Questions 85

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ATI Mental Health Exam II Questions

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Question 1 of 5

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, 'I am really concerned about my husband.' Which of the following is a therapeutic nursing response?

Correct Answer: A

Rationale: This response is the most therapeutic option. It invites the spouse to share their concerns and feelings, showing empathy and active listening. It opens the door for effective communication and understanding the spouse's perspective.

Question 2 of 5

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Correct Answer: C

Rationale: Adopting a neutral attitude helps build trust without escalating the client's suspicion, fostering a therapeutic relationship.

Question 3 of 5

A community health nurse is providing teaching to the family of a client who has dementia. Which of the following manifestations should the nurse tell the family to expect?

Correct Answer: B

Rationale: Forgetfulness that gradually progresses to disorientation is a hallmark of dementia due to progressive cognitive decline.

Question 4 of 5

A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?

Correct Answer: C

Rationale: The MSE is a structured assessment of a client's current cognitive functioning, emotional state, and thought processes, crucial for evaluating suspected cognitive disorders.

Question 5 of 5

A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

Correct Answer: C

Rationale: Rapid weight loss can be a sign of caregiver stress or burnout. The emotional and physical demands of caring for a loved one with Alzheimer's disease can lead to neglect of one's own well-being, including proper nutrition and self-care.

Similar Questions

A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, 'I'm feeling really down and don't want to talk to anyone right now.' Which of the following responses should the nurse make?
A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia. The amount available is clozapine 200 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?
A nurse is caring for a client who is dying. The client says, 'My mother died in the hospital, but I did not get before she died.' Which of the following statements should the nurse make?

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