ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
The nurse is caring for a female adolescent client diagnosed with depression and substance abuse. Which of the following would be most appropriate for the nurse to do?
Correct Answer: B
Rationale: The correct answer is B because asking about thoughts of harming herself is essential to assess suicide risk in clients with depression and substance abuse. It is crucial for the nurse to ensure the client's safety. Choice A is incorrect because hyperactivity is not typically associated with depression and substance abuse in adolescents. Choice C is incorrect because Wernicke's syndrome is not directly related to the client's current diagnoses. Choice D is incorrect because excessive anxiety, while important, is not as immediately critical as assessing suicide risk in this situation.
Question 2 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.
Question 3 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 4 of 5
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: The correct answer is B: Cognition. The nurse is assessing the patient's thought process and decision-making abilities in response to a hypothetical scenario. By asking what the patient would do if experiencing fever and vomiting, the nurse is evaluating the patient's cognitive function. This question assesses the patient's ability to problem-solve, plan, and make decisions, which are key components of cognition. Summary: A: Behavior is incorrect as the question does not pertain to the patient's actions or reactions. C: Affect and mood are incorrect as the question does not focus on the patient's emotions. D: Perceptual disturbances are incorrect as the question does not relate to the patient's sensory perceptions.
Question 5 of 5
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Impulsivity. In bulimia nervosa, individuals often engage in impulsive behaviors such as binge eating followed by purging. This is a key characteristic of the disorder. Impulsivity can manifest as a lack of control over eating behaviors. Panic (B), hyperactivity (C), and delusions (D) are not typically associated with bulimia nervosa. Panic attacks may occur in some cases, but it is not a defining feature of the disorder. Hyperactivity and delusions are not common symptoms of bulimia nervosa.