ATI RN
ATI Mental Health Final Quizlet Questions
Question 1 of 5
As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picni What is the best analysis of this scenario?
Correct Answer: B
Rationale: The correct answer is B because inviting a patient to a staff picnic blurs the boundaries of the therapeutic relationship. This action may create confusion for the patient about the professional relationship with the nurse, potentially leading to ethical concerns and compromising the therapeutic alliance. The other choices are incorrect because: A promotes dependency, C assumes a specific therapeutic benefit without evidence, and D assumes integration into community living without proper assessment or planning.
Question 2 of 5
A patient who has been taking clozapine for 6 weeks visits the clinic complaining of fever, sore throat, and mouth sores. The nurse notifies the patient's physician because the nurse suspects which of the following?
Correct Answer: D
Rationale: The correct answer is D: Agranulocytosis. Clozapine is known to cause agranulocytosis, a serious condition characterized by a decrease in white blood cells, leading to increased susceptibility to infections. The symptoms of fever, sore throat, and mouth sores are indicative of an infection, which could be a result of agranulocytosis. The physician should be notified immediately for further evaluation and management.
A: Severe anemia is not typically associated with the symptoms described and is not a common side effect of clozapine.
B: Neuroleptic malignant syndrome presents with symptoms such as muscle rigidity, fever, and altered mental status, which are different from the symptoms described.
C: Encephalitis is inflammation of the brain and is not directly related to the symptoms reported by the patient.
Question 3 of 5
A client diagnosed with borderline personality disorder tells the nurse that she frequently spaces out. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct response is C: "What's happening around you when this occurs?" This question is appropriate because it helps the nurse gather more information about the client's experiences during the spacing out episodes, which can provide insights into triggers or patterns. It allows the client to describe the context of the episodes, aiding in the assessment and potential identification of stressors or environmental factors contributing to the dissociative experiences.
Incorrect answers:
A: "Do you feel stressed most of the time?" This answer assumes stress as the primary cause without exploring other potential triggers.
B: "Does this frighten you when it happens?" This answer focuses on the emotional response rather than the environmental context, which may not be as helpful in understanding the situation.
D: "Do you feel as if you are out of your body?" This answer is more specific and may jump to conclusions about depersonalization, which may not necessarily be the client's experience.
Question 4 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates active listening, empathy, and encourages further exploration of the patient's experience without dismissing or invalidating their feelings. By asking James to share more about his experience, it shows that you are engaged, caring, and willing to understand his perspective. This approach can help build trust and rapport with the patient, which is important in therapeutic communication.
Option A is incorrect because it denies the patient's experience and may lead to feelings of invalidation. Option B is incorrect as it dismisses the patient's feelings of fear and may come across as patronizing. Option D is incorrect as it focuses more on reassurance rather than addressing the patient's emotional distress and exploring their experience.
Question 5 of 5
A nursing instructor is developing a class lecture that compares and contrasts schizoaffective disorder with schizophrenia. When describing one of the differences between these two diagnoses, which of the following would the instructor include as reflecting schizoaffective disorder?
Correct Answer: A
Rationale: The correct answer is A: It is episodic in nature. Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. One key difference between schizoaffective disorder and schizophrenia is that schizoaffective disorder is episodic, meaning the individual experiences periods of mood symptoms alongside psychotic symptoms. This episodic nature distinguishes it from schizophrenia, where symptoms are typically more continuous.
Choices B, C, and D are incorrect as they do not accurately reflect a defining characteristic of schizoaffective disorder. Schizoaffective disorder can still involve difficulties with self-care, severe hallucinations, and a high risk of suicide, so these options are not specific enough to differentiate it from schizophrenia.