ATI RN
Age Specific Patient Care Questions
Question 1 of 5
The client is hostile, angry, and suspicious. He thinks that the staff is trying to poison him. He is classified as:
Correct Answer: A
Rationale: The correct answer is A: Paranoid. This client's behavior aligns with paranoid schizophrenia symptoms, characterized by hostility, anger, suspicion, and delusions of persecution like being poisoned. Catatonic schizophrenia (B) involves motor disturbances, disorganized schizophrenia (C) features disorganized speech and behavior, and undifferentiated schizophrenia (D) includes a mix of symptoms without fitting a specific subtype. Paranoid schizophrenia best fits the client's presentation based on the described symptoms.
Question 2 of 5
Which of these nursing communications best reflects the nurse's use of an empowerment model with an individual who has been abused?
Correct Answer: D
Rationale: The correct answer, D, reflects the nurse's use of an empowerment model because it focuses on exploring the individual's beliefs and options, empowering them to make informed decisions. The nurse is not imposing their own knowledge or opinions but instead facilitating the individual's self-reflection and decision-making process. This approach respects the individual's autonomy and promotes empowerment by helping them identify and evaluate their own choices. Choice A focuses on the nurse sharing knowledge, which may come across as patronizing and disempowering. Choice B dismisses the individual's feelings and relies on research rather than empowering the individual to make their own decisions. Choice C places the responsibility solely on the individual to end the violence, which may feel overwhelming and lacking in support or guidance.
Question 3 of 5
An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which indicator would suggest that nursing interventions are succeeding?
Correct Answer: A
Rationale: The correct answer is A because regular school attendance indicates the child's improved well-being and ability to prioritize education over caregiving responsibilities. B: Playing calmly does not necessarily indicate overall improvement in the child's situation. C: The father's silence during nurse visits does not directly reflect the child's well-being or progress. D: The mother correcting negative comments by the child is positive but does not directly address the child's caregiving responsibilities or self-perceptions.
Question 4 of 5
The mother of a client newly diagnosed with schizophrenia is a nurse. She unhappily tells the nurse on the unit, 'I've tried to be a good mother, but my daughter still developed schizophrenia. When I was in school, we were taught that it was the mother's fault if a child became schizophrenic. I wish I knew what I did wrong.' The response that would help the mother evaluate models explaining schizophrenia would be:
Correct Answer: B
Rationale: Correct answer: B Rationale: 1. This response acknowledges the mother's distress but shifts the focus to new findings suggesting schizophrenia is biologic in nature. 2. It provides the mother with updated information that contradicts the outdated belief that mothers are to blame for schizophrenia. 3. By highlighting the biological basis of the disorder, it helps the mother understand that it is not her fault. 4. This response encourages the mother to consider scientific evidence rather than blaming herself, promoting a more accurate understanding of the condition. Summary: - Choice A validates the mother's feelings but doesn't offer factual information to challenge her belief. - Choice C aims to provide emotional support but doesn't address the mother's need for accurate information. - Choice D introduces the concept of double-bind communication, which is not directly relevant to helping the mother understand the biological nature of schizophrenia.
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 delusions (believing physicians are plotting to kill him) indicate disorganized thinking, a hallmark of paranoid schizophrenia. 2. Risk for other-directed violence: The patient's threatening behavior towards co-workers suggests a potential for violence towards others. Incorrect choices: B: Spiritual distress and Social isolation - Not directly related to the patient's current symptoms of paranoid delusions and threat of violence. C: Risk for loneliness and Knowledge deficit - The patient's issues are more severe than loneliness or knowledge deficit. D: Disturbed personal identity and Nonadherence - While these issues may be relevant in schizophrenia, they are not the primary concerns presented in this scenario.