ATI RN
ATI RN Mental Health 2023 III Questions
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?
Correct Answer: A
Rationale: The correct answer is A: "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 as it addresses the need to secure the doors to prevent wandering, a common behavior in Alzheimer's patients. Placing a sliding bolt lock above the doorknob is effective as it is out of the client's line of sight and reach, making it harder for them to unlock and wander unsupervised.
Incorrect options:
B: Notifying law enforcement within 2 hours if the client cannot be found is important, but prevention through secure locks is key.
C: Ensuring the bedroom is dark while sleeping is not directly related to home safety for a client with Alzheimer's.
D: Giving the client's most recent photo to the police is important for identification but does not prevent wandering.
Question 2 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Give the client a choice of solitary activities. Individuals with schizoid personality disorder typically prefer solitary activities and may feel uncomfortable in social situations. Providing the client with a choice of solitary activities respects their preferences and promotes their comfort and autonomy.
Explanation for incorrect options:
A: Identifying splitting behaviors is more relevant for borderline personality disorder, not schizoid personality disorder.
B: While anger management may be helpful for some clients, it is not a primary intervention for schizoid personality disorder.
D: Setting limits on the client's need for social contact goes against the nature of schizoid personality disorder, which is characterized by a preference for solitude.
Question 3 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Focus the client on reality-based activities. This is appropriate as it helps ground the client in reality and distract from the hallucinations. Conveying sympathy (
A) is important but does not address the hallucinations directly. Telling the client her experience is not real (
B) may cause distress or worsen the situation. Avoiding direct questions (
C) may not address the client's needs. Option E, F, and G are not provided.
Question 4 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. During acute alcohol withdrawal, chlordiazepoxide, a benzodiazepine, is commonly prescribed to manage symptoms such as anxiety, tremors, and seizures by acting on GABA receptors to reduce CNS excitability. Disulfiram (
A) is used for alcohol aversion therapy and can cause a severe adverse reaction if alcohol is consumed. Buprenorphine (
C) is used for opioid addiction, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.
Question 5 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, I can't stand to be touched by another person. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I will tell your provider that you would like a treatment other than massage." This response shows the nurse's understanding and respect for the client's preferences and autonomy. It acknowledges the client's discomfort and offers an alternative solution, ensuring that the client receives appropriate care without causing further distress. Other choices are incorrect because A dismisses the client's feelings, C only addresses the physical aspect, and D might pressure the client to explain their reasons which can be uncomfortable for them.