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ATI RN MENTAL HEALTH 2019 WITH NGN
100% PASS WITH RATIONALES LATEST UPDATES
QUESTION & ANSWERS
WITH RATIONALES
A nurse is caring for a group of patients. For which of the
following situations should the nurse complete an incident
report? - ANS - A client was administered one-half of the
prescribed dose of medication
Rationale: An incident report is a recording of any occurrence
that does not meet the standard of care. The nurse should report
medication errors using the facility's incident or occurrence form.
A nurse is caring for a group of patients. Which of the following
findings is the nurse required to report? - ANS - A client who
has borderline personality disorder threatened to harm their
roommate
Rationale: Signs and symptoms of BPD include interpersonal
relationships accompanied by threats and other-directed violence.
While it is important for the nurse to maintain the patients
confidentiality, when another individual might be in danger, the
nurse is required by law to report it to authorities.
A nurse is caring for a patient who has borderline personality
disorder. Which of the following goals is the priority when
planning care for this patient?
,a. The patient will take the prescribed medications as scheduled b.
The patient will express feelings of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - ANS - c. The
client will refrain from self- mutilation
Rationale: The greatest risk to the patient is injury to self and
others. Therefore, the priority goal is for the patient to refrain
from self-mutilation
a. Taking prescribed medications as scheduled to maintain
therapeutic blood levels is an important goal. However, this is
not the priority goal
b. Expressing feelings of frustration to acknowledge these
feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is
an important goal. However, this is not the priority goal
,A nurse is discussing the home care of a patient who has
advanced Alzheimer's disease. The patient's caregiver is planning
to go out of town for several days. Which of the following
resources should the nurse recommended to the caregiver?
a. Respite care
b. Partial hospitalization c. Adult day care program
d. Geropsychiatric unit - ANS - a. Respite care
Rationale: Respite care programs allow the patient to stay in a
nursing facility for a set number of days, allowing the caregivers
to go on vacation or have some time to themselves
b. Partial hospitalization provides services for several hours
during the day, but they are not designed to offer 24-hr care. A
patient with advanced Alzheimer's disease is unable to safely
remain at home unattended
c. Adult day care programs can provide services throughout
the day to patient's with Alzheimer's disease, allowing the
caregiver the ability to work or have a break. The patient's return
home in the evening. A patient who has advanced Alzheimer's
disease is unable to safely remain at home unattended.
d. A geropsychiatric unit provides care for patients requiring
acute psychiatric services due to sudden mental status changes,
psychosis, or other mental health services. These services are
ideal for patients who are at risk of harming themselves or others
A nurse is caring for an older adult patient who has dementia and
has wandered into the day room looking for their deceased
, partner. Which of the following actions should the nurse take?
a. Move the patient to a room near the nurses' station
b. Limit visitors until the patient is oriented to the environment
c. Tell the patient their partner is deceased
d. Talk with the patient about activities they enjoyed with their
partner - ANS - Talk with the patient about activities they
enjoyed with their partner
Rationale:
Talking about positive experiences can help distract the patient
from their disorientation
a. When caring for a patient with dementia, avoid placing
them in unfamiliar settings when possible.
b. Family members should be encouraged to interact with
the patient regardless of the patient's state of dementia
c. Confrontation should not be used for a disoriented patient
A nurse is admitting a patient with schizophrenia to an acute
care setting. When the nurse questions the patient regarding
their admission, the client states, "I'm red, in the head, and I'm
ATI RN MENTAL HEALTH 2019 WITH NGN
100% PASS WITH RATIONALES LATEST UPDATES
QUESTION & ANSWERS
WITH RATIONALES
A nurse is caring for a group of patients. For which of the
following situations should the nurse complete an incident
report? - ANS - A client was administered one-half of the
prescribed dose of medication
Rationale: An incident report is a recording of any occurrence
that does not meet the standard of care. The nurse should report
medication errors using the facility's incident or occurrence form.
A nurse is caring for a group of patients. Which of the following
findings is the nurse required to report? - ANS - A client who
has borderline personality disorder threatened to harm their
roommate
Rationale: Signs and symptoms of BPD include interpersonal
relationships accompanied by threats and other-directed violence.
While it is important for the nurse to maintain the patients
confidentiality, when another individual might be in danger, the
nurse is required by law to report it to authorities.
A nurse is caring for a patient who has borderline personality
disorder. Which of the following goals is the priority when
planning care for this patient?
,a. The patient will take the prescribed medications as scheduled b.
The patient will express feelings of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - ANS - c. The
client will refrain from self- mutilation
Rationale: The greatest risk to the patient is injury to self and
others. Therefore, the priority goal is for the patient to refrain
from self-mutilation
a. Taking prescribed medications as scheduled to maintain
therapeutic blood levels is an important goal. However, this is
not the priority goal
b. Expressing feelings of frustration to acknowledge these
feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is
an important goal. However, this is not the priority goal
,A nurse is discussing the home care of a patient who has
advanced Alzheimer's disease. The patient's caregiver is planning
to go out of town for several days. Which of the following
resources should the nurse recommended to the caregiver?
a. Respite care
b. Partial hospitalization c. Adult day care program
d. Geropsychiatric unit - ANS - a. Respite care
Rationale: Respite care programs allow the patient to stay in a
nursing facility for a set number of days, allowing the caregivers
to go on vacation or have some time to themselves
b. Partial hospitalization provides services for several hours
during the day, but they are not designed to offer 24-hr care. A
patient with advanced Alzheimer's disease is unable to safely
remain at home unattended
c. Adult day care programs can provide services throughout
the day to patient's with Alzheimer's disease, allowing the
caregiver the ability to work or have a break. The patient's return
home in the evening. A patient who has advanced Alzheimer's
disease is unable to safely remain at home unattended.
d. A geropsychiatric unit provides care for patients requiring
acute psychiatric services due to sudden mental status changes,
psychosis, or other mental health services. These services are
ideal for patients who are at risk of harming themselves or others
A nurse is caring for an older adult patient who has dementia and
has wandered into the day room looking for their deceased
, partner. Which of the following actions should the nurse take?
a. Move the patient to a room near the nurses' station
b. Limit visitors until the patient is oriented to the environment
c. Tell the patient their partner is deceased
d. Talk with the patient about activities they enjoyed with their
partner - ANS - Talk with the patient about activities they
enjoyed with their partner
Rationale:
Talking about positive experiences can help distract the patient
from their disorientation
a. When caring for a patient with dementia, avoid placing
them in unfamiliar settings when possible.
b. Family members should be encouraged to interact with
the patient regardless of the patient's state of dementia
c. Confrontation should not be used for a disoriented patient
A nurse is admitting a patient with schizophrenia to an acute
care setting. When the nurse questions the patient regarding
their admission, the client states, "I'm red, in the head, and I'm
