ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 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: Delay cognitive impairment with NMDA receptor antagonist medications. NMDA receptor antagonists, such as memantine, are commonly used to slow the progression of cognitive decline in Alzheimer's disease by regulating glutamate activity in the brain. This treatment option aims to improve cognitive function and delay the worsening of symptoms. Initiating hospice care (
A) is not appropriate for a client newly diagnosed with Alzheimer's disease. Transcranial magnetic stimulation (
B) may help with depression but does not directly improve cognitive status. Barbiturate medications (
C) are not recommended for anxiety in Alzheimer's disease due to their potential side effects. In summary, choosing NMDA receptor antagonist medications is the most appropriate option to address the client's condition effectively.
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: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience difficulties with memory and cognitive function, leading to the inability to recognize familiar objects or people. This is due to the progressive deterioration of brain cells affecting memory and perception. Altered level of consciousness (
A) is not a typical finding in Alzheimer's disease unless there is a medical complication. Excessive motor activity (
C) is not commonly associated with Alzheimer's, as individuals often exhibit decreased motor skills. Rapid mood swings (
D) may occur in some cases, but failure to recognize familiar objects is a more characteristic finding.
Question 3 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will place a sliding bolt lock just above the doorknob." This indicates an understanding of the teaching because it demonstrates a proactive measure to prevent the client from wandering and getting lost. The sliding bolt lock can help secure the door and prevent the client from leaving the house unsupervised.
Choice A is incorrect because waiting 2 hours to notify law enforcement may result in delays in finding the client.
Choice B is incorrect as providing a photo to the police is important but does not actively prevent the client from wandering.
Choice D is irrelevant to home safety and Alzheimer's disease management.
Question 4 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: B
Rationale: The correct answer is B: 'It must be difficult for you to feel this way after losing your partner.' This response is empathetic and acknowledges the partner's feelings without invalidating them. It shows understanding and support without imposing judgment. Option A shares a personal experience, which may not be relevant or helpful to the partner. Option C is directive and may not be the partner's immediate need. Option D, though positive, may come across as dismissive of the partner's feelings.
Question 5 of 5
A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: D
Rationale: The correct answer is D because individuals with severe obsessive-compulsive disorder may experience sensory impairments due to their obsessive thoughts and compulsive behaviors. This can manifest as heightened sensitivity to certain stimuli or a distorted perception of reality. The nurse should assess this client for risks related to these sensory impairments to ensure their safety and well-being.
Choice A (conversion disorder) is incorrect as it is characterized by physical symptoms that are not explained by any underlying medical condition.
Choice B (mild anxiety disorder) is incorrect as sensory impairments are not typically associated with mild anxiety.
Choice C (narcissistic personality disorder) is incorrect as it is a personality disorder characterized by a pattern of grandiosity, need for admiration, and lack of empathy, not sensory impairments.