ATI RN
ATI N200 Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client with schizophrenia exhibits flat affect. The nurse should:
Correct Answer: A
Rationale:
Correct
Answer: A: Encourage emotional expression.
Rationale: Encouraging emotional expression can help the client with schizophrenia to process and communicate their feelings effectively. It can also aid in building a therapeutic relationship and promoting emotional wellness. Flat affect is a common symptom in schizophrenia characterized by a lack of emotional expressiveness. Encouraging emotional expression can help the client to work through their emotions and enhance their overall well-being.
Summary of other choices:
B: Administer a stimulant - This is incorrect as stimulants can exacerbate symptoms of schizophrenia and may worsen the flat affect.
C: Ignore the affect - Ignoring the affect can lead to feelings of isolation and lack of support for the client, worsening their condition.
D: Restrict social interactions - Restricting social interactions can further isolate the client and hinder their recovery process.
Question 2 of 5
A nurse is assessing a client with suspected bulimia nervosa. Which finding is most indicative?
Correct Answer: A
Rationale: The correct answer is A:
Tooth enamel erosion. In bulimia nervosa, frequent vomiting exposes the teeth to stomach acid, leading to erosion of tooth enamel. This finding is most indicative because it is a direct consequence of the disorder. Low blood pressure (
B) and hair loss (
C) can be seen in severe cases, but they are not as specific to bulimia nervosa. Normal weight (
D) does not rule out the disorder, as individuals with bulimia may maintain a normal weight. Other choices are not provided, but they would likely be less indicative of bulimia nervosa than tooth enamel erosion.
Question 3 of 5
A client with a history of mania is prescribed valproic acid. The nurse should monitor for:
Correct Answer: A
Rationale: The correct answer is A: Liver toxicity. Valproic acid is known to cause liver toxicity, especially in clients with a history of mania. Monitoring liver function tests is crucial to detect any signs of liver damage. B: Weight loss is not a common side effect of valproic acid; in fact, weight gain is more likely. C: Hypotension is not a common side effect of valproic acid; it is more likely to cause side effects like dizziness or tremors. D: All of the above is incorrect as weight loss and hypotension are not typically associated with valproic acid use.
Question 4 of 5
A nurse is caring for a client with social anxiety disorder. The most appropriate intervention is:
Correct Answer: B
Rationale: The correct answer is B: Teach relaxation techniques. For a client with social anxiety disorder, relaxation techniques can help manage anxiety symptoms effectively. This intervention promotes coping skills and empowers the client to handle anxiety in social situations. It is important to avoid forcing the client into uncomfortable situations (choice
A), as this can exacerbate anxiety. Administering an antipsychotic (choice
C) is not typically indicated for social anxiety disorder. Ignoring the anxiety (choice
D) is not appropriate and may lead to worsening of symptoms.
Question 5 of 5
A client with a history of substance abuse reports cravings. The nurse should:
Correct Answer: B
Rationale: The correct answer is B: Teach coping strategies. By teaching coping strategies, the nurse helps the client develop healthier ways to manage cravings, reducing the likelihood of relapse. Encouraging substance use (
A) would be harmful. Administering a sedative (
C) does not address the underlying issue and may lead to dependence. Ignoring the cravings (
D) neglects the client's needs and may worsen the situation. Overall, teaching coping strategies is the most appropriate and effective approach in supporting the client's recovery.