ATI RN
Population Based Health Care Questions
Question 1 of 5
A severely depressed patient with psychomotor retardation has begun activities therapy. His schedule is: 9 AM, ceramics; 10 AM, exercise group; 11 AM to noon, open; noon, lunch. The nurse creating the patient's schedule should opt to fill the hour block from 11 AM to noon with:
Correct Answer: B
Rationale: The correct answer is B: A rest period. Providing a rest period during the hour block from 11 AM to noon is crucial for a severely depressed patient with psychomotor retardation. This patient may experience fatigue and decreased energy levels due to their condition. Allowing for a rest period can help prevent overstimulation and promote relaxation, which is essential for mental well-being. Group therapy (choice A) may be too overwhelming for the patient at this time. Reminiscence group (choice C) may not be as beneficial for immediate symptom management. Individual counseling (choice D) may be helpful but may not align with the patient's immediate need for rest and relaxation.
Question 2 of 5
A newly admitted client has the diagnosis of catatonic schizophrenia. The nurse would expect to assess:
Correct Answer: A
Rationale: Rationale: A: Psychomotor symptoms are characteristic of catatonic schizophrenia, such as stupor or excessive motor activity. B: Intense suspiciousness is more indicative of paranoid schizophrenia, not catatonic schizophrenia. C: Inappropriate affect is a symptom seen in other types of schizophrenia but not specific to catatonic schizophrenia. D: Clanging communication is associated with disorganized schizophrenia, not catatonic schizophrenia. In catatonic schizophrenia, psychomotor symptoms like stupor, rigidity, or excitement are prominent.
Question 3 of 5
An expected outcome for a client who hears voices telling him he is evil would be that by discharge, client will:
Correct Answer: C
Rationale: The correct answer is C because it focuses on addressing the underlying causes of the client's experience of hearing voices and feeling evil. By identifying events that increase anxiety and promote hallucinations, the client can work on reducing these triggers and managing his symptoms effectively. This approach is key for long-term improvement and recovery. A: Verbalizing the reason the voices say he is evil does not address the root cause of the hallucinations and may not lead to effective coping strategies. B: Responding verbally to the voices may not be therapeutic and could potentially reinforce the hallucinations. D: Integrating the voices into his personality structure in a positive manner is not a recommended approach as it could lead to further distress and potentially harmful behaviors.
Question 4 of 5
Prior to discharge, the nurse plans to teach the client and family about relapse. Which items will the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because recognizing warning signs of relapse is crucial for early intervention. By identifying these signs, the client and family can seek help promptly, preventing a full relapse. Choice B is incorrect as waiting for signs to persist for more than one month delays intervention. Choice C is incorrect as altering medication dosage without medical advice can be dangerous. Choice D is incorrect as using street drugs is never a safe or appropriate way to manage relapse.
Question 5 of 5
A patient was admitted to the mental health unit after arguing with co-workers and threatening to kill them. He is diagnosed with paranoid schizophrenia. On the unit he is aloof and suspicious. He mentioned that two physicians he saw talking were plotting to kill him. On the basis of data gathered at this point, which two primary nursing diagnoses should the nurse consider?
Correct Answer: A
Rationale: The correct answer is A: Disturbed thought processes and Risk for other-directed violence. 1. Disturbed thought processes: The patient's delusion of being plotted against by the physicians indicates impaired thought processes typical of paranoid schizophrenia. 2. Risk for other-directed violence: The patient's threatening behavior towards co-workers suggests a potential for violent acts towards others due to his paranoid beliefs. Summary of why other choices are incorrect: B: Spiritual distress and Social isolation are not primary concerns given the patient's acute symptoms of paranoia and risk for violence. C: Risk for loneliness and Knowledge deficit are not crucial at this point as the patient's primary issues are related to paranoia and violence. D: Disturbed personal identity and Nonadherence are not relevant to the immediate safety and mental health concerns presented by the patient.