ATI RN
Population Based Health Care Questions
Question 1 of 5
A drug causes muscarinic receptor blockade. The nurse will assess the patient for
Correct Answer: A
Rationale: The correct answer is A: Dry mouth. Muscarinic receptor blockade inhibits the action of acetylcholine, leading to decreased salivary gland secretion and causing dry mouth. Gynecomastia (B) is associated with antiandrogen medications. Pseudoparkinsonism (C) is a side effect of antipsychotic medications that block dopamine receptors. Orthostatic hypotension (D) is a side effect of alpha-1 adrenergic receptor blockade.
Question 2 of 5
Family members of a patient newly diagnosed with paranoid schizophrenia state that they do not understand what caused the patient's illness. The nurse's response should be predicated on the:
Correct Answer: A
Rationale: The correct answer is A, the Neurobiological-genetic model, because paranoid schizophrenia is known to have a strong genetic component. Research has shown that individuals with a family history of schizophrenia are at a higher risk of developing the disorder. The neurobiological aspect refers to the abnormalities in brain structure and function associated with schizophrenia, such as neurotransmitter imbalances. Therefore, the nurse should educate the family members about the genetic predisposition and neurobiological factors contributing to the patient's illness. Choices B, C, and D are incorrect: B: The Stress model focuses on the role of environmental stressors in triggering or exacerbating mental illness, which is not the primary cause of paranoid schizophrenia. C: The Family theory model emphasizes family dynamics and interactions as contributing factors to mental illness, but it is not the primary cause of paranoid schizophrenia. D: The Developmental model looks at how early childhood experiences and developmental stages may influence mental health outcomes, but it is not the primary etiology of paranoid
Question 3 of 5
A newly admitted client has the diagnosis of catatonic schizophrenia. The nurse would expect to assess:
Correct Answer: A
Rationale: Rationale: A: Psychomotor symptoms are characteristic of catatonic schizophrenia, such as stupor or excessive motor activity. B: Intense suspiciousness is more indicative of paranoid schizophrenia, not catatonic schizophrenia. C: Inappropriate affect is a symptom seen in other types of schizophrenia but not specific to catatonic schizophrenia. D: Clanging communication is associated with disorganized schizophrenia, not catatonic schizophrenia. In catatonic schizophrenia, psychomotor symptoms like stupor, rigidity, or excitement are prominent.
Question 4 of 5
An expected outcome for a client who hears voices telling him he is evil would be that by discharge, client will:
Correct Answer: C
Rationale: The correct answer is C because it focuses on addressing the underlying causes of the client's experience of hearing voices and feeling evil. By identifying events that increase anxiety and promote hallucinations, the client can work on reducing these triggers and managing his symptoms effectively. This approach is key for long-term improvement and recovery. A: Verbalizing the reason the voices say he is evil does not address the root cause of the hallucinations and may not lead to effective coping strategies. B: Responding verbally to the voices may not be therapeutic and could potentially reinforce the hallucinations. D: Integrating the voices into his personality structure in a positive manner is not a recommended approach as it could lead to further distress and potentially harmful behaviors.
Question 5 of 5
Prior to discharge, the nurse plans to teach the client and family about relapse. Which items will the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because recognizing warning signs of relapse is crucial for early intervention. By identifying these signs, the client and family can seek help promptly, preventing a full relapse. Choice B is incorrect as waiting for signs to persist for more than one month delays intervention. Choice C is incorrect as altering medication dosage without medical advice can be dangerous. Choice D is incorrect as using street drugs is never a safe or appropriate way to manage relapse.