ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale:
Step-by-step rationale for choice C being correct:
1. Imaginary friends are common in children, especially those who have experienced trauma.
2. They serve as a coping mechanism for children to process their emotions and experiences.
3. The nurse's teaching aims to help the foster family understand this coping mechanism.
4. The foster mother's statement reflects understanding that imaginary friends are a way for Maggie to cope with her trauma.
Summary of why other choices are incorrect:
A. Calling imaginary friends abnormal is incorrect as they are a normal part of child development.
B. Describing imaginary friends as maladaptive behavior is incorrect as they can be a healthy coping mechanism.
D. Telling the child that imaginary friends are unacceptable can be harmful and dismissive of the child's emotions.
Question 2 of 5
A parent of a three-year-old child with ASD has called the local school district to inquire about resources available to support her child. The child's pediatrician referred the mother to the school district. What information can the school nurse share about the primary source of support at this age?
Correct Answer: B
Rationale: The correct answer is B: "Your child may be eligible to attend a developmental preschool program." At the age of three, children with ASD can benefit from early intervention services provided by developmental preschool programs to support their learning and social skills development. These programs offer specialized support tailored to the child's needs.
Choice A is incorrect as early intervention programs are typically coordinated by the local school district, not the state directly.
Choice C is incorrect as children with ASD can receive services before kindergarten.
Choice D is incorrect as it is the responsibility of the school district to provide appropriate support services for children with disabilities.
Question 3 of 5
A nursing instructor is describing the nurse-patient relationship to a group of nursing students. Which of the following would the instructor emphasize as crucial for establishing and maintaining the relationship?
Correct Answer: C
Rationale: The correct answer is C: Self-awareness. Self-awareness is crucial in the nurse-patient relationship as it involves understanding one's own thoughts, emotions, values, and biases. This awareness helps nurses maintain objectivity, empathy, and effective communication with patients. By being self-aware, nurses can identify and manage their own feelings and reactions, leading to better understanding and connection with patients.
Rationale for other choices:
A: Rapport is important in building relationships, but self-awareness is essential for understanding and managing one's own behaviors and reactions within the relationship.
B: Empathy is crucial for understanding and sharing patients' emotions, but self-awareness is fundamental for ensuring empathy is genuine and not influenced by personal biases.
D: Values are important in guiding ethical decision-making, but self-awareness is necessary for recognizing how personal values may affect the nurse-patient relationship.
Question 4 of 5
A client with bipolar disorder having experienced a depressive episode is prescribed lamotrigine. After teaching the client about this medication, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Lamotrigine can cause a serious skin rash called Stevens-Johnson syndrome, so it's crucial for the client to notify their physician immediately if a skin rash develops.
2. Monitoring blood levels is not typically required for lamotrigine.
3. Watching salt intake is not directly related to lamotrigine use.
4. While lamotrigine can rarely affect liver function, it is not the primary concern compared to the potential serious skin rash.
Question 5 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship.
Choice A does not address the immediate needs of the client.
Choice B is too broad and does not guide the client towards discussing the relevant issues.
Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.