ATI RN
ATI Engage Mental Health Personality Disorders Quizlet Questions
Question 1 of 9
A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective?
Correct Answer: A
Rationale: The correct answer is A: Weight loss. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism. When the medication is effective, it helps normalize the body's thyroid hormone levels, which can lead to an increase in metabolism and potential weight loss. This is a common therapeutic effect seen in patients with hypothyroidism. Summary of other choices: B: Decreased blood pressure - Levothyroxine is not primarily used to treat hypertension, so a decrease in blood pressure would not be a direct indication of the medication's effectiveness. C: Absence of seizures - Levothyroxine does not directly affect seizure activity, so this would not be a typical indicator of its effectiveness. D: Decrease inflammation - Levothyroxine is not specifically indicated for reducing inflammation, so a decrease in inflammation would not be a direct measure of the medication's effectiveness in treating hypothyroidism.
Question 2 of 9
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 9
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 4 of 9
The nurse is reviewing the assessment data of a patient diagnosed with a mental illness. The patient is to be prescribed medication to treat the illness. The nurse would identify changes in which laboratory values as being the least significant?
Correct Answer: A
Rationale: Correct Answer: A (Hemoglobin) Rationale: Hemoglobin levels are not typically affected by medications used to treat mental illnesses. ALT, BUN, and serum creatinine levels are commonly monitored due to potential medication side effects on liver and kidney function. Hemoglobin is primarily related to oxygen-carrying capacity and anemia, not directly affected by mental health medications.
Question 5 of 9
Phillip, a 63-year-old male, has exposed his genitals in public for all of his adult life, but the act has lost some of the former thrill. A rationale for this change in his experience may be:
Correct Answer: C
Rationale: The correct answer is C: Desire waning with age. As individuals age, their sexual desires and behaviors may change. In this case, Phillip may be experiencing a decrease in his desire for exhibitionism as he grows older. This is a common phenomenon as people's sexual interests and behaviors can evolve over time. A: An increasing sense of shame - While shame could potentially be a factor, it is not the most likely reason for the change in Phillip's behavior. B: Disgust over his lack of control - This choice does not directly address the decrease in thrill experienced by Phillip and is less likely to be the primary reason for his change in behavior. D: Progression into actual assault - This choice is not supported by the information provided in the question and is an extreme assumption without any evidence.
Question 6 of 9
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Major depression. Physical neglect during childhood can lead to feelings of worthlessness and hopelessness, which are common symptoms of major depression. The nurse should assess the client for signs such as persistent sadness, changes in appetite or sleep, low energy, and thoughts of suicide. B: Schizophrenia is a severe mental disorder characterized by hallucinations and delusions, not directly related to childhood neglect. C: Narcissistic personality disorder is a personality disorder characterized by a grandiose sense of self-importance, not typically linked to childhood neglect. D: Panic disorder is an anxiety disorder characterized by recurrent panic attacks, not directly associated with childhood neglect.
Question 7 of 9
After interviewing a patient about social supports, the nurse determines that the patient is experiencing emotional support from these social supports based on which statement?
Correct Answer: A
Rationale: The correct answer is A because the statement reflects emotional support through the availability of someone to talk to, which is a key aspect of emotional support. Choice B refers to instrumental support (help with tasks), C refers to tangible support (financial assistance), and D refers to informational support (providing health-related information). Emotional support involves providing empathy, listening, and understanding, making choice A the most appropriate selection in this context.
Question 8 of 9
You are caring for Naomi who has been arrested and is found to be at risk for alcohol and drug use. Which approach is thought to be most useful in treating Naomi?
Correct Answer: B
Rationale: The correct answer is B because providing an immediate drug/alcohol treatment plan is crucial for addressing Naomi's substance use issue effectively. By providing immediate treatment, Naomi can receive the necessary support and interventions to address her substance use and prevent potential relapse. This approach ensures that Naomi's needs are addressed promptly and increases the likelihood of successful recovery. A: Recommending treatment after release may delay necessary interventions and increase the risk of substance use continuation. C: Immediately withdrawing all medications can be harmful and dangerous, especially without proper medical supervision. D: Isolating the patient can lead to feelings of abandonment and worsen the substance use issue without addressing the root cause.
Question 9 of 9
What type of personality disorder is characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs?
Correct Answer: A
Rationale: The correct answer is A: Cluster A. This cluster includes personality disorders such as paranoid, schizoid, and schizotypal disorders, which are characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs. These individuals often have difficulty forming and maintaining social relationships due to their unusual behaviors and beliefs. Choices B and C (Cluster B and Cluster C) do not specifically encompass personality disorders with eccentric or odd traits. Choice D (General personality disorders) is not a recognized category in the DSM-5 for personality disorders, making it an incorrect choice.