ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Identify the client's current stage of grief. This is the priority because understanding the client's current stage of grief allows the nurse to tailor interventions accordingly. By assessing the client's stage, the nurse can provide targeted support and interventions to help the client process and cope with their grief effectively.
Choice B is incorrect because while informing the client about expected feelings is important, it is not the priority over assessing the current stage of grief.
Choice C is incorrect as physical activities may not be suitable or helpful depending on the client's stage of grief.
Choice D is also incorrect as discussing the use of a spiritual grief counselor should come after assessing the client's current needs and preferences.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Focus the client on reality-based activities. This is because redirecting the client's focus to reality-based activities can help ground them and reduce the intensity of the hallucinations. Avoiding direct questions (
A) may not address the client's current distress. Conveying sympathy (
C) is important but may not directly address the hallucinations. Telling the client her experience is not real (
D) may invalidate their feelings and worsen the situation. It is crucial to engage the client in reality-based activities to help them cope effectively.
Question 4 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. The nurse should ask which of the following individuals to assist with communication?
Correct Answer: B
Rationale: The correct answer is B: A translator of the same gender as the client. This choice ensures effective communication while also considering the cultural and gender preferences of the client. The translator will facilitate accurate exchange of information, maintaining confidentiality.
Choice A, a unit secretary, may not have the necessary skills for translation.
Choice C, another client, may not be reliable or appropriate to maintain professional boundaries.
Choice D, a family member, may introduce bias or confidentiality concerns.
Question 5 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: The correct answer is D: Establish confidentiality guidelines with the client. This is the first step to building trust in the nurse-client relationship, essential in mental health care. Confidentiality assures the client that their personal information will be kept private, promoting openness and honesty. By discussing confidentiality guidelines upfront, the nurse shows respect for the client's privacy and fosters a safe environment for them to share sensitive information.
Choices A, B, and C focus on interventions that come later in the nurse-client relationship. Helping the client use coping strategies, make behavioral changes, and educating them about their disorder are important steps but should follow after establishing trust and confidentiality. It is crucial to prioritize building a strong foundation of trust before moving on to other aspects of care.