ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
A school nurse is meeting with a group of elementary school teachers to talk about motor disorders. One of the teachers raises their hand and says, 'I have a student in my class who cannot stop moving her arms unless she sits on her hands. Could this be a movement disorder?' What diagnosis would the nurse suggest as a possibility for this student?
Correct Answer: B
Rationale: The correct answer is B: a stereotypic movement disorder. Stereotypic movement disorder involves repetitive, nonfunctional motor behavior such as hand flapping. In this case, the student's inability to stop moving her arms unless she sits on her hands aligns with the characteristics of stereotypic movement disorder. A tic disorder (choice A) involves sudden, rapid, recurrent, non-rhythmic motor movements or vocalizations. Developmental coordination disorder (choice C) is characterized by difficulties with motor coordination. Normal development for the student's age (choice D) would not explain the specific behavior described by the teacher. Therefore, the most likely diagnosis for the student in this scenario is a stereotypic movement disorder.
Question 2 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.
Question 3 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 4 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 5 of 5
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service. Which statement by a sibling best indicates a sense of self-actualization?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates a sense of self-actualization by focusing on finding meaning and positivity in a difficult situation. The sibling acknowledges the unfairness of the death but aims to create a service that celebrates life, showing acceptance, growth, and a higher level of personal fulfillment. Choice A: This statement focuses on the sibling's experience rather than reflecting on the significance of the funeral service. Choice B: While this statement emphasizes conducting the funeral respectfully, it lacks the personal growth and positive outlook that characterize self-actualization. Choice D: This statement is judgmental and places blame on the deceased sibling, showing a lack of understanding and empathy, which is not indicative of self-actualization.