ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 4
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
Correct Answer: B
Rationale: The correct answer is B: Withdrawal symptoms. Benzodiazepines are known for causing physical dependence, leading to withdrawal symptoms if stopped abruptly. The nurse must emphasize this risk to the client with panic disorder to prevent potential harm. Dietary restrictions (A) are not typically associated with benzodiazepine use. Agitation (C) can be a side effect but is not a primary risk. Fecal impaction (D) is not directly related to benzodiazepine use. It is crucial for the nurse to educate the client on the importance of gradually tapering off the medication to avoid withdrawal symptoms.
Question 2 of 4
A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?
Correct Answer: B
Rationale: Correct Answer: B - Providing a consistent, structured environment with predictable routines Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes. Incorrect Choices: A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress. C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities. D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.
Question 3 of 4
A nurse is readmitting a client with a co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, I'm just a failure. I'll never be anything but just a drunk. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's experience while offering hope and encouragement for learning from the relapse. It normalizes relapse as part of the recovery process and emphasizes the opportunity for growth and prevention in the future. Option B is incorrect as it reinforces a negative self-image and fatalistic view of alcoholism. Option C incorrectly links schizophrenia with alcohol abuse, potentially stigmatizing the client. Option D is not as therapeutic as A, as it does not address the client's negative self-perception or provide guidance for coping with relapse.
Question 4 of 4
A 26-month-old displays negative behavior, refuses toilet training, and often says, 'No!' Which psychosocial crisis is evident?
Correct Answer: D
Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, the child is in the toddler stage according to Erikson's psychosocial development theory. During this stage, children are developing a sense of autonomy and independence. The negative behavior, refusal of toilet training, and saying 'No!' are all indicative of the child asserting their autonomy and testing boundaries. If the child is met with criticism or punishment for their attempts at independence, they may develop feelings of shame and doubt. This aligns with the psychosocial crisis of Autonomy versus shame and doubt. Summary of other choices: A: Trust versus mistrust - This crisis occurs in infancy, where the primary focus is on developing trust in the caregiver. Not applicable in this scenario. B: Initiative versus guilt - This crisis occurs in early childhood, focusing on taking initiative in activities. Not relevant to the behaviors described. C: Industry versus inferiority - This crisis occurs in middle childhood, emphasizing the development of