ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
The nurse is caring for a client who has been receiving treatment for schizophrenia with chlorpromazine for the past year. It would be essential for the nurse to monitor the client for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a potential side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary repetitive movements, such as lip smacking or tongue protrusion. The nurse should monitor the client for early signs of tardive dyskinesia to prevent irreversible damage.
Choices A, B, and C are incorrect:
A: Weight loss is not typically associated with chlorpromazine use; in fact, weight gain is more common.
B:
Torticollis is a condition characterized by a twisted neck, which is not a common side effect of chlorpromazine.
C: Hypoglycemia is not a known side effect of chlorpromazine; instead, it is more commonly associated with other medications like insulin or sulfonylureas.
Question 2 of 5
The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because staying with the client and emphasizing safety helps establish trust and security, which are crucial during a panic attack. This intervention provides reassurance and support, reducing the client's anxiety and promoting a sense of safety.
A: Demonstrating empathy is important, but trying to mimic the client's anxiety may escalate the situation.
B: Leaving the client alone may increase feelings of abandonment and worsen the panic attack.
C: Providing false reassurance by stating a positive prognosis may invalidate the client's feelings and minimize the seriousness of their experience.
In summary, choice D is the most appropriate as it focuses on providing immediate support and safety to help the client through the panic attack.
Question 3 of 5
A patient was brought to the emergency department for an injury he received while working as a migrant worker. It soon becomes evident that the patient cannot speak English. A nurse on duty offers to find an interpreter so the patient can communicate with the medical staff. The nurse's offer is an example of which type of nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Cultural brokering. In this scenario, the nurse offering to find an interpreter for the patient demonstrates cultural brokering by facilitating communication between the patient and the medical staff despite the language barrier. Cultural brokering involves bridging the gap between different cultures to ensure effective communication and understanding in healthcare settings. Milieu therapy (
A) focuses on creating a therapeutic environment, conflict resolution (
B) involves resolving conflicts between individuals or groups, and structured interaction (
D) refers to planned interactions with a specific purpose. In this case, the nurse's intervention goes beyond these options by directly addressing the cultural and communication needs of the patient.
Question 4 of 5
A client with co-occurring disorders of schizophrenia and substance abuse is admitted for treatment. Which of the following would the nurse be least likely to identify as a priority for this client?
Correct Answer: B
Rationale: The correct answer is B: Group therapy. In the case of a client with schizophrenia and substance abuse, the priority is addressing immediate safety concerns, such as controlling psychiatric symptoms and managing withdrawal symptoms. Group therapy may not be as crucial initially compared to individual therapy and medication management. Treatment decisions should be individualized based on the client's needs. Group therapy can be beneficial but may not be the immediate priority for this client.
Question 5 of 5
The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following?
Correct Answer: D
Rationale: The correct answer is D because clients with complex somatic symptom disorder often exhibit rapidly changing moods during the interview due to the distress associated with their physical symptoms. This is a common manifestation of the emotional turmoil they experience.
A: No facial expression is less likely as emotional expression is common.
B: Intermittent nodding and glancing at the clock may suggest anxiety or distraction, but not specific to this disorder.
C: Altered mental status is not a typical feature of complex somatic symptom disorder.