ATI RN
ATI Engage Mental Health Personality Disorders Quizlet Questions
Question 1 of 5
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, 'My throat is sore, and I feel weak.' The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?
Correct Answer: A
Rationale: The correct answer is A: A white blood cell count. Clozapine can cause agranulocytosis, a serious condition characterized by a severe decrease in white blood cells. The client's symptoms of sore throat, weakness, fever, and recent initiation of clozapine raise suspicion for agranulocytosis. A white blood cell count is crucial to monitor for this adverse effect. B: Liver function studies are not the priority in this case, as the symptoms and findings are more indicative of a potential hematologic issue than liver dysfunction. C: Serum potassium level is not the most relevant test to order in this scenario, as the client's symptoms and history are more concerning for a hematologic issue rather than a potassium imbalance. D: Serum sodium level is not the most appropriate test to request, as the client's symptoms and history do not suggest a primary issue related to sodium imbalance.
Question 2 of 5
The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has 'one ear that is obviously bigger than the other ear.' The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?
Correct Answer: D
Rationale: The correct answer is D: Body dysmorphic disorder. Body dysmorphic disorder is characterized by an excessive preoccupation with a perceived flaw in physical appearance that is not observable or appears minor to others. In this scenario, the client's belief that one ear is significantly larger than the other, when it is not observable to the nurse, aligns with symptoms of body dysmorphic disorder. This disorder often leads to significant distress and impaired social functioning. A: Complex somatic symptom disorder involves a preoccupation with physical symptoms, but the client's concern is about appearance, not physical symptoms. B: Functional neurologic symptoms involve neurological symptoms without a known neurological condition, which is not evident in this case. C: Factitious disorder involves fabricating or exaggerating symptoms for psychological reasons, which is not the case here.
Question 3 of 5
A group of nursing students is reviewing information about disruptive behavior disorders. The students demonstrate understanding of the topic when they identify which of the following as an externalizing disorder?
Correct Answer: D
Rationale: The correct answer is D: Conduct disorder. Conduct disorder is categorized as an externalizing disorder because it involves behaviors that are directed outward, such as aggression, defiance, and rule-breaking. This disorder is characterized by violating the rights of others and societal norms. In contrast, anxiety (choice A) and depression (choice B) are internalizing disorders, which involve inward-directed emotions and thoughts. Schizophrenia (choice C) is a psychotic disorder marked by disturbances in thinking, emotions, and behavior, and is not classified as an externalizing disorder. Conduct disorder fits the criteria of an externalizing disorder due to its focus on disruptive and antisocial behaviors.
Question 4 of 5
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Major depression. Physical neglect during childhood can lead to feelings of worthlessness and hopelessness, which are common symptoms of major depression. The nurse should assess the client for signs such as persistent sadness, changes in appetite or sleep, low energy, and thoughts of suicide. B: Schizophrenia is a severe mental disorder characterized by hallucinations and delusions, not directly related to childhood neglect. C: Narcissistic personality disorder is a personality disorder characterized by a grandiose sense of self-importance, not typically linked to childhood neglect. D: Panic disorder is an anxiety disorder characterized by recurrent panic attacks, not directly associated with childhood neglect.
Question 5 of 5
A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective?
Correct Answer: A
Rationale: The correct answer is A: Weight loss. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism. When the medication is effective, it helps normalize the body's thyroid hormone levels, which can lead to an increase in metabolism and potential weight loss. This is a common therapeutic effect seen in patients with hypothyroidism. Summary of other choices: B: Decreased blood pressure - Levothyroxine is not primarily used to treat hypertension, so a decrease in blood pressure would not be a direct indication of the medication's effectiveness. C: Absence of seizures - Levothyroxine does not directly affect seizure activity, so this would not be a typical indicator of its effectiveness. D: Decrease inflammation - Levothyroxine is not specifically indicated for reducing inflammation, so a decrease in inflammation would not be a direct measure of the medication's effectiveness in treating hypothyroidism.