ATI RN Mental Custom Health Next Gen -Nurselytic

Questions 68

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ATI RN Mental Custom Health Next Gen Questions

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Question 1 of 5

A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit?

Correct Answer: C

Rationale: The correct answer is C: Disturbed sensory perception. The client's delusional beliefs about their IQ, relationships, and perceptions indicate a possible psychotic disorder. Disturbed sensory perception is the priority as it reflects a break from reality and can lead to unsafe behaviors. Ineffective sexual patterns (
A) may be a concern, but the primary issue is the client's distorted perceptions. Impaired environmental interpretation (
B) may be present, but it is secondary to the client's distorted sensory perceptions. Compromised family coping (
D) is not the priority as the focus should be on the client's immediate safety and stabilization.

Question 2 of 5

Which activity is most appropriate for a child with ADHD?

Correct Answer: D

Rationale: The correct answer is D: Tennis. Physical activities like tennis can help children with ADHD by allowing them to release excess energy and improve focus through movement. Tennis also promotes social interaction, teaches impulse control, and enhances coordination skills. Reading (
A) may be challenging for a child with ADHD due to difficulties in sustained attention. Monopoly (
B) requires long periods of focus, which may be challenging for a child with ADHD. Checkers (
C) involves strategic thinking but may not provide enough physical activity.

Question 3 of 5

Which statement demonstrates a well-structured attempt at limit setting?

Correct Answer: A

Rationale: The correct answer is A because it clearly states the behavior that is unacceptable (hitting), expresses the consequence (unacceptable), and sets the boundary. It addresses the specific action and its consequence, providing a clear guideline for behavior.
Choice B lacks specificity, C is a command rather than setting a limit, and D is a vague statement without a clear consequence. Overall, A effectively communicates expectations and consequences for the behavior, making it a well-structured attempt at limit setting.

Question 4 of 5

Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders?

Correct Answer: C

Rationale: The correct answer is C: Antidepressants. Antidepressants are commonly prescribed to treat anxiety and anxiety disorders due to their ability to regulate neurotransmitters like serotonin and norepinephrine, which play a role in mood regulation. Antipsychotics (
A) are more commonly used to treat conditions like schizophrenia, mood stabilizers (
B) are used for bipolar disorder, and cholinesterase inhibitors (
D) are used for conditions like Alzheimer's disease. Antidepressants directly target the symptoms of anxiety and are considered a first-line treatment, making them the most appropriate choice for managing anxiety disorders.

Question 5 of 5

A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?

Correct Answer: D

Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.

Similar Questions

A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit?
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient’s nursing diagnosis is altered thought processes?
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
The nurse leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the nurse to take?

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