ATI RN
ATI Mental Health Final Quizlet Questions
Question 1 of 5
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.
Question 2 of 5
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 3 of 5
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 4 of 5
A patient with severe burn injuries is irritable, angry, and belittles the nurses. As a nurse changes a dressing, the patient screams, 'Don't touch me! You are so stupi You will make it worse!' Which action by the nurse will best help to diffuse the patient's anger?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy, respect, and collaboration. By acknowledging the patient's feelings and involving them in the decision-making process, the nurse shows understanding and promotes a sense of control. This approach can help diffuse the patient's anger and improve cooperation during the procedure. A: This option may escalate the patient's anger by implying they are incapable, leading to further resistance. B: Blaming the patient for their injuries can worsen the situation and create a hostile environment. C: Leaving the room without addressing the patient's emotions may exacerbate their feelings of abandonment and escalate the situation.
Question 5 of 5
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.