ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
Schizophrenia affects approximately _____% of the world's population.
Correct Answer: A
Rationale: The correct answer is A (1%). Schizophrenia affects around 1% of the world's population, according to research. This prevalence rate has been consistently reported across different studies and populations. It is a chronic and severe mental disorder, but it is not as common as other mental health conditions. Choices B, C, and D (5%, 9%, 13%) are incorrect because they overestimate the prevalence of schizophrenia. These percentages are much higher than the actual documented rate, which is closer to 1%.
Question 2 of 5
When a nurse overhears the spouse of a patient threaten to 'smack you good if you don't shut up' while sitting in the unit's dayroom, which action reflects the most immediate, therapeutic nursing intervention?
Correct Answer: A
Rationale: The correct answer is A: Notify hospital security immediately that the situation exists. This is the most immediate, therapeutic nursing intervention because the safety of the nurse, patient, and others in the unit is the top priority. By involving hospital security, the nurse can ensure a swift and appropriate response to the threatening behavior. This action helps to de-escalate the situation and protect everyone involved. The other choices are incorrect because: B: Asking the spouse to leave the unit could escalate the situation further and put the nurse at risk. C: Asking the patient about the spouse's behavior may not be immediate enough to address the threat. D: Threatening to call the police could escalate the situation and may not be the best approach to ensure safety for all parties involved.
Question 3 of 5
A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. The nurse's legal responsibility if child abuse or neglect is suspected is to:
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. **Legal Obligation**: The nurse has a legal duty to report suspicions of child abuse or neglect. 2. **Protecting the Child**: Reporting ensures the child's safety and well-being. 3. **State Regulations**: State laws mandate reporting suspected abuse or neglect. 4. **Immediate Action**: Waiting for proof delays intervention and puts the child at risk. Summary: - Choice A: Consulting with school staff doesn't fulfill the legal obligation to report. - Choice B: Documenting is important but not sufficient; reporting is crucial. - Choice D: Waiting for proof is dangerous; immediate reporting is necessary to protect the child.
Question 4 of 5
A client has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another client a 'jerk' without provocation. The nurse asks the client how he is feeling, and he responds, 'Everybody picks on me. They frobitz me.' The nurse would assess 'frobitz' as:
Correct Answer: D
Rationale: The correct answer is D: A neologism. A neologism is a newly created word or phrase that is unique to the individual and not understandable to others. In this scenario, the client's use of the word 'frobitz' is an example of a neologism. This demonstrates disorganized thinking and language typical of schizophrenia. A: Circumstantial speech involves providing unnecessary details before reaching the main point, which is not evident in the client's response. B: Loose associations involve a lack of logical connection between thoughts, which is not demonstrated by the client's use of 'frobitz.' C: Delusional thinking involves fixed false beliefs, which are not explicitly present in the client's response. In summary, the client's use of 'frobitz' indicates a neologism, reflecting disorganized thinking in schizophrenia, making it the correct assessment.
Question 5 of 5
A client with schizophrenia is medication compliant and has well-controlled symptoms. He has, however, never been successful in holding a job because of poor social skills and lack of understanding of basic job skills. The nurse case manager should consider referring the client:
Correct Answer: B
Rationale: The correct answer is B: For psychosocial rehabilitation. This option is the best choice as it focuses on improving the client's social skills and job-related abilities through structured programs. Psychosocial rehabilitation helps individuals with mental health conditions develop the necessary skills for successful integration into the community, including job skills training and social skill development. Referring the client to a day hospital program (A) may not address the specific needs related to job skills and social skills. Cognitive therapy (C) primarily focuses on addressing cognitive distortions and may not directly target the client's social and job-related deficits. Assertiveness training (D) may be helpful, but it may not address the broader range of skills needed for successful job placement and retention.