ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the partner of a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following pieces of information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should administer the medication immediately before bedtime." Donepezil is typically prescribed to be taken at bedtime because it can cause gastrointestinal side effects such as nausea and vomiting, which are more likely to occur if taken during the day. By taking it at bedtime, the individual may sleep through these side effects.
Choice B is incorrect because the dose of donepezil is not decreased as the disease improves; it is typically a long-term treatment to manage symptoms.
Choice C is incorrect because donepezil does not stop the progression of Alzheimer's disease, but rather helps to manage symptoms.
Choice D is incorrect because donepezil does not decrease the risk of falls; in fact, it can cause side effects that may increase the risk of falls.
Question 2 of 5
A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Identify the client's current stage of grief. This is the priority because understanding the client's current stage of grief allows the nurse to tailor interventions accordingly. By assessing the client's stage, the nurse can provide targeted support and interventions to help the client process and cope with their grief effectively.
Choice B is incorrect because while informing the client about expected feelings is important, it is not the priority over assessing the current stage of grief.
Choice C is incorrect as physical activities may not be suitable or helpful depending on the client's stage of grief.
Choice D is also incorrect as discussing the use of a spiritual grief counselor should come after assessing the client's current needs and preferences.
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 statement indicates an understanding of the teaching on home safety for a client with advanced Alzheimer's disease because it addresses the specific safety measure of installing a sliding bolt lock to prevent the client from wandering outside unsupervised. This type of lock is a practical strategy to enhance the client's safety by restricting access to potentially dangerous areas.
Choice A is incorrect because notifying law enforcement within 2 hours of the client not being found is not a preventative safety measure.
Choice B is incorrect as giving a photo to the police is reactive and may not prevent the client from wandering.
Choice D is incorrect as ensuring the bedroom is dark at night does not directly address the safety concern of wandering.
Question 4 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Rationalization. The client is using rationalization by attributing their blackouts to low blood sugar instead of acknowledging the possibility of dissociative identity disorder. Rationalization is a defense mechanism where individuals justify their behaviors or feelings with logical explanations to avoid facing uncomfortable truths. In this scenario, the client is rationalizing their blackouts as a result of low blood sugar, which is a more socially acceptable reason compared to accepting the diagnosis of dissociative identity disorder.
Suppression (
A) involves consciously pushing unwanted thoughts or feelings out of awareness. Sublimation (
B) is redirecting unacceptable impulses into socially acceptable activities. Projection (
C) is attributing one's own thoughts or feelings onto others. In this case, the client is not using these defense mechanisms.
Question 5 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You will need to have your blood drawn." This response is correct because lithium is a medication that requires monitoring of blood levels due to its narrow therapeutic range. Lethargy, muscle weakness, and blurred vision are symptoms of lithium toxicity, which can occur if the blood levels of lithium become too high. By having the client's blood drawn, the nurse can assess the lithium levels and make necessary adjustments to the dosage to prevent further toxicity.
Incorrect Responses:
A: "These symptoms will improve over time." - This is incorrect because the symptoms described are indicative of lithium toxicity, which requires immediate attention.
B: "Continue the medication as prescribed." - This is incorrect because if the client is experiencing symptoms of toxicity, continuing the medication without monitoring could lead to further complications.
C: "You should decrease your intake of sodium." - This is incorrect as it does not address the issue of lithium toxicity. Sodium intake is not directly related to lithium toxicity.