ATI RN
ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions
Question 1 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale:
Correct Answer: C - It is now time for you to bathe
Rationale: The nurse should use a direct, clear, and non-confrontational approach to encourage the client to bathe. This statement acknowledges the importance of personal hygiene without shaming the client. It sets a clear expectation and provides a gentle reminder for the client to engage in self-care activities. By using a neutral and supportive tone, the nurse respects the client's autonomy while promoting health and well-being.
Summary of Other
Choices:
A: Incorrect - Ignoring the lack of self-care enables further neglect and does not address the client's needs.
B: Incorrect - Forcing the client to bathe in a confrontational manner may cause distress and resistance.
D: Incorrect - This statement comes off as judgmental and may make the client defensive, hindering effective communication and rapport-building.
Question 2 of 5
A nurse is caring for an adolescent who is experiencing recurring manifestations of influenza. Which of the following phases of Selye's General Adaptation Syndrome (GAS) explains the possible cause for the adolescent's manifestations?
Correct Answer: C
Rationale: The correct answer is C: Exhaustion Phase. In Selye's General Adaptation Syndrome, the Exhaustion Phase occurs after prolonged exposure to stressors, leading to depleted resources and weakened immune response. In the case of the adolescent with recurring manifestations of influenza, the continued stress from the illness may have led to exhaustion of the body's adaptive mechanisms, making the adolescent more susceptible to infections. The other phases are not applicable in this scenario: A - Adaptive Phase is the initial response to stress, B - Resistance Phase is when the body tries to cope with ongoing stress, and D - Alarm Phase is the immediate reaction to stress.
Question 3 of 5
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?
Correct Answer: D
Rationale: The correct answer is D: Diabetes mellitus. Schizophrenia is associated with an increased risk of metabolic disorders like diabetes due to factors such as poor diet, sedentary lifestyle, and antipsychotic medication side effects. Cancer (
A), osteoarthritis (
B), and Alzheimer's disease (
C) are not typically recognized as comorbidities of schizophrenia. These conditions may coexist with schizophrenia in some cases, but they are not directly linked to the disorder's pathophysiology.
Question 4 of 5
A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home?
Correct Answer: A
Rationale: The correct answer is A: Necklace. The nurse should ask the client's partner to take back the necklace because it could potentially be used as a means for self-harm or suicide. Necklaces can be easily manipulated to create ligatures for strangulation. Lace-up tennis shoes, nylon socks, and cotton underwear do not pose the same risk as they cannot be easily used for self-harm in a mental health setting. It is essential to remove any items that could pose a danger to the client's safety.
Question 5 of 5
A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because stress is a common cause of depressed mood. Stress can lead to feelings of sadness and hopelessness. High blood pressure (
B), elevated heart rate (
C), and renal dysfunction (
D) are not typically direct causes of depressed mood. High blood pressure and elevated heart rate are more closely associated with physical health, while renal dysfunction is related to kidney function, not mental health.
Therefore, A is the best choice as it aligns with common triggers of depression.