ATI RN Mental Health 2023 Exam 2 | Nurselytic

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.

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.

Correct Answer: D

Rationale: The correct answer is D: Delaying cognitive impairment with NMDA receptor agonist medications. NMDA receptor agonists have been shown to slow down the progression of cognitive decline in Alzheimer's disease by modulating glutamate transmission. This treatment option can help improve cognitive function and quality of life for the client.
A: Transcranial magnetic stimulation may help with certain psychiatric conditions but is not a standard treatment for Alzheimer's disease.
B: Barbiturate medications are not recommended for controlling anxiety in Alzheimer's disease due to their sedative effects and potential for cognitive impairment.
C: Hospice care services are typically considered in the advanced stages of Alzheimer's when curative treatments are no longer effective, not at the time of diagnosis.
In summary, option D is the most appropriate choice as it directly addresses the management of Alzheimer's disease symptoms and progression.

Correct Answer: B

Rationale: The correct answer is B: Focus the client on reality-based activities. This is because redirecting the client's focus to reality-based activities can help ground them and reduce the intensity of the hallucinations. Avoiding direct questions (
A) may not address the client's current distress. Conveying sympathy (
C) is important but may not directly address the hallucinations. Telling the client her experience is not real (
D) may invalidate their feelings and worsen the situation. It is crucial to engage the client in reality-based activities to help them cope effectively.

Correct Answer: B

Rationale: The correct answer is B: A translator of the same gender as the client. This choice ensures effective communication while also considering the cultural and gender preferences of the client. The translator will facilitate accurate exchange of information, maintaining confidentiality.
Choice A, a unit secretary, may not have the necessary skills for translation.
Choice C, another client, may not be reliable or appropriate to maintain professional boundaries.
Choice D, a family member, may introduce bias or confidentiality concerns.