ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 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 is the most appropriate because it ensures effective communication while also considering the client's comfort and cultural sensitivity. The translator will help bridge the language barrier, ensuring accurate understanding and expression of thoughts and feelings. Choosing a translator of the same gender can further enhance the client's comfort level and promote trust within the group. This option prioritizes clear communication and respects the client's needs.
Choice A is not ideal as the unit secretary may not have the necessary language proficiency for effective communication.
Choice C, another client, may not be reliable or appropriate for maintaining confidentiality.
Choice D, a family member, could introduce potential conflicts of interest and may not be impartial.
Question 2 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience cognitive decline, including memory loss and difficulty recognizing familiar objects or people. This is due to the progressive deterioration of brain cells involved in memory and cognition. Altered level of consciousness (
A) is not typically a prominent feature of Alzheimer's disease, as individuals are usually awake and alert. Excessive motor activity (
B) is more commonly seen in conditions like mania or hyperactivity disorders, not specifically in Alzheimer's disease. Rapid mood swings (
D) may occur in some individuals with Alzheimer's, but failure to recognize familiar objects is a more characteristic feature.
Question 3 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: B
Rationale: The correct answer is B: Geriatric Depression Scale. This test is essential for screening older adults as depression is common but often overlooked in this population. The Geriatric Depression Scale helps detect symptoms of depression, which can significantly impact the overall health and well-being of older adults. The other choices are not appropriate for screening active older adults. A: CAGE Questionnaire is used for alcohol abuse screening, not depression. C: Denver Developmental Screening Test is for children, not older adults. D: Pain Assessment in Advanced Dementia Scale is specific to assessing pain in dementia patients, not active older adults.
Therefore, the Geriatric Depression Scale is the most relevant choice for screening active older adult clients in a community clinic.
Question 4 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
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.
Question 5 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. During acute alcohol withdrawal, chlordiazepoxide, a benzodiazepine, is commonly prescribed to manage symptoms such as anxiety, tremors, and seizures by acting on GABA receptors to reduce CNS excitability. Disulfiram (
A) is used for alcohol aversion therapy and can cause a severe adverse reaction if alcohol is consumed. Buprenorphine (
C) is used for opioid addiction, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.