ATI RN Mental Health 2023 III | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Give the client a choice of solitary activities. Individuals with schizoid personality disorder typically prefer solitary activities and may feel uncomfortable in social situations. Providing the client with a choice of solitary activities respects their preferences and promotes their comfort and autonomy.

Explanation for incorrect options:
A: Identifying splitting behaviors is more relevant for borderline personality disorder, not schizoid personality disorder.
B: While anger management may be helpful for some clients, it is not a primary intervention for schizoid personality disorder.
D: Setting limits on the client's need for social contact goes against the nature of schizoid personality disorder, which is characterized by a preference for solitude.

Correct Answer: B

Rationale: The correct answer is B: Explain to the client that the duration of grief is highly variable and can last for years. This is the most appropriate action because it acknowledges the client's feelings of depression and grief as valid and normal following the death of a loved one. By explaining the variability in the duration of grief, the nurse provides reassurance and validation to the client's experience. This approach helps in normalizing the client's emotions and promotes a sense of understanding and acceptance.

Choice A is incorrect because recommending solitary activities may worsen the client's depression by isolating them.
Choice C is incorrect as encouraging avoidance of discussing the death can hinder the client's grieving process.
Choice D is incorrect as cautioning against feeling angry can invalidate the client's emotions.

Correct Answer: D

Rationale: The correct answer is D: "We are concerned about you and need to keep you safe." This response demonstrates empathy, acknowledges the client's feelings, and prioritizes safety. It conveys the nurse's duty to ensure the client's well-being and addresses the client's demand for privacy without compromising safety.

A: Offering a contract may not be effective in preventing harm, as suicidal ideation is a serious issue that requires continuous monitoring.
B: While medication levels are important, constant observation is necessary in this situation to prevent any potential harm.
C: Submitting the request to the provider may delay necessary intervention and compromise the client's safety.
E, F, G: No information provided.

Correct Answer: B

Rationale: The correct answer is B: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By asking about the client's intentions, the nurse can assess the level of risk and take appropriate measures to prevent harm. The other choices are less critical in this situation. A (suggest making a list of things that make him angry) and D (assist in exploring techniques to reduce stress) are important in managing aggression but do not address immediate safety concerns. C (role modeling healthy ways to express anger) may be helpful in the long term but does not address the current risk of harm to others.

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.