ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Exhibit 1 Client brought in by a family member who states that the client
has been drinking "nonstop since the death of the client's
parents 3 months ago.*
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago
and remained sober until several months ago when both
parents died.
According to the client's family member, the client has been
unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states. *Everything combined caused th
drinking to start again.*
Family member estimates the client's last drink was 2 hr ago.
Question 1 of 5
A nurse is caring for a client who was admitted for alcohol disorder. which one of the following require follow uo by the nurse? select all that apply
Correct Answer: B
Rationale: The correct answer is B: Smoking history. The nurse should follow up on the client's smoking history because tobacco use can exacerbate alcohol-related health issues and impact treatment outcomes. Cardiac assessment, genitourinary assessment, neurological assessment, recent loss, and gastrointestinal assessment are important aspects of care for a client with alcohol disorder but are not specifically related to smoking, which is a common co-occurring behavior with alcohol use.
Therefore, the other choices are incorrect as they do not specifically address the potential impact of smoking on the client's health in the context of alcohol disorder.
Extract:
Question 2 of 5
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in schizophrenia poses the greatest risk for injury to others as it can lead to aggressive or defensive behaviors. Paranoia involves irrational fears and beliefs that others are out to harm the individual, leading to potential violent actions. Depersonalization (
A) is a dissociative symptom, Pressured speech (
B) is a symptom of mania or anxiety, and Negative symptoms (
C) refer to deficits in emotional expression and motivation, which do not directly lead to harm to others. In summary, Paranoia is the most concerning characteristic in schizophrenia due to the potential for aggressive behaviors towards others.
Question 3 of 5
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this therapeutic technique?
Correct Answer: C
Rationale: The main goal of the therapeutic technique in this scenario is to allow the client to identify the way he interacts. By mirroring the client's behaviors, the RN provides an opportunity for the client to witness his own actions and communication style. This reflection can help the client gain self-awareness and insight into how he presents himself to others. It can also serve as a starting point for discussions on potential areas for growth and change in his communication patterns.
A: Initiating a non-threatening conversation with the client is not the main goal here, as the focus is on reflection and self-awareness.
B: Dialoguing about the ineffectiveness of his interactions is not the primary purpose at this stage; the emphasis is on self-identification.
D: Discussing the client's feelings when he responds is not the main objective; the focus is on the client's behavior and communication style.
Question 4 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.
Question 5 of 5
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The correct answer is D. The CAGE questionnaire is a widely used tool to screen for alcohol use disorder. Each letter in CAGE represents a key question: "C" for efforts to Cut down, "A" for Annoyance with criticism about drinking, "G" for Guilt about drinking, and "E" for using alcohol as an "Eye-opener." These questions help assess the client's attitudes and behaviors related to alcohol consumption, providing valuable information for further evaluation and intervention.
Choices A, B, and C do not directly address the key aspects of alcohol use disorder that the CAGE questionnaire aims to uncover, making them incorrect. It is crucial for the nurse to explore the issues highlighted in answer choice D to gain a comprehensive understanding of the client's alcohol consumption patterns and potential alcohol-related problems.