ATI RN Mental health 2019 NGN II | Nurselytic

Correct Answer: D

Rationale:
Correct Answer: D - The client states that he is unable to eat more than once a day.


Rationale: This is the priority finding because it indicates a potential physical health issue. Poor nutrition can lead to various health complications, especially when coupled with grief. The nurse should address this concern promptly to ensure the client's well-being.

Summary of Other

Choices:
A: Anger about the provider not saving the partner's life is a common emotion in grief but does not pose an immediate threat to the client's health.
B: Feeling guilty about not spending more time with the partner is a common emotional response to loss but does not pose an immediate threat to the client's health.
C: Recalling negative experiences from the marriage may be distressing but does not indicate an immediate physical health concern.

Correct Answer: A,B

Rationale: The correct answer includes auditory hallucinations and flight of ideas as positive symptoms of schizophrenia. Auditory hallucinations involve hearing voices or sounds that are not actually present, a hallmark feature of schizophrenia. Flight of ideas refers to rapid and disorganized thinking, which is also characteristic of schizophrenia. Decreased motivation and impaired memory are considered negative symptoms of schizophrenia, involving deficits in normal functions rather than the presence of abnormal behaviors.
Therefore, choices C and D are incorrect.

Correct Answer: B

Rationale: The correct answer is B: The client's father lives in the client's home. This is a contributing factor to the development of conduct disorder because the presence of a parent figure in the home provides stability and guidance for the child. When a father figure is absent, it can lead to a lack of discipline, role modeling, and emotional support, which are crucial for a child's development.

Choices A, C, and D are incorrect as they do not directly relate to family dynamics and do not address the impact of parental presence on the development of conduct disorder.

Correct Answer: A

Rationale: The correct answer is A: "How have you dealt with similar situations in the past?" This question is essential to assess the client's personal coping skills as it explores the client's history of managing challenging situations, providing insight into their coping mechanisms and resilience. By understanding the client's past coping strategies, the nurse can tailor interventions to support the client effectively.


Choice B: "Can you describe how you are currently feeling?" focuses on the client's current emotional state rather than their coping skills.


Choice C: "Do you see your current situation affecting your future?" mainly addresses the client's perception of the future impact rather than their coping skills.


Choice D: "How does this situation affect your life?" assesses the impact of the current situation but doesn't directly address the client's coping skills.

Overall, choice A is the most appropriate as it delves into the client's coping history, aiding in the development of a comprehensive care plan.

Correct Answer: B

Rationale: The correct answer is B: Notify the client about designated times for meals. This intervention is important for clients with anorexia nervosa to establish a structured eating routine, prevent skipping meals, and promote regular eating habits. By notifying the client about designated times for meals, the nurse helps the client maintain a consistent and balanced diet, which is crucial for the treatment of anorexia nervosa. Weighing the client weekly (
A) may lead to increased anxiety and obsession with weight. Negotiating weight gain (
C) could reinforce unhealthy behaviors. Decreasing fiber intake (
D) is not a recommended intervention as it may compromise the client's nutritional intake.