ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem?
Correct Answer: A
Rationale: The correct answer is A: Acute confusion. This is the priority problem because the client is disoriented, disorganized, and confused, indicating altered mental status. Addressing acute confusion takes precedence to ensure the client's safety and well-being. Ineffective community coping (
B) may be a concern, but addressing the client's altered mental status is crucial. Disturbed sensory perception (
C) and self-care deficit (
D) may be secondary to the client's acute confusion.
Question 2 of 5
An RN is providing education to the family of a client diagnosed with schizophrenia who is being treated with clozapine (Clozaril). The RN should instruct the family to report which symptom immediately?
Correct Answer: A
Rationale: The correct answer is A: Sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. A sore throat can be an early sign of agranulocytosis, so it should be reported immediately to the healthcare provider for further evaluation and monitoring. Weight loss (
B), constipation (
C), and lightheadedness (
D) are common side effects of clozapine but are not as concerning as a sore throat in this scenario.
Question 3 of 5
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Alcohol use disorder. Patients with schizophrenia are at increased risk for co-occurring substance use disorders, particularly alcohol use disorder. This assessment is crucial as alcohol can worsen symptoms and interfere with treatment efficacy.
Choice B, Major depressive disorder, is incorrect as it is a common comorbidity but not the most frequently associated condition with schizophrenia.
Choices C (Stomach cancer) and D (Polydipsia) are unrelated to schizophrenia and not commonly associated conditions.
Question 4 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.
Question 5 of 5
During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Auditory. During an admission assessment and interview, the nurse should monitor auditory communication channels to gather information through listening to the patient's responses, tone of voice, and other auditory cues. This helps in understanding the patient's condition, concerns, and needs. Visual (
B), written (
C), and tactile (
D) communication channels are not typically monitored during an interview for admission assessment as they may not provide direct verbal information from the patient. Visual cues might be important in non-verbal communication, but for this specific scenario, auditory communication is the primary channel for obtaining information.