ATI RN MENTAL HEALTH 2019 WITH NGN 100%
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PASS WITH RATIONALES LATEST UPDATES
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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
, going |to |bed!" |The |nurse |should |document |the |client's |speech |pattern |as |which |of |the |following?
a. Clang |association |b. |Word |salad
c. Neologism
d. Echolalia |- |ANS |- |a. |Clang |association
Rationale: |The |nurse |should |document |that |the |patients |speech |uses |clang |associations |which |often
|rhyme |or |contain |a |string |of |words |that |can |have |a |similar |sound
b. In |word |salad, |words |are |completely |meaningless |and |disorganized. |c. |Neologism |consists |of
|words |that |are |made |up |by |the |patient
d. |In |echolalia, |the |patient |repeats |the |words |of |another |person
A |nurse |is |assessing |a |patient |who |has |schizophrenia. |Which |of |the |following |findings |should |the
|nurse |document |as |a |negative |symptom |of |this |disorder?
a. |Delusions |b. |Neologisms |c. |Anhedonia
d. |Echopraxia |- |ANS |- |Anhedonia
Rationale:
Positive |symptoms |of |schizophrenia |usually |appear |suddenly |and |are |alteration |in |behavior,
|perception, |speech, |and |thought. |Delusions, |inability |to |think |abstractly, |neologisms |(made |up
|words), |echolalia |(repeating |of |someone |else's |words, |motor |agitation, |and |echopraxia |(mimicking
|someone |else's |movements) |are |all |positive |symptoms |of |schizophrenia.
Negative |symptoms |of |schizophrenia |affect |a |person's |ability |to |interact |with |others |and |are |less
|dominant |than |positive |symptoms. |Negative |symptoms |develop |over |time.
Examples |of |negative |symptoms |include |flat |affect, |anergia |(lack |of |energy), |anhedonia |(inability |to
|enjoy |otherwise |pleasurable |activities), |and |thought |blocking |(inability |to |think, |speak, |or |move |in
|response |to |outside |stimuli)
A |nurse |is |delegating |patient |care |tasks |to |a |licensed |practical |nurse |(LPN) |and |an |assistive
|personnel. |Which |of |the |following |tasks |should |the |nurse |assign |to |the |LPN? |- |ANS |- |Change |the |
|dressing |of |a |client |who |has |borderline |personality |disorder |and |superficial |self-inflicted |wounds
Rationale: |A |patient |who |has |borderline |personality |disorder |is |at |risk |for |self-mutilation |such |as
|cutting, |self-inflicted |wounds, |scratching |or |picking |at |wounds. |It |is |within |the |LPNs |scope |of
|practice |to |change |the |dressing, |cleanse |the |wound, |and |collect |data |regarding |the |healing |of |the
|wound.
A |nurse |is |assessing |a |school-age |child |who |has |conduct |disorder. |Which |of |the |following
|characteristics |should |the |nurse |expect |the |child |to |demonstrate?
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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
, going |to |bed!" |The |nurse |should |document |the |client's |speech |pattern |as |which |of |the |following?
a. Clang |association |b. |Word |salad
c. Neologism
d. Echolalia |- |ANS |- |a. |Clang |association
Rationale: |The |nurse |should |document |that |the |patients |speech |uses |clang |associations |which |often
|rhyme |or |contain |a |string |of |words |that |can |have |a |similar |sound
b. In |word |salad, |words |are |completely |meaningless |and |disorganized. |c. |Neologism |consists |of
|words |that |are |made |up |by |the |patient
d. |In |echolalia, |the |patient |repeats |the |words |of |another |person
A |nurse |is |assessing |a |patient |who |has |schizophrenia. |Which |of |the |following |findings |should |the
|nurse |document |as |a |negative |symptom |of |this |disorder?
a. |Delusions |b. |Neologisms |c. |Anhedonia
d. |Echopraxia |- |ANS |- |Anhedonia
Rationale:
Positive |symptoms |of |schizophrenia |usually |appear |suddenly |and |are |alteration |in |behavior,
|perception, |speech, |and |thought. |Delusions, |inability |to |think |abstractly, |neologisms |(made |up
|words), |echolalia |(repeating |of |someone |else's |words, |motor |agitation, |and |echopraxia |(mimicking
|someone |else's |movements) |are |all |positive |symptoms |of |schizophrenia.
Negative |symptoms |of |schizophrenia |affect |a |person's |ability |to |interact |with |others |and |are |less
|dominant |than |positive |symptoms. |Negative |symptoms |develop |over |time.
Examples |of |negative |symptoms |include |flat |affect, |anergia |(lack |of |energy), |anhedonia |(inability |to
|enjoy |otherwise |pleasurable |activities), |and |thought |blocking |(inability |to |think, |speak, |or |move |in
|response |to |outside |stimuli)
A |nurse |is |delegating |patient |care |tasks |to |a |licensed |practical |nurse |(LPN) |and |an |assistive
|personnel. |Which |of |the |following |tasks |should |the |nurse |assign |to |the |LPN? |- |ANS |- |Change |the |
|dressing |of |a |client |who |has |borderline |personality |disorder |and |superficial |self-inflicted |wounds
Rationale: |A |patient |who |has |borderline |personality |disorder |is |at |risk |for |self-mutilation |such |as
|cutting, |self-inflicted |wounds, |scratching |or |picking |at |wounds. |It |is |within |the |LPNs |scope |of
|practice |to |change |the |dressing, |cleanse |the |wound, |and |collect |data |regarding |the |healing |of |the
|wound.
A |nurse |is |assessing |a |school-age |child |who |has |conduct |disorder. |Which |of |the |following
|characteristics |should |the |nurse |expect |the |child |to |demonstrate?
