ATI RN
ATI Mental Health Final Quizlet Questions
Question 1 of 5
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 2 of 5
A group of nursing students is reviewing information about maladaptive anger. The students demonstrate a need for additional study when they identify which condition as being linked to suppressed anger?
Correct Answer: A
Rationale: The correct answer is A: Coronary heart disease. Suppressed anger is linked to conditions like hypertension and arthritis due to the negative impact on the body from unexpressed emotions. However, coronary heart disease is more closely associated with chronic stress, unhealthy lifestyle choices, and genetic factors rather than suppressed anger. Therefore, the nursing students need additional study to understand the specific correlation between suppressed anger and coronary heart disease.
Question 3 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 4 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.
Question 5 of 5
A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Save your bedroom for sleeping; that means no work and no TV in the bedroom. Rationale: 1. The bedroom should be associated with sleep to promote better sleep hygiene. 2. Removing work and TV from the bedroom helps to create a sleep-conducive environment. 3. This approach helps the client establish a bedtime routine that signals the brain it is time to sleep. 4. It discourages activities that may interfere with falling asleep or staying asleep. 5. It aligns with evidence-based recommendations for improving sleep quality. Summary: A: Going to bed at the same time every night is beneficial, but watching TV before bed can disrupt sleep. C: Prescribing sleeping pills should be a last resort and not the initial recommendation. D: Keeping the bedroom warm is not as critical as creating a sleep-friendly environment.