ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
Correct Answer: B
Rationale: Rationale: 1. Lorazepam is a fast-acting benzodiazepine used for acute anxiety relief. 2. It acts quickly to reduce anxiety symptoms. 3. Buspirone is not suitable for acute relief as it takes weeks to show effectiveness. 4. Amitriptyline and desipramine are tricyclic antidepressants, not fast-acting anxiolytics.
Question 2 of 5
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Impulsivity. In bulimia nervosa, individuals often engage in impulsive behaviors such as binge eating followed by purging. This is a key characteristic of the disorder. Impulsivity can manifest as a lack of control over eating behaviors. Panic (B), hyperactivity (C), and delusions (D) are not typically associated with bulimia nervosa. Panic attacks may occur in some cases, but it is not a defining feature of the disorder. Hyperactivity and delusions are not common symptoms of bulimia nervosa.
Question 3 of 5
The highest-priority goal of crisis intervention is:
Correct Answer: D
Rationale: The correct answer is D: Patient safety. In crisis intervention, ensuring the safety of the individual in crisis is the highest priority. This includes preventing harm to themselves or others. Addressing anxiety (A) is important, but not the primary goal. Identifying supports (B) and teaching coping skills (C) are also crucial, but ensuring immediate safety takes precedence. Patient safety is the foundation upon which effective crisis intervention is built, providing a sense of security and stability to address other needs.
Question 4 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 5 of 5
A 26-month-old displays negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident?
Correct Answer: D
Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, children are in the toddler stage where they are developing autonomy and independence. The child's negative behavior, refusal of toilet training, and constant use of "No!" suggest a struggle with asserting independence (autonomy) while also feeling the shame and doubt associated with not meeting expectations. This aligns with Erikson's psychosocial stage of Autonomy versus shame and doubt. A: Trust versus mistrust is resolved in infancy, where the child develops trust in caregivers. B: Initiative versus guilt occurs in early childhood when children explore their abilities and may feel guilty for overstepping boundaries. C: Industry versus inferiority is experienced in middle childhood, focusing on feelings of competence and accomplishment versus inadequacy. In summary, the child's behavior and resistance to toilet training indicate a conflict between asserting independence and feeling shame and doubt, which aligns with Autonomy versus shame and doubt.