ATI Custom NSG 133 Mental Health Final Exam Summer (2023) |

Extract:

Question 1 of 5

A nurse is providing teaching to a client who has alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?

A. I need to identify things that cause me to be an alcoholic.' B. I am powerless against my addiction to alcohol.' C. I am responsible for my alcoholism.' D. I need to see a counselor who will be responsible for my recovery.'

Correct Answer: B

Rationale:
Correct
Answer: B - "I am powerless against my addiction to alcohol."

Rationale: This statement reflects the key concept of powerlessness in Alcoholics Anonymous (A
A). AA teaches that individuals with alcohol use disorder are powerless over alcohol and need to surrender to a higher power for support. By acknowledging powerlessness, individuals can begin their recovery journey. This statement shows the client understands the fundamental principle of admitting their lack of control over alcohol.

Incorrect

Choices:
A: Incorrect - This statement focuses on external factors causing alcoholism, while AA emphasizes personal responsibility and internal reflection.
C: Incorrect - AA does not blame individuals for their alcoholism but encourages them to take responsibility for their recovery.
D: Incorrect - AA promotes self-reliance and accountability, rather than relying solely on a counselor for recovery.

Question 2 of 5

A nurse is caring for a client diagnosed with schizophrenia. The client states, 'Did you know that I am engaged to the Prince of England?' The nurse should document that the client is experiencing which of the following types of delusions?

A. Persecution. B. Erotomanic. C. Somatic. D. Control.

Correct Answer: B

Rationale: The correct answer is B: Erotomanic. This type of delusion involves the belief that someone of higher status, such as a celebrity or royalty, is in love with the individual. In this case, the client believes they are engaged to the Prince of England. This delusion is characteristic of erotomanic delusions. Persecution delusions involve feeling targeted, somatic delusions involve beliefs about one's body, and control delusions involve beliefs about being controlled by external forces. In this scenario, none of these other types of delusions are evident, making them incorrect choices.

Question 3 of 5

A nurse is taking care of an adult client who is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

A. How long has this been going on?' B. It sounds like you're having a difficult time.' C. Have you talked to your parents about this yet?' D. Why do you think you are so anxious?'

Correct Answer: B

Rationale: The correct answer is B: "It sounds like you're having a difficult time." This response shows empathy and acknowledges the client's feelings without making assumptions. It validates the client's experience and opens the door for further discussion.
Choice A focuses on duration rather than the client's feelings.
Choice C assumes the client still relies on parents for support.
Choice D may come off as accusatory or dismissive.

Question 4 of 5

A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

A. The client responds to questions with disorganized speech. B. The client reports that voices are telling him to write a novel. C. The client's spouse reports that the client has recently gained weight. D. The client is dressed in all black.

Correct Answer: A

Rationale:
Correct
Answer: A

Rationale: Disorganized speech is a common symptom of acute mania in bipolar disorder. It is indicative of pressured speech, flight of ideas, and racing thoughts, which are characteristic of manic episodes. This finding aligns with the diagnostic criteria for acute mania.

Summary of Other

Choices:
B: Hearing voices directing behavior may suggest psychosis, which can occur in bipolar disorder but is not specific to acute mania.
C: Weight gain is not a hallmark symptom of acute mania; it is more commonly associated with certain medications or depressive episodes.
D: Dressing in all black does not directly support the diagnosis of acute mania; it is not a specific symptom of this condition.

Question 5 of 5

While in group therapy, a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?

A. A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice.' B. Tell me more about your concerns about taking chemotherapy.' C. Using nontraditional treatments is not a good idea. I'd rather you avoid that route.' D. Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you.'

Correct Answer: B

Rationale: The correct response is B: "Tell me more about your concerns about taking chemotherapy." This response demonstrates active listening and shows empathy towards the client's perspective. By asking the client to elaborate on their concerns, the nurse can gain a better understanding of the client's preferences and fears. This allows for a more personalized approach to care and promotes shared decision-making.

A: This response is dismissive and may make the client feel judged or unheard. It does not address the client's concerns effectively.

C: This response is authoritative and does not respect the client's autonomy or preferences. It may lead to a breakdown in communication and trust between the nurse and client.

D: This response puts undue emphasis on the provider's authority and disregards the client's unique needs and preferences. It does not promote open communication or collaborative decision-making.

ATI Custom NSG 133 Mental Health Final Exam Summer (2023) | Nurselytic

Nurselytic

ATI RN

ATI RN