Mental Health ATI Capstone Exam With Complete Solutions 2024

Mental Health ATI Capstone Exam With Complete Solutions 2024 You are caring for Malcolm, an 83-year-old African American patient with Alzheimer's disease. Malcolm exhibits agitated behavior at times, especially when he feels he is missing work, and he sometimes attempts to leave the unit to "get to the school where I teach." Which of the following interventions is appropriate for de-escalating Malcolm's agitation? a. Medicate Malcolm with prn medication at regular intervals to prevent agitation. b. Repeatedly explain to Malcolm that he is retired and no longer teaches as the repetition will reinforce the patient's orientation. c. Use validation therapy and ask Malcolm about the school and his job. d. Reduce stimulation in the environment by having Malcolm sit by himself in his room until the agitation passes. Ian makes the following statements to you while admitting him. Which statement indicates an increased likelihood of violent behavior? a. "When I get mad, I want to be left alone." b. "Last time I was in here I ended up in seclusion for punching my roommate." c. "My old man was meek and mild, and I've always said I'm not going to be like him." d. "My girlfriend says I yell way too much, and she's threatened to leave me." You respond to a loud, angry voice coming from the day room, where you find that Alex is pacing and shouting that he isn't "going to take this (expletive) anymore." Which of the following responses is likely to be helpful in de-escalating Alex? Select all that apply. a. Remain calm, quiet, and in control. b. Tell Alex that his actions are unacceptable and that he must go to his room. c. Match Alex's volume level so that he is able to hear over his own shouting. d. Ask Alex if he can tell you what is upsetting him so you may be able to help. e. Stand close to Alex so you can intervene physically if needed to protect others. f. Tell Alex that he could be placed in seclusion if he cannot control himself so that the patient is aware of negative consequences. Andie is a patient anxiously waiting her turn to speak with you. As you are very busy, you ask Andie if she can wait a few minutes so that you can finish your task. Unfortunately the task takes longer than anticipated and you are delayed getting back to Andie. On seeing you approach her, Andie accuses you of lying and refuses to speak with you. Which response is most likely to be therapeutic at this time? a. "You are angry that I didn't speak with you when I promised I would." b. "I'm sorry for being late, but screaming at me is not the best way to handle it." c. "You are too angry to talk right now. I'll come back in 20 minutes, and we can try again." d. "Why are you angry? I told you that I was busy and would get to you as soon as I could."