ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B: Time-out is no longer an effective therapeutic measure. In this scenario, April's escalating behavior and the ineffectiveness of time-out suggest that it is not addressing the underlying issues causing her behavior. Continuous use of time-out can lead to it losing its effectiveness and may not promote self-reflection. April's behavior worsening despite frequent use of time-out indicates the need for a different approach to address her needs.
Choices A, C, and D are incorrect because they do not address the situation at hand.
Choice A assumes time-out is still effective despite evidence to the contrary.
Choice C assumes April enjoys time-out, which is not supported by the information given.
Choice D suggests a drastic and inappropriate measure of seclusion and restraint, which should only be used as a last resort in emergency situations.
Question 2 of 5
Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to:
Correct Answer: B
Rationale: The correct answer is B: Cerebellum maturation. During adolescence, the cerebellum undergoes significant development, leading to improved emotional and behavioral control. The cerebellum plays a crucial role in coordinating movement and regulating emotions. As it matures, adolescents become better at processing and responding to emotions, leading to increased emotional regulation and tolerance for frustration. Limited executive function (choice
A) would actually hinder emotional control. Cerebral stasis and hormonal changes (choice
C) do not directly contribute to improved emotional regulation. A slight reduction in brain volume (choice
D) is not associated with increased emotional control.
Question 3 of 5
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?
Correct Answer: A
Rationale: The correct answer is A because paranoia and irrational fear can be early signs of prodromal phase of schizophrenia. This can manifest as the constant fear of belongings being stolen.
Choice B is incorrect as it suggests autistic traits, not specific to schizophrenia.
Choice C is incorrect as lack of interest in sports is not directly linked to schizophrenia.
Choice D is incorrect as comfort among males is not a defining characteristic of the prodromal phase of schizophrenia.
Question 4 of 5
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
Correct Answer: A
Rationale: The correct answer is A. Screening a group of males between the ages of 15 and 25 for early symptoms is well chosen for addressing a population at high risk for developing schizophrenia because schizophrenia commonly first appears in late adolescence to early adulthood. By screening this specific age group, healthcare providers can identify early symptoms, provide early intervention, and potentially prevent or delay the onset of schizophrenia. This proactive approach aligns with evidence-based practices in mental health care.
Summary of why the other choices are incorrect:
B: Forming a support group for females aged 25 to 35 with substance use issues is not directly addressing the high-risk population for developing schizophrenia.
C: Providing coping skills information to patients between 45 and 55 is not targeting the age group most at risk for developing schizophrenia.
D: Educating parents of developmentally delayed children on early intervention is important but not specific to addressing the high-risk group for schizophrenia.
Question 5 of 5
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Alcohol use disorder. Patients with schizophrenia are at higher risk for co-occurring substance use disorders, including alcohol use disorder. Assessing for alcohol use is crucial as it can worsen symptoms and interfere with treatment. Major depressive disorder (
B) is a common comorbidity but is not specific to schizophrenia. Stomach cancer (
C) is not directly associated with schizophrenia. Polydipsia (
D), excessive thirst, can be seen in schizophrenia due to medication side effects but is not a primary associated condition.