ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused, malnourished, and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts, not allowing the client to answer. Which of the following nursing interventions is a priority?
Correct Answer: B
Rationale: The correct answer is B: Interview the client alone and assess for abuse. This is the priority intervention because the client is at risk for abuse given the confusion, malnourishment, dehydration, and the daughter's interference. By interviewing the client alone, the nurse can assess for signs of abuse without the daughter's influence. The daughter's behavior may also be a red flag for potential abuse or neglect. Requesting a psychiatric evaluation (choice
A) is not a priority without ruling out abuse first. Providing nutritional counseling (choice
C) is important but not the priority in this urgent situation. Taking the history from the daughter (choice
D) may not reveal the full picture of abuse or neglect.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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