certain psychiatric conditions but is not a standard treatment for Alzheimer's disease.
B: Barbiturate medications are not recommended for controlling anxiety in Alzheimer's disease due to their sedative effects and potential for cognitive impairment.
C: Hospice care services are typically considered in the advanced stages of Alzheimer's when curative treatments are no longer effective, not at the time of diagnosis.
In summary, option D is the most appropriate choice as it directly addresses the management of Alzheimer's disease symptoms and progression.