*NURSING > EXAM > ATI RN Mental Health Online Practice 2019 B (Retake 2023) Questions with All Correct Answers| Ration (All)
ATI RN Mental Health Online Practice 2019 B (Retake 2023) Questions with All Correct Answers| Rationale in All Choices |Guarantee A+ Score Guide A nurse is assessing a family's dynamics during a coun... seling session. The nurse should recognize which of the following findings as an indication of a boundary issues? A. An adolescent family member who questions parental authority B. A family with three generations in the same household C. Older children who are responsible for their younger siblings D. Two adults and their children from prior relationships in the same household {{Correct Ans- C - This is an example of enmeshed boundaries in which there are no distinctions between the roles of family members. A - incorrect - An adolescent who questions parental authority is demonstrating appropriate behaviors for developmental age B - incorrect - This scenario occurs in many households, not indication of boundary issue D. This is an example of a blended family, not indication of boundary issue A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse=client relationship, which of the following actions should the nurse take first? A. Inform the client that this admission is confidential B. Introduce the client to other clients in the day room C. Assist the client in facilitating behavioral change D. Determine coping strategies that the client used in the past {{Correct Ans- A - - According to evidence-based practice, the nurse should first inform the client about confidentiality during the orientation phase of the nurse-client relationship. B - Incorrect The nurse should introduce the client to other clients in the day room to help the client interact with others during the working phase of the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a different action first. C. INCORRECT The nurse should assist the client with behavioral change during the working phase of the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a different action first. D. Incorrect The nurse should determine what coping strategies the client used in the past during the working phase of the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a different action first. A nurse is performing a cognitive assessment to distinguish delirium form dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? A. Slow onset B. Aphasia C. Confabulation D. Easily distracted {{Correct Ans- D - - Extreme distractibility is a hallmark manifestation of delirium. A - INCORRECT Delirium has an acute onset. Dementia is a slow, progressive decline. B. INCORRECT Aphasia is a manifestation of dementia C. INCORRECT Confabulation is a manifestation of dementia. [Show More]
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