ATI RN
ATI Engage Mental Health Personality Disorders Quizlet Questions
Question 1 of 5
A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress. The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient's family?
Correct Answer: B
Rationale: The correct answer is B: Compromised Family Coping. This choice is appropriate because the patient's family is struggling to cope effectively with the stressors they are facing. The father's excessive drinking and absence are impacting the patient's emotional well-being and ability to communicate with her father. This diagnosis reflects the family's inability to effectively manage the situation. A: Ineffective Family Therapeutic Regimen Management does not directly address the family's coping mechanisms. C: Ineffective Denial does not capture the family's overall coping ability and focuses more on individual denial behavior. D: Caregiver Role Strain may not fully encompass the family's overall coping difficulties and the impact on the patient's well-being. In summary, choice B is the most appropriate as it directly addresses the family's struggle to cope with the stressors, highlighting the need for nursing intervention to support their coping mechanisms.
Question 2 of 5
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, 'My throat is sore, and I feel weak.' The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?
Correct Answer: A
Rationale: The correct answer is A: A white blood cell count. Clozapine can cause agranulocytosis, a serious condition characterized by a severe decrease in white blood cells. The client's symptoms of sore throat, weakness, fever, and recent initiation of clozapine raise suspicion for agranulocytosis. A white blood cell count is crucial to monitor for this adverse effect. B: Liver function studies are not the priority in this case, as the symptoms and findings are more indicative of a potential hematologic issue than liver dysfunction. C: Serum potassium level is not the most relevant test to order in this scenario, as the client's symptoms and history are more concerning for a hematologic issue rather than a potassium imbalance. D: Serum sodium level is not the most appropriate test to request, as the client's symptoms and history do not suggest a primary issue related to sodium imbalance.
Question 3 of 5
A group of students is reviewing information about anxiety disorders in preparation for a class examination. The students demonstrate understanding of the material when they state which of the following?
Correct Answer: B
Rationale: The correct answer is B: Women experience anxiety disorders more often than do men. This is because research consistently shows that women are indeed more likely to experience anxiety disorders compared to men. Factors such as hormonal differences, societal pressures, and biological vulnerabilities contribute to this gender difference. Explanation for why other choices are incorrect: A: Anxiety disorders do not rank second to depression in psychiatric illnesses being treated. Depression is actually more prevalent. C: Most anxiety disorders are chronic and can last for a long time, rather than being short-term with full recovery. D: Anxiety disorders are more common in adolescents and adults, rather than in children.
Question 4 of 5
The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has 'one ear that is obviously bigger than the other ear.' The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?
Correct Answer: D
Rationale: The correct answer is D: Body dysmorphic disorder. Body dysmorphic disorder is characterized by an excessive preoccupation with a perceived flaw in physical appearance that is not observable or appears minor to others. In this scenario, the client's belief that one ear is significantly larger than the other, when it is not observable to the nurse, aligns with symptoms of body dysmorphic disorder. This disorder often leads to significant distress and impaired social functioning. A: Complex somatic symptom disorder involves a preoccupation with physical symptoms, but the client's concern is about appearance, not physical symptoms. B: Functional neurologic symptoms involve neurological symptoms without a known neurological condition, which is not evident in this case. C: Factitious disorder involves fabricating or exaggerating symptoms for psychological reasons, which is not the case here.
Question 5 of 5
A group of nursing students is reviewing information about disruptive behavior disorders. The students demonstrate understanding of the topic when they identify which of the following as an externalizing disorder?
Correct Answer: D
Rationale: The correct answer is D: Conduct disorder. Conduct disorder is categorized as an externalizing disorder because it involves behaviors that are directed outward, such as aggression, defiance, and rule-breaking. This disorder is characterized by violating the rights of others and societal norms. In contrast, anxiety (choice A) and depression (choice B) are internalizing disorders, which involve inward-directed emotions and thoughts. Schizophrenia (choice C) is a psychotic disorder marked by disturbances in thinking, emotions, and behavior, and is not classified as an externalizing disorder. Conduct disorder fits the criteria of an externalizing disorder due to its focus on disruptive and antisocial behaviors.