ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
A patient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask?
Correct Answer: C
Rationale: The correct answer is C because asking about the specific event that the patient finds most stressful helps identify the stressor. Understanding the cause of stress is crucial in managing it effectively. Choice A focuses on the impact of stress, not the cause. Choice B is related to social support, not the primary stressor. Choice D is about the timing of stress awareness, not the stressor itself. By identifying the specific stressor, the nurse can develop targeted interventions and support for the patient.
Question 2 of 5
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
Correct Answer: B
Rationale: The correct answer is B: Withdrawal symptoms. Benzodiazepines are known for causing physical dependence, leading to withdrawal symptoms if stopped abruptly. The nurse must emphasize this risk to the client with panic disorder to prevent potential harm. Dietary restrictions (A) are not typically associated with benzodiazepine use. Agitation (C) can be a side effect but is not a primary risk. Fecal impaction (D) is not directly related to benzodiazepine use. It is crucial for the nurse to educate the client on the importance of gradually tapering off the medication to avoid withdrawal symptoms.
Question 3 of 5
While talking with a client with an eating disorder, the client states, 'I've gained 2 pounds, so soon I'll be over 100 pounds.' The nurse interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Dichotomous thinking. This is because the client is exhibiting a black-and-white type of thinking by assuming that gaining 2 pounds will immediately push them over 100 pounds, without considering the possibility of any in-between weights. Dichotomous thinking involves viewing situations in extreme, polarized terms, such as all-or-nothing, good-or-bad. In this case, the client's statement reflects a rigid and unrealistic perspective on weight gain. A: Magnification - This choice involves blowing things out of proportion or exaggerating the importance of certain events or attributes, which is not the case in the client's statement. B: Selective abstraction - This choice refers to focusing on a single detail while ignoring the broader context, which is not evident in the client's statement. C: Overgeneralization - This choice involves drawing broad conclusions based on limited evidence, which is not the case as the client's statement is specific to their weight gain.
Question 4 of 5
A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?
Correct Answer: B
Rationale: Correct Answer: B - Providing a consistent, structured environment with predictable routines Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes. Incorrect Choices: A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress. C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities. D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.
Question 5 of 5
A nurse is readmitting a client with a co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, I'm just a failure. I'll never be anything but just a drunk. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's experience while offering hope and encouragement for learning from the relapse. It normalizes relapse as part of the recovery process and emphasizes the opportunity for growth and prevention in the future. Option B is incorrect as it reinforces a negative self-image and fatalistic view of alcoholism. Option C incorrectly links schizophrenia with alcohol abuse, potentially stigmatizing the client. Option D is not as therapeutic as A, as it does not address the client's negative self-perception or provide guidance for coping with relapse.