ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 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?
Correct Answer: C
Rationale: The correct response is C: "It must be difficult for you to feel this way after losing your partner." This response validates the partner's feelings without dismissing or minimizing them. It acknowledges the partner's struggle with guilt and offers empathy and understanding. It recognizes the complexity of grief and allows the partner to express their emotions.
Incorrect responses:
A: This response jumps to a solution without acknowledging the partner's emotions first.
B: This response shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the partner.
D: This response dismisses the partner's feelings and may come across as invalidating.
Question 2 of 5
A nurse is providing teaching to a client who is newly diagnosed with Alzheimer's disease. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct Answer: D - Delaying cognitive impairment with NMDA receptor agonist medications
Rationale:
1. NMDA receptor agonists have shown efficacy in slowing cognitive decline in Alzheimer's patients.
2. By targeting NMDA receptors, these medications help improve memory and cognition.
3. This treatment option aligns with the goal of managing Alzheimer's disease progression.
Incorrect
Choices:
A: Initiating hospice care is premature as Alzheimer's diagnosis does not necessarily mean imminent death.
B: Transcranial magnetic stimulation may have limited evidence for improving cognitive status in Alzheimer's.
C: Barbiturates are not recommended for anxiety in Alzheimer's due to potential side effects and interactions.
Question 3 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: A
Rationale: The correct answer is A: Participate in solitary activities with a client who has mania. Assistive personnel can engage in activities that provide social interaction and support for clients with mania. This task does not require specialized nursing knowledge or assessment skills. The other choices involve providing education, obtaining consent, or explaining treatment modalities, which should be done by a licensed nurse due to the complexity and potential risks involved. It is important to delegate tasks that align with the assistive personnel's scope of practice and level of training to ensure safe and effective client care.
Question 4 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 5 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: B
Rationale: The correct answer is B: Geriatric Depression Scale. This test is essential for screening older adults as depression is common but often overlooked in this population. The Geriatric Depression Scale helps detect symptoms of depression, which can significantly impact the overall health and well-being of older adults. The other choices are not appropriate for screening active older adults. A: CAGE Questionnaire is used for alcohol abuse screening, not depression. C: Denver Developmental Screening Test is for children, not older adults. D: Pain Assessment in Advanced Dementia Scale is specific to assessing pain in dementia patients, not active older adults.
Therefore, the Geriatric Depression Scale is the most relevant choice for screening active older adult clients in a community clinic.