ATI RN Mental Health 2023 with NGN

Extract:

Question 1 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?

A. I will notify law enforcement within 2 hours if he cannot be found.' B. I will give his most recent photo to the police.' C. I will place a sliding bolt lock just above the doorknob.' D. I will ensure the bedroom is dark while he is sleeping at night.'

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 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?

A. I felt the same way when my partner died, but it's all part of the grieving process.' B. It must be difficult for you to feel this way after losing your partner.' C. You should see a grief counselor about your partner's death as soon as possible.' D. You shouldn’t feel guilty. You took excellent care of your partner.'

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 3 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?

A. A client who has conversion disorder B. A client who has mild anxiety disorder C. A client who has narcissistic personality disorder D. A client who has severe obsessive-compulsive disorder

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.

Question 4 of 5

A nurse is caring for a client who has social anxiety disorder. The client reports experiencing feelings of anxiousness that disrupt their sleep. Which of the following recommendations should the nurse make?

A. Try guided imagery before bedtime.' B. Lie in bed and try to make yourself fall asleep.' C. Eat something substantial before getting ready for bed.' D. Restrict the amount of sleep you are getting.'

Correct Answer: A

Rationale: The correct recommendation is A: Try guided imagery before bedtime. Guided imagery is a relaxation technique that can help reduce anxiety and promote better sleep. By engaging in guided imagery, the client can focus on positive mental images, calming their mind and body, leading to improved sleep. This technique is evidence-based and has been shown to be effective in managing anxiety and improving sleep quality.
Other choices are incorrect:
B: Lie in bed and try to make yourself fall asleep - This can increase anxiety and worsen sleep disturbances.
C: Eat something substantial before getting ready for bed - Eating a large meal before bed can disrupt sleep and exacerbate anxiety.
D: Restrict the amount of sleep you are getting - Restricting sleep can worsen anxiety symptoms and lead to further sleep disturbances.

Question 5 of 5

A nurse is assessing the sleep pattern of a client who has an anxiety disorder. The client reports having difficulty sleeping most nights. Which of the following recommendations should the nurse make?

A. Watch television to facilitate falling asleep.' B. Exercise at least 3 hours before bedtime.' C. Consume your evening meal 1 hour before bedtime.' D. Take an hour-long nap daily.'

Correct Answer: B

Rationale: The correct answer is B: Exercise at least 3 hours before bedtime. Exercise helps reduce anxiety and promotes better sleep by releasing endorphins and reducing stress hormones. Exercising too close to bedtime can actually stimulate the body, making it harder to fall asleep.
Choice A is incorrect as watching television can be stimulating and disrupt sleep.
Choice C is incorrect as eating too close to bedtime can lead to indigestion and discomfort.
Choice D is incorrect as taking a long nap during the day can interfere with nighttime sleep.

ATI RN Mental Health 2023 with NGN | Nurselytic

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