ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 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.
Question 2 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 3 of 5
The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
Correct Answer: B
Rationale: The correct answer is B because the statement reflects the hallmark symptom of agoraphobia, which is the fear of leaving one's safe space. The patient expresses the irrationality of their fear but still feels unable to go out.
Choice A indicates optimism and a belief in overcoming the fear, not consistent with agoraphobia.
Choice C suggests social support for staying home, which is not a characteristic of agoraphobia.
Choice D implies the ability to go out with motivation, which is not in line with the persistent fear and avoidance seen in agoraphobia.
Question 4 of 5
A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?
Correct Answer: D
Rationale:
Step 1: Identify Type D personality - Type D personality is characterized by negative emotions, social inhibition, and a tendency to suppress emotions.
Step 2: Analyze the choices - Option D fits the criteria as the man reacts negatively to almost everything and does not discuss his feelings with anyone, demonstrating social inhibition and negative emotions.
Step 3: Eliminate incorrect choices - Option A displays aggression, not social inhibition. Option B shows introverted behavior, not necessarily negative emotions. Option C involves peer pressure and poor decision-making, not social inhibition or negative emotions.
Summary:
Choice D is correct as it aligns with the characteristics of a Type D personality - negative emotions and social inhibition.
Choices A, B, and C do not exhibit these specific traits.
Question 5 of 5
What is one reason why personality disorders can be difficult to diagnose?
Correct Answer: A
Rationale: The correct answer is A because individuals with personality disorders often lack insight into their condition and may not seek help. This can lead to underreporting of symptoms and reluctance to engage in treatment. Maladaptive behaviors (
B) are a symptom of personality disorders, not a reason for difficulty in diagnosis. Lack of reliable health history (
C) may hinder diagnosis but is not specific to personality disorders. Lack of emotional response (
D) from the client may be a symptom of certain personality disorders but is not the main reason for difficulty in diagnosis.