ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use short, simple sentences when speaking to the client. This is the most appropriate action because individuals with moderate anxiety may have difficulty concentrating and processing complex information. Using short, simple sentences can help the client better understand and retain the information provided.
Summary:
B: Showing a 30-minute teaching video can overwhelm the client and may not be effective in addressing the client's anxiety.
C: Providing detailed explanations may confuse the client and increase their anxiety levels.
D: Avoiding asking the client questions can hinder the nurse's ability to assess the client's understanding and address any concerns they may have.
Question 2 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.
Extract:
Provider’s Note
0230:
Client diagnosis: Delirium secondary to a urinary tract infection and dehydration.
Vital Signs
0200:
Temperature 38.6° C (101.5° F)
Heart rate 104/min
Respiratory rate 18/min
Blood pressure 158/96 mm Hg
Oxygen saturation 98% on room air
Nurses’ Notes
0205:
Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police, but not able to identify place or time. Family notified.
Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.
During assessment, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.
0230:
Client’s adult child arrived to the ED and went to client’s room. Client identified family member. Client is pacing and agitated, and states, “I don’t understand why I am here.” Adult child asks nurse to talk outside of room and states, “I don’t know why they are so confused. They are not normally like this.” Adult child states client has past medical history of hypertension and alcohol-related cirrhosis. Upon returning to their room, client voided 250 mL of dark yellow, cloudy urine.
Laboratory Results
0230:
Serum toxicology screen:
Alcohol 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)
Question 3 of 5
The nurse has reviewed the nurses’ notes, provider’s note, and laboratory results at 0230.Exhibits:For each client’s finding, specify if the finding is consistent with delirium or Alzheimer’s disease. Each finding may support more than one disease process or none at all. There must be at least one selection in every column. There does not need to be a selection in every row.
| Options | Delirium | Alzheimer’s Disease |
|---|---|---|
| Sudden onset of confusion | ||
| Hallucinations | ||
| Agitation | ||
| Current medical diagnosis |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Sudden onset of confusion is more indicative of delirium due to its acute and fluctuating nature.
- Hallucinations can be seen in both delirium and Alzheimer's but are more common in delirium.
- Agitation is a common symptom in delirium and can also occur in Alzheimer's.
- Current medical diagnosis should also be checked to understand the overall clinical picture.
-
Therefore, the correct answer selects all options as each finding can potentially support either delirium or Alzheimer's disease.
Extract:
Question 4 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer the client the medication at the next scheduled dose time. This approach respects the client's autonomy and right to refuse treatment while still providing an opportunity for them to reconsider taking the medication. It maintains a therapeutic nurse-client relationship and promotes trust. Implementing consequences (
B) can lead to a power struggle and undermine the therapeutic alliance. Administering medication via IM injection (
C) without the client's consent violates their rights and is not the first-line approach. Informing the client they do not have the right to refuse (
D) is coercive and disregards their autonomy.
Question 5 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.