ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.
Question 2 of 5
The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?
Correct Answer: D
Rationale: The correct answer is D: Assertiveness skills. This is the priority focus because individuals with somatic symptom disorder often struggle with expressing their needs and setting boundaries. Developing assertiveness skills can help clients communicate effectively, improve self-esteem, and reduce anxiety related to their symptoms. Choices A, B, and C are incorrect as they do not directly address the core issues of somatic symptom disorder. Understanding the causes of medical illnesses may not necessarily improve the client's ability to cope with their symptoms. Positive self-talk is beneficial but may not address the interpersonal challenges often seen in this disorder. Exploring side effects of medications is important but not as crucial as building assertiveness skills for long-term symptom management.
Question 3 of 5
A 10-year-old child with Tourette's disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow-up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug?
Correct Answer: A
Rationale: The correct answer is A. The nurse should suspect a side effect if the child reports feeling sleepy while taking haloperidol. This is because sedation or drowsiness is a common side effect of haloperidol, a typical antipsychotic medication. Sedation can affect the child's daily functioning and quality of life. Choice B is incorrect as maintaining the same appetite is not typically a side effect of haloperidol. Choice C is incorrect as increased muscle flexibility is not a common side effect of haloperidol. Choice D is incorrect as feeling more alert is not consistent with the sedative effects of haloperidol.
Question 4 of 5
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior?
Correct Answer: A
Rationale: The correct answer is A: A risk for moderate to severe violence with people both within and outside his family. This is because individuals with antisocial personality disorder often exhibit behaviors such as aggression, impulsivity, disregard for the rights of others, and lack of empathy. With an extensive criminal record and being identified as having characteristics of antisocial personality disorder, the woman's husband is at an increased risk for violent behavior towards both family members and others. Choice B is incorrect because individuals with antisocial personality disorder typically lack remorse for their actions. Choice C is incorrect as depression and feelings of inadequacy are not characteristic of antisocial personality disorder. Choice D is incorrect as individuals with antisocial personality disorder may maintain superficial relationships but are not likely to isolate themselves from others purposefully.
Question 5 of 5
A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene?
Correct Answer: D
Rationale: The correct answer is D because viewing the newborn's actions as uncooperative can indicate a lack of understanding of newborn behavior and may lead to inappropriate responses. This attitude may hinder bonding and potentially harm the newborn's development. A: Holding the newborn in an en face position is a positive interaction that promotes bonding. B: Asking the father to change the newborn's diaper involves the father in caregiving, which is beneficial for bonding. C: Requesting the nurse to take the newborn to the nursery so she can rest is acceptable as long as the mother prioritizes self-care.