ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Initiate fall precautions for the client. Lorazepam is a benzodiazepine that can cause drowsiness, dizziness, and impair coordination. Initiating fall precautions is essential to prevent the client from falling and injuring themselves due to these side effects. Instructing the client to expect ringing in the ears (choice
A) is not relevant to lorazepam administration. Placing the client in restraints (choice
B) is not appropriate and can be considered a restraint of freedom. Repeating the dose in 15 minutes (choice
C) is not recommended as it can lead to an overdose.
Question 2 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D, E
Rationale:
Correct
Answer: D, E
Rationale:
1. Talking to the client using short, simple sentences helps in calming the client down as complex information may escalate the situation.
2. Identifying the client's stressors allows the nurse to address the underlying causes of the behavior and provide appropriate support.
Summary:
A: Speaking loudly can escalate the situation further.
B: Standing directly in front may be perceived as confrontational, worsening the behavior.
C: Involving security guards may increase agitation and escalate the situation.
D: Talking using short, simple sentences can help de-escalate and communicate effectively.
E: Identifying stressors helps address root causes and provide appropriate support.
Question 3 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:
Correct
Answer: D - Delaying cognitive impairment with NMDA receptor agonist medications
Rationale:
1. NMDA receptor agonists have shown efficacy in slowing cognitive decline in Alzheimer's patients.
2. By targeting NMDA receptors, these medications help improve memory and cognition.
3. This treatment option aligns with the goal of managing Alzheimer's disease progression.
Incorrect
Choices:
A: Initiating hospice care is premature as Alzheimer's diagnosis does not necessarily mean imminent death.
B: Transcranial magnetic stimulation may have limited evidence for improving cognitive status in Alzheimer's.
C: Barbiturates are not recommended for anxiety in Alzheimer's due to potential side effects and interactions.
Question 4 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: B
Rationale: The correct answer is B. Implementing measures to prevent intentional self-inflicted injury is the priority for a client with borderline personality disorder as it addresses the immediate safety concern. Self-harm is common in this population, so ensuring the client's safety is paramount. Encouraging the client to attend support group meetings (
Choice
A) may be beneficial but does not address the immediate safety issue. Assisting the client to maintain awareness of thoughts and feelings (
Choice
C) and discussing assertive behavior (
Choice
D) are important but addressing safety comes first.
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: C
Rationale: The correct answer is C: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience cognitive decline, including memory loss and difficulty recognizing familiar objects or people. This is due to the progressive deterioration of brain cells involved in memory and cognition. Altered level of consciousness (
A) is not typically a prominent feature of Alzheimer's disease, as individuals are usually awake and alert. Excessive motor activity (
B) is more commonly seen in conditions like mania or hyperactivity disorders, not specifically in Alzheimer's disease. Rapid mood swings (
D) may occur in some individuals with Alzheimer's, but failure to recognize familiar objects is a more characteristic feature.