ATI RN
ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions
Question 1 of 5
A charge nurse in a mental health facility is teaching a newly licensed nurse how to perform an Abnormal Involuntary Movement Scale (AIMS) assessment on a client. The charge nurse should identify that the AIMS assessment is used for which of the following conditions?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. The Abnormal Involuntary Movement Scale (AIMS) assessment is used to evaluate abnormal involuntary movements, such as repetitive, involuntary movements of the face, limbs, and trunk. Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, characterized by these involuntary movements. AIMS helps monitor and assess the severity of tardive dyskinesia in patients taking antipsychotic medications.
Choices A, C, and D are incorrect because they do not specifically relate to the purpose of the AIMS assessment. Opiate withdrawal (
A) is assessed using different tools, alcohol withdrawal (
C) is evaluated using different criteria, and lithium toxicity (
D) is identified through blood tests and clinical symptoms.
Question 2 of 5
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: C
Rationale: The correct answer is C: The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. Clozapine is a second-generation antipsychotic used for treatment-resistant schizophrenia. It is crucial for the nurse to discuss the importance of continued medication adherence even after acute symptoms improve to prevent relapse. Option A is incorrect because tyramine interactions are more relevant for MAOIs, not clozapine. Option B is incorrect as clozapine does not typically require fluid restriction. Option D is incorrect as routine red blood cell monitoring is essential for detecting clozapine-induced agranulocytosis, but it is not the most important topic to discuss with the client at this time.
Question 3 of 5
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Dopamine antagonist. Delusions, hallucinations, and alterations in speech are symptoms of psychosis, which is commonly treated with antipsychotic medications like dopamine antagonists. These medications help to block the excessive dopamine activity in the brain, thereby reducing psychotic symptoms. Mood stabilizers (
A) are used for bipolar disorder, benzodiazepines (
B) are typically for anxiety and not primary in treating psychosis, and selective serotonin reuptake inhibitors (
D) are used for depression and not effective for treating psychosis.
Question 4 of 5
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
Correct Answer: C
Rationale: The correct answer is C: Young adulthood. Schizophrenia is typically diagnosed in late teens to early 30s. This is when symptoms commonly appear and are more identifiable due to the onset of stressors like academic or occupational demands. School-age and preschooler choices are too early for schizophrenia onset. Older adulthood is less likely for new diagnoses.
Question 5 of 5
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
Correct Answer: A
Rationale: The correct answer is A: Adaptive vs. maladaptive. When a client reports an increase in stressors, the nurse must assess how the client is coping. Understanding whether the client's responses to stressors are adaptive (healthy coping mechanisms) or maladaptive (unhealthy coping mechanisms) is crucial in providing appropriate care. This concept helps the nurse tailor interventions to support the client effectively.
Choices B, C, and D are not relevant in this context as they do not address the client's coping strategies in response to stressors. Justified vs. unjustified, good vs. bad, and right vs. wrong are moral or ethical judgments rather than focusing on the client's adaptive abilities.