A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the teaching was effective when they state which of the following should be reported immediately?

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ATI Mental Health 1 Questions

Question 1 of 5

A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the teaching was effective when they state which of the following should be reported immediately?

Correct Answer: A

Rationale: The correct answer is A: Elevated temperature. This should be reported immediately because it could indicate a serious side effect known as neuroleptic malignant syndrome (NMS) associated with antipsychotic medications. NMS is a life-threatening condition characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. Prompt medical intervention is crucial to prevent complications. Option B: Tremor is a common side effect of antipsychotic medications but does not typically require immediate reporting unless severe or persistent. Option C: Decreased blood pressure may occur with certain antipsychotics, but it is not usually an emergency unless symptomatic. Option D: Weight gain is a common side effect of some antipsychotic medications and should be monitored over time but does not necessitate immediate reporting unless excessive or sudden.

Question 2 of 5

A family has recently lost all their belongings when their house burned down. They have been living in temporary housing. Although the parents were previously very supportive and able to help their young children with their homework in the evenings, they have been unable to do so under their present circumstances. Based on this information, which nursing diagnosis would be most appropriate for this family?

Correct Answer: A

Rationale: The correct answer is A: Interrupted Family Processes. This nursing diagnosis is most appropriate because the family's ability to engage in their usual supportive and nurturing roles has been disrupted due to the traumatic event of losing their belongings in a house fire. The parents' inability to help their children with homework reflects a disruption in their usual family functioning. Choice B: Compromised Family Coping may seem relevant due to the family's current situation, but it does not specifically address the disruption in family processes caused by the house fire. Choice C: Ineffective Family Therapeutic Regimen Management does not apply as the family is not currently receiving any therapeutic treatment that they are unable to manage. Choice D: Caregiver Role Strain may be relevant if the parents were experiencing strain specifically related to caregiving responsibilities, but the primary issue in this scenario is the disruption in family processes rather than caregiver strain.

Question 3 of 5

During assessment, the nurse asks a patient to explain what the following means: 'A penny saved is a penny earned.' The nurse is assessing which of the following?

Correct Answer: D

Rationale: The correct answer is D: Abstract reasoning. This is because the patient is being asked to interpret and understand a proverb, which requires the ability to think conceptually and make connections between different ideas. Abstract reasoning involves thinking in symbols, understanding complex concepts, and drawing inferences. The other choices are incorrect because: A: Affect refers to emotions and mood, which are not directly related to interpreting a proverb. B: Attention relates to focus and concentration on a specific task, not interpreting abstract concepts like proverbs. C: Concentration involves the ability to focus on a task or information, but it does not necessarily involve abstract thinking or interpretation of concepts.

Question 4 of 5

A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?

Correct Answer: A

Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.

Question 5 of 5

A kosher diet is to the Jewish client as a halal diet is to the:

Correct Answer: B

Rationale: The correct answer is B: Muslim client. Both kosher and halal dietary laws originate from religious texts (Torah and Quran, respectively). Both require specific guidelines for permissible foods and preparation methods. Muslims follow halal dietary laws, which are similar to kosher laws but have additional restrictions. The other choices (A, C, D) do not have dietary laws similar to kosher or halal, making them incorrect options.

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