ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Impulsivity. In bulimia nervosa, individuals often engage in impulsive behaviors such as binge eating followed by purging. This is a key characteristic of the disorder. Impulsivity can manifest as a lack of control over eating behaviors. Panic (B), hyperactivity (C), and delusions (D) are not typically associated with bulimia nervosa. Panic attacks may occur in some cases, but it is not a defining feature of the disorder. Hyperactivity and delusions are not common symptoms of bulimia nervosa.
Question 2 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 3 of 5
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, children are in the toddler stage where they are developing autonomy and independence. The child's negative behavior, refusal of toilet training, and constant use of "No!" suggest a struggle with asserting independence (autonomy) while also feeling the shame and doubt associated with not meeting expectations. This aligns with Erikson's psychosocial stage of Autonomy versus shame and doubt. A: Trust versus mistrust is resolved in infancy, where the child develops trust in caregivers. B: Initiative versus guilt occurs in early childhood when children explore their abilities and may feel guilty for overstepping boundaries. C: Industry versus inferiority is experienced in middle childhood, focusing on feelings of competence and accomplishment versus inadequacy. In summary, the child's behavior and resistance to toilet training indicate a conflict between asserting independence and feeling shame and doubt, which aligns with Autonomy versus shame and doubt.
Question 4 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale: Step-by-step rationale for choice C being correct: 1. Imaginary friends are common in children, especially those who have experienced trauma. 2. They serve as a coping mechanism for children to process their emotions and experiences. 3. The nurse's teaching aims to help the foster family understand this coping mechanism. 4. The foster mother's statement reflects understanding that imaginary friends are a way for Maggie to cope with her trauma. Summary of why other choices are incorrect: A. Calling imaginary friends abnormal is incorrect as they are a normal part of child development. B. Describing imaginary friends as maladaptive behavior is incorrect as they can be a healthy coping mechanism. D. Telling the child that imaginary friends are unacceptable can be harmful and dismissive of the child's emotions.
Question 5 of 5
The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient's plan of care?
Correct Answer: C
Rationale: The correct answer is C because instituting strict restrictions on the patient's activity is not appropriate when a patient is at imminent risk for suicide. This can increase feelings of hopelessness and powerlessness, potentially exacerbating the risk. Listening intently and nonjudgmentally (A), validating feelings (B), and using cognitive interventions to foster hope (D) are all appropriate strategies that can help support the patient and address the underlying issues contributing to their suicidal ideation. It is important to focus on therapeutic interventions that promote safety and provide support rather than imposing strict restrictions.