NGN ATI RN MENTAL HEALTH 2019 QUESTION AND ANSWERS WITH RATIONALES LATEST UPDATES
ALREADY GRADED WITH 100% PASS.
A nurse is caring for a group of
... [Show More] patients. For which of the following situations should the
nurse complete an incident report? - answer-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? - answer-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 - answer-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?
ATI RN MENTAL HEALTH 2019 WITH NGN 100% PASS WITH
RATIONALES LATEST UPDATES QUESTION AND ANSWERS
ALREADY GRADED.
a. Respite care
b. Partial hospitalization
c. Adult day care program
d. Geropsychiatric unit - answer-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 - answer-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. [Show Less]