ATI nsg 133 Mental Health Exam | Nurselytic

Questions 51

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ATI nsg 133 Mental Health Exam Questions

Extract:


Question 1 of 5

The nurse is caring for an older adult client who is experiencing delirium. Which of the following should be the priority action by the nurse?

Correct Answer: B

Rationale: The correct answer is B: Obtain a medical history. This is the priority action because delirium in older adults can have various underlying causes such as infections, medication side effects, or metabolic imbalances. Obtaining a thorough medical history will help the nurse identify potential triggers for the delirium and guide appropriate interventions. Administering diazepam (
A) can worsen delirium and should be avoided. Starting intravenous fluids (
C) may be necessary but is not the priority until the underlying cause is identified. Raising 3 of the 4 side rails of the bed (
D) is a safety measure to prevent falls but does not address the root cause of delirium.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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