ATI RN
ATI Mental Health Final Quizlet Questions
Question 1 of 9
A nurse is caring for a client who is in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Eat 15 g of fiber per day. This is because increasing fiber intake helps alleviate constipation by promoting bowel movement and softening stool. Fiber-rich foods like fruits, vegetables, whole grains, and legumes are recommended during pregnancy. Option A is incorrect as vitamins and supplements should not be reduced without consulting a healthcare provider. Option C is incorrect as pregnant women are generally advised to drink at least 64 ounces of water daily for hydration and to prevent constipation. Option D is incorrect as drinking hot water with lemon juice may not have a significant impact on constipation compared to increasing fiber intake.
Question 2 of 9
A patient who has been taking clozapine for 6 weeks visits the clinic complaining of fever, sore throat, and mouth sores. The nurse notifies the patient's physician because the nurse suspects which of the following?
Correct Answer: D
Rationale: The correct answer is D: Agranulocytosis. Clozapine is known to cause agranulocytosis, a serious condition characterized by a decrease in white blood cells, leading to increased susceptibility to infections. The symptoms of fever, sore throat, and mouth sores are indicative of an infection, which could be a result of agranulocytosis. The physician should be notified immediately for further evaluation and management. A: Severe anemia is not typically associated with the symptoms described and is not a common side effect of clozapine. B: Neuroleptic malignant syndrome presents with symptoms such as muscle rigidity, fever, and altered mental status, which are different from the symptoms described. C: Encephalitis is inflammation of the brain and is not directly related to the symptoms reported by the patient.
Question 3 of 9
A nurse receives these three phone calls regarding a newly admitted patient. The psychiatrist wants to complete an initial assessment. An internist wants to perform a physical examination. The patient's attorney wants an appointment with the patient. The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
Correct Answer: B
Rationale: The correct answer is B: Case manager. The nurse acted as a case manager by coordinating and scheduling activities for the patient based on the input from different professionals involved in the patient's care. The nurse's role in this scenario was to ensure that all aspects of the patient's care were organized and managed effectively. A: Advocate - While the nurse may advocate for the patient's needs, in this scenario, the nurse's primary role was to coordinate care rather than advocate for a specific outcome. C: Milieu manager - This role involves managing the therapeutic environment, which is not directly related to scheduling activities for the patient. D: Provider of care - In this scenario, the nurse was not providing direct care to the patient but rather coordinating care provided by other healthcare professionals.
Question 4 of 9
A psychiatric nursing instructor is trying to explain to a group of students how clients identified as guilty but mentally ill (GBMI) and not guilty by reason of insanity (NGRI) differ. Which of the following would be most appropriate for the instructor to include in the discussion?
Correct Answer: D
Rationale: The correct answer is D because NGRI clients are treated in a hospital setting due to their mental illness, and their discharge is determined by the courts based on their mental state at that time. GBMI clients, on the other hand, are usually treated in a hospital setting but their discharge is typically handled through the correctional system, not the courts. Therefore, D is the most appropriate choice as it accurately distinguishes the discharge process for NGRI clients from GBMI clients. Choices A, B, and C are incorrect because they do not accurately depict the differences in treatment and discharge processes between NGRI and GBMI clients.
Question 5 of 9
The treatment team is recommending disulfiram (Antabuse) for a client who has had multiple admissions for alcohol detoxification. Which nursing question directed to the treatment team would protect this client's right to informed consent?
Correct Answer: A
Rationale: Rationale: Option A is correct because it focuses on the client's cognitive ability, crucial for giving informed consent. This question ensures the client understands the risks and benefits of disulfiram. Option B is incorrect as adherence is not directly related to informed consent. Option C is incorrect as it shifts focus to liability rather than the client's understanding. Option D is incorrect as it pertains to the least restrictive means of care, not specifically informed consent.
Question 6 of 9
Darnell is an 84-year-old widower who has lived alone since his wife died 6 years ago. A neighbor called Darnell's son to tell him that Darnell was trying to start his car from the passenger's side. He became angry and aggressive when the car would not start. After a medical assessment, Darnell was diagnosed with a major neurocognitive disorder. The nurse realized additional family teaching is necessary when Darnell's son states:
Correct Answer: D
Rationale: The correct answer is D. In person-centered care, the individual's preferences, needs, and values should be prioritized to provide tailored care. However, in this scenario, Darnell's son's statement indicates a lack of understanding about the severity and implications of his father's major neurocognitive disorder. This disorder will likely progress, impacting Darnell's ability to live independently. Therefore, the son's belief that his father can continue to live at home with person-centered care is unrealistic and indicates a need for further education. Choices A, B, and C are incorrect because they all reflect accurate statements related to Darnell's diagnosis and situation.
Question 7 of 9
A client diagnosed with borderline personality disorder tells the nurse that she frequently spaces out. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct response is C: "What's happening around you when this occurs?" This question is appropriate because it helps the nurse gather more information about the client's experiences during the spacing out episodes, which can provide insights into triggers or patterns. It allows the client to describe the context of the episodes, aiding in the assessment and potential identification of stressors or environmental factors contributing to the dissociative experiences. Incorrect answers: A: "Do you feel stressed most of the time?" This answer assumes stress as the primary cause without exploring other potential triggers. B: "Does this frighten you when it happens?" This answer focuses on the emotional response rather than the environmental context, which may not be as helpful in understanding the situation. D: "Do you feel as if you are out of your body?" This answer is more specific and may jump to conclusions about depersonalization, which may not necessarily be the client's experience.
Question 8 of 9
When working within the continuum of care, which of the following occurs first?
Correct Answer: C
Rationale: The correct answer is C: Assessment. In the continuum of care, assessment is the first step as it involves gathering information about the patient's condition and needs. This information guides the subsequent decisions and interventions. Referral (choice A) comes after assessment, when specialized care is needed. Transfer (choice B) occurs if the patient needs to move to a different facility or level of care. Discharge planning (choice D) is the final step, ensuring a smooth transition out of the care setting. Therefore, assessment is the initial and crucial step in the continuum of care.
Question 9 of 9
A nursing instructor is developing a class lecture that compares and contrasts schizoaffective disorder with schizophrenia. When describing one of the differences between these two diagnoses, which of the following would the instructor include as reflecting schizoaffective disorder?
Correct Answer: A
Rationale: The correct answer is A: It is episodic in nature. Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. One key difference between schizoaffective disorder and schizophrenia is that schizoaffective disorder is episodic, meaning the individual experiences periods of mood symptoms alongside psychotic symptoms. This episodic nature distinguishes it from schizophrenia, where symptoms are typically more continuous. Choices B, C, and D are incorrect as they do not accurately reflect a defining characteristic of schizoaffective disorder. Schizoaffective disorder can still involve difficulties with self-care, severe hallucinations, and a high risk of suicide, so these options are not specific enough to differentiate it from schizophrenia.