ATI RN
ATI nsg 133 Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct causes of secondary Neurocognitive Disorders are B, C, and D. Cerebral trauma (
B) can lead to brain damage, resulting in cognitive impairments. Fever (
C) can cause delirium and cognitive decline. Human Immunodeficiency Virus (HIV) (
D) can lead to HIV-associated neurocognitive disorders. Contracture (
A) is a musculoskeletal issue, not related to neurocognitive disorders. Huntington's disease (E) is a genetic disorder causing neurodegeneration, not a secondary cause.
Question 2 of 5
The nurse is caring for a client who is being admitted to the hospital with a neurocognitive disease due to Alzheimer's disease. Which action by the nurse is the priority?
Correct Answer: B
Rationale: The correct answer is B: Ensuring that the client environment is safe to prevent injury. The priority in caring for a client with a neurocognitive disease like Alzheimer's is to ensure their safety. Clients with Alzheimer's are at a higher risk of accidents and injuries due to impaired cognition and memory. By ensuring a safe environment, the nurse can prevent falls, wandering, and other potential hazards that could harm the client. This action takes precedence over the other options because safety is paramount in providing care for individuals with neurocognitive diseases.
A: Ensuring ADLs is important but safety takes precedence for a client with Alzheimer's.
C: Food preferences are important for comfort but not as critical as ensuring safety.
D: Social interaction is beneficial, but safety is the priority for a client with Alzheimer's.
Question 3 of 5
A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?
Correct Answer: D
Rationale: The correct answer is D: Put into practice consistent consequences for rule-breaking behavior. This intervention is crucial for managing behavior in children with ODD as it establishes clear boundaries and expectations, promoting accountability and teaching the child about cause and effect. Consistent consequences help the child understand the repercussions of their actions, leading to better self-regulation and behavioral control.
Choice A is incorrect because using physical restraints can escalate aggression and trauma in the child, making the situation worse.
Choice B is incorrect as challenging chores may overwhelm the child and worsen their behavior.
Choice C is incorrect as encouraging solitary play may isolate the child further and hinder social skill development.
In summary, prioritizing consistent consequences for rule-breaking behavior is essential in managing a child with ODD as it promotes accountability and teaches appropriate behavior, while the other choices may exacerbate the child's behavior issues.
Question 4 of 5
A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following Information should the nurse manager include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale:
Correct
Answer: B, C, E
B: Avoid wearing necklaces during client care - This is important as dangling jewelry can be grabbed by an aggressive client, potentially escalating the situation.
C: Provide immediate verbal feedback for escalating behavior - Timely feedback can help de-escalate the situation and prevent further aggression.
E: Review the layout of the facility - Being familiar with the facility's layout can help in planning escape routes or safe areas in case of an aggressive outburst.
Incorrect
Choices:
A: Stand directly in front of the client when talking - This can be perceived as confrontational and may escalate the client's anger.
D: Bring security with you for all client interactions - While security may be necessary in some situations, it is not always feasible or appropriate for every client interaction.
In summary, the correct choices focus on preventive measures and effective communication strategies to manage clients with a history of anger and aggression, while the incorrect choices may potentially worsen the situation or are not universally applicable.
Question 5 of 5
A nurse is caring for a client diagnosed with anorexia nervosa and overexercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. This action promotes open communication and a supportive relationship between the nurse and client. It allows the client to seek help when struggling with urges to overexercise, fostering a collaborative approach to managing the client's condition. It is important to avoid reprimanding or praising behaviors related to the client's eating disorder, as these can be counterproductive and may exacerbate the client's condition. Restricting the client from being weighed may also not address the underlying issue of overexercising.