ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations.
Rationale:
1. First-generation antipsychotic medications are primarily used to target positive symptoms of schizophrenia, such as hallucinations.
2. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations.
3. Memory problems, depressive episodes, and social interactions are not directly addressed by first-generation antipsychotics.
4.
Therefore, the nurse should inform the patient that the medication is likely to help reduce her hallucinations, leading to an improvement in her symptoms.
Question 2 of 5
Lester and Eileen have always enjoyed gambling. Lately, Eileen has discovered that their savings account is down by $50,000. Eileen insists that Lester undergo therapy for his gambling behavior. The nurse recognizes that Lester is making progress when he states:
Correct Answer: B
Rationale:
Step-by-step rationale for why choice B is correct:
1. Gambling activating the reward pathways in the brain is a scientific fact.
2. Recognizing this fact shows self-awareness and understanding of the underlying issue.
3. Acknowledging the neurological aspect of gambling addiction is crucial in therapy.
4. This awareness can lead to developing healthier coping mechanisms.
5. Understanding the brain's response to gambling can aid in breaking the addiction cycle.
Summary of other choices:
A. Blaming oneself as a bad person does not address the root cause of the addiction.
C. Associating gambling with feeling alive does not indicate progress towards overcoming addiction.
D. Dismissing Eileen's concerns and not recognizing the addiction's impact is a sign of denial and lack of progress.
Question 3 of 5
A patient asks the nurse if exercise and what she eats can impact her mood. The nurse's best response is which of the following?
Correct Answer: D
Rationale: The correct answer is D because extensive research supports that exercise and proper nutrition significantly improve mood symptoms. Regular exercise releases endorphins and reduces stress, leading to improved mood. Proper nutrition provides essential nutrients for brain function and mood regulation.
Choices A, B, and C are incorrect as they do not provide evidence-based information like choice D.
Choice A dismisses the importance of exercise and nutrition, choice B implies limited significance, and choice C overlooks the essential role of nutrition in mood regulation.
Question 4 of 5
What is a nursing implication derived from the anti-psychiatry movement?
Correct Answer: C
Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process.
Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice.
Choice A suggests a paternalistic approach,
Choice B disregards clients' perspectives, and
Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.
Question 5 of 5
The nurse is assessing a client who is taking paliperidone. What is true regarding this medication?
Correct Answer: D
Rationale: The correct answer is D because paliperidone is a second-generation antipsychotic known for having a lower risk of causing extrapyramidal side effects like dystonia compared to first-generation antipsychotics. This is due to its mechanism of action and receptor profile.
Choice A is incorrect as neutropenia is not a common side effect of paliperidone.
Choice B is incorrect as paliperidone is available in both oral and long-acting injectable forms.
Choice C is incorrect as paliperidone is a second-generation antipsychotic, not a first-generation antipsychotic.