ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
In managing the milieu for clients experiencing disorientation and fear, what would the nurse consider a priority?
Correct Answer: D
Rationale: The correct answer is D: client safety. In managing disoriented and fearful clients, ensuring client safety is a priority. This includes preventing harm, falls, and injury. Safety measures help to create a secure environment for the client. Educating the client and family (A) is important but ensuring immediate safety takes precedence. Recreational activities (B) and social skills (C) are secondary to addressing the immediate safety needs of the client.
Question 2 of 5
A parent of a three-year-old child with ASD has called the local school district to inquire about resources available to support her child. The child's pediatrician referred the mother to the school district. What information can the school nurse share about the primary source of support at this age?
Correct Answer: B
Rationale: The correct answer is B: "Your child may be eligible to attend a developmental preschool program." At the age of three, children with ASD can benefit from early intervention services provided by developmental preschool programs to support their learning and social skills development. These programs offer specialized support tailored to the child's needs. Choice A is incorrect as early intervention programs are typically coordinated by the local school district, not the state directly. Choice C is incorrect as children with ASD can receive services before kindergarten. Choice D is incorrect as it is the responsibility of the school district to provide appropriate support services for children with disabilities.
Question 3 of 5
In an initial group therapy session, the nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting which of the following in the patient?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The patient's behavior of monopolizing the conversation in a group therapy setting is likely a manifestation of anxiety. This behavior can be a coping mechanism to divert attention away from their own discomfort and vulnerability. By dominating the conversation, the patient may be attempting to maintain a sense of control and avoid facing their own underlying fears and anxieties. This behavior may also stem from a fear of being judged or feeling inadequate in the group setting. Choices B, C, and D are incorrect because anger, rebellion, and fear do not align as clearly with the behavior described in the scenario. Anger typically involves a different expression, rebellion would manifest differently, and fear would manifest more as withdrawal or avoidance rather than dominating the conversation.
Question 4 of 5
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?
Correct Answer: B
Rationale: The correct answer is B because sensory decline in older adults can impact their ability to process information, potentially affecting the results of a mental status examination. This is crucial as sensory deficits can lead to misinterpretation of cues, affecting the assessment of mental health issues. Choices A, C, and D are incorrect as they do not directly address the impact of sensory function on mental health assessment. Choice A is incorrect as decline in functioning is not necessarily a uniform pattern in all older adults. Choice C is incorrect as it focuses on the impact of sensory function on medication reactions rather than mental health assessment. Choice D is incorrect as it discusses changes in cognitive abilities rather than the direct impact of sensory decline on mental status examination.
Question 5 of 5
A client with bipolar disorder having experienced a depressive episode is prescribed lamotrigine. After teaching the client about this medication, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Lamotrigine can cause a serious skin rash called Stevens-Johnson syndrome, so it's crucial for the client to notify their physician immediately if a skin rash develops. 2. Monitoring blood levels is not typically required for lamotrigine. 3. Watching salt intake is not directly related to lamotrigine use. 4. While lamotrigine can rarely affect liver function, it is not the primary concern compared to the potential serious skin rash.