ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.
Question 2 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease to prevent them from wandering and getting lost. Placing locks at the tops of exterior doors can help ensure the client's safety by restricting their ability to leave the house unsupervised. This intervention is crucial in managing the risks associated with the client's cognitive impairment.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering in a client with Alzheimer's disease.
B: Encouraging physical activity prior to bedtime may not be directly related to the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not significantly impact the client's safety in terms of wandering.
Overall, placing locks at the tops of exterior doors is the most appropriate action to address the safety needs of a client with Alzheimer's disease.
Question 3 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. During adolescence, individuals explore and develop their sense of self and try to establish a coherent identity. This stage aligns with Erikson's theory of psychosocial development. Option A (Generativity vs self-absorption) is more relevant to middle adulthood. Option B (Trust vs mistrust) pertains to infancy. Option C (Intimacy vs isolation) relates to young adulthood.
Therefore, the correct stage for an adolescent client would be D, as they are likely navigating issues related to their identity and role in society.
Question 4 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because encouraging the client to express feelings of anger helps in addressing the underlying emotions that may lead to self-mutilation. This intervention promotes open communication and healthy emotional expression, which can reduce the need for self-harm. Restricting access to personal belongings (
A) may escalate feelings of helplessness and increase the risk of self-harm. Placing the client in seclusion (
C) can be traumatic, worsen feelings of isolation, and hinder therapeutic rapport. Directly telling the client to stop self-mutilation (
D) is not effective as it oversimplifies the complex issue and may lead to defensiveness.
Question 5 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interact with buspirone and increase its concentration in the body, leading to potential side effects or toxicity. It shows the client understands the importance of avoiding certain foods while on this medication to ensure its effectiveness and safety.
Option A is incorrect because buspirone is typically taken regularly, not as needed. Option B is incorrect because sedation and drowsiness are not common side effects of buspirone. Option D is incorrect as buspirone is not associated with a risk for dependence.