ATI RN
Population Based Health Care Questions
Question 1 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 2 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.
Question 3 of 5
A patient was admitted to the mental health unit after arguing with co-workers and threatening to kill them. He is diagnosed with paranoid schizophrenia. On the unit he is aloof and suspicious. He mentioned that two physicians he saw talking were plotting to kill him. On the basis of data gathered at this point, which two primary nursing diagnoses should the nurse consider?
Correct Answer: A
Rationale: The correct answer is A: Disturbed thought processes and Risk for other-directed violence. 1. Disturbed thought processes: The patient's delusion of being plotted against by the physicians indicates impaired thought processes typical of paranoid schizophrenia. 2. Risk for other-directed violence: The patient's threatening behavior towards co-workers suggests a potential for violent acts towards others due to his paranoid beliefs. Summary of why other choices are incorrect: B: Spiritual distress and Social isolation are not primary concerns given the patient's acute symptoms of paranoia and risk for violence. C: Risk for loneliness and Knowledge deficit are not crucial at this point as the patient's primary issues are related to paranoia and violence. D: Disturbed personal identity and Nonadherence are not relevant to the immediate safety and mental health concerns presented by the patient.
Question 4 of 5
The wife of a patient with schizophrenia is worried about her 17-year-old daughter and asks the nurse what symptoms mark the prodromal stage of schizophrenia. The nurse should respond by listing behaviors such as:
Correct Answer: A
Rationale: The correct answer is A because the symptoms listed: withdrawal, poor concentration, phobic or obsessive behavior, and oddities of speech are characteristic of the prodromal stage of schizophrenia. During this phase, individuals may start to exhibit subtle changes in behavior and thinking, which may signal the onset of the disorder. Choice B includes symptoms of active psychosis, such as auditory hallucinations and delusions, which are not typically seen in the prodromal stage. Choice C describes symptoms of catatonia, which are not specific to the prodromal phase. Choice D includes symptoms of acute psychosis, such as paranoid delusions, which are not typically present during the prodromal stage. In summary, the correct answer is A because it accurately reflects the early, subtle symptoms that may precede the full onset of schizophrenia, while the other choices describe symptoms that are more indicative of later stages of the disorder.
Question 5 of 5
A patient with schizophrenia tells the nurse, 'Everyone must listen to me. I am the redeemer. I will bring peace to the world.' From this the nurse can determine that an appropriate nursing diagnosis is:
Correct Answer: C
Rationale: Step 1: The patient's statement indicates grandiosity and delusions of grandeur, common in schizophrenia. Step 2: Chronic low self-esteem is a common nursing diagnosis for those with grandiose delusions. Step 3: The patient's belief of being the redeemer suggests underlying feelings of inadequacy. Step 4: Addressing self-esteem can help the patient cope with such delusions. Summary: A is incorrect as there is no mention of auditory hallucinations. B is incorrect as there is no immediate threat of violence. D is incorrect as nonadherence to medication is not evident in the scenario.