ATI RN
ATI Mental Health Book Questions
Question 1 of 5
A client with schizoaffective disorder is having difficulty adhering to the medication regimen that requires the use of several agents. The client also is experiencing several side effects contributing to this nonadherence. The physician plans to change the client's medication. Which agent would the nurse anticipate that the physician would prescribe?
Correct Answer: B
Rationale: The correct answer is B: Aripiprazole. Aripiprazole is a second-generation antipsychotic that has a favorable side effect profile compared to other agents. It is commonly used in the treatment of schizoaffective disorder due to its effectiveness in managing both psychotic symptoms and mood symptoms. Aripiprazole has a lower risk of metabolic side effects compared to agents like olanzapine and clozapine, making it a suitable choice for a client experiencing side effects contributing to nonadherence. Lithium is not typically used as a first-line treatment for schizoaffective disorder. Clozapine is known for its potential serious side effects, such as agranulocytosis, requiring close monitoring. Olanzapine is associated with weight gain and metabolic issues, which may worsen nonadherence in this case.
Question 2 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 because screening a group of males between the ages of 15 and 25 for early symptoms is a well-chosen intervention for addressing a population at high risk for developing schizophrenia. Schizophrenia often manifests in late adolescence and early adulthood, making this age group particularly vulnerable. Early detection and intervention can lead to better outcomes.
Choice B is incorrect because it focuses on females with substance use issues, which is not specifically related to the high-risk population for schizophrenia.
Choice C is not as well suited because it targets an older age group not typically associated with the onset of schizophrenia.
Choice D is also incorrect because it focuses on educating parents of developmentally delayed children, which is not directly related to addressing the high-risk population for schizophrenia.
Question 3 of 5
An individual is seeking employment as a nurse in a crisis center. The interviewer asks the person what he would ask someone who called the crisis hotline to determine whether the caller was experiencing a crisis. Which response would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Tell me about what you are experiencing and what it means to you." This response is appropriate because it allows the caller to describe their own experience and feelings, providing insight into their current situation and emotional state. By listening to the caller's story and understanding their perspective, the nurse can assess the severity of the crisis and provide appropriate support.
Choice A is incorrect as it focuses on the extent of involvement rather than understanding the caller's experience.
Choice C is incorrect because a numerical rating doesn't provide a comprehensive understanding of the caller's situation.
Choice D is incorrect as it assumes the caller knows why they are in a crisis rather than allowing them to express their feelings and experiences.
Question 4 of 5
Documentation in a patient's chart shows, "Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, ‗I enjoy spending time with you.'" Which analysis is most accurate?
Correct Answer: C
Rationale: The correct answer is C: The patient's verbal and nonverbal messages are incongruent. This is correct because the patient's statement "I enjoy spending time with you" does not align with their fidgeting, tapping foot, covering face, and looking under the chair - all signs of discomfort or unease. The incongruence between the verbal and nonverbal cues suggests a potential discrepancy between what the patient is saying and how they are truly feeling.
A: The patient's behavior does not necessarily indicate positive feedback about the nurse's communication techniques.
B: There is no indication of the nurse misinterpreting the patient's behavior based on cultural differences.
D: There is no evidence to suggest that the patient is demonstrating psychotic behaviors based on the given information.
In summary, the correct answer highlights the importance of recognizing and interpreting both verbal and nonverbal cues to gain a comprehensive understanding of a patient's communication.
Question 5 of 5
The nurse is caring for a patient who has a question about the safety of an herbal supplement. Which nursing response is best?
Correct Answer: C
Rationale: The correct answer is C because it emphasizes the importance of informing the primary care provider about any supplements. This ensures proper monitoring for potential interactions and side effects.
Choice A is incorrect as herbal supplements are not as strictly regulated as prescription drugs.
Choice B is incorrect as natural does not always mean safe.
Choice D is incorrect as marketing claims do not guarantee safety. Overall, choice C prioritizes patient safety and collaboration with healthcare providers.