ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Leaving the situation and seeking help from authorities is the safest course of action.
Question 2 of 5
A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale:
Correct Answer: B - Constipation
Rationale:
1. Anorexia nervosa often leads to reduced food intake and inadequate nutrition, causing decreased bowel movements and constipation.
2. Constipation is a common gastrointestinal symptom in individuals with anorexia nervosa due to low fiber intake and dehydration.
3. Tachycardia (
A) is more commonly associated with starvation and electrolyte imbalances in anorexia nervosa.
4. Menorrhagia (
C) refers to heavy menstrual bleeding and is not a typical finding in anorexia nervosa.
5. Hyperkalemia (
D) is unlikely in anorexia nervosa as it is more commonly associated with kidney disease or excessive potassium intake.
Question 3 of 5
A nurse is reviewing medication records for several psychiatric clients who have bipolar disorder. Which of the following medications is commonly used to treat bipolar disorder?
Correct Answer: B
Rationale: The correct answer is B: Lithium. Lithium is a mood stabilizer commonly used to treat bipolar disorder by helping to reduce the frequency and severity of manic episodes. It works by affecting the balance of certain chemicals in the brain. Paroxetine (
A) is an antidepressant used for depression and anxiety disorders, not bipolar disorder. Donepezil (
C) is used to treat Alzheimer's disease, not bipolar disorder. Valproate (
D) and Carbamazepine (E) are also mood stabilizers frequently used to treat bipolar disorder, but Lithium is considered the first-line treatment.
Question 4 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: C, E
Rationale: Negative symptoms of schizophrenia include anhedonia (inability to experience pleasure) and blunt affect (reduced emotional expression). Delusions and hallucinations are positive symptoms.
Question 5 of 5
A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context?
Correct Answer: D
Rationale: The correct answer is D: The family's religious practices. When assessing sociocultural context, understanding the family's religious practices is crucial as it influences beliefs, values, and behaviors within the family system. Religion can impact decision-making, coping mechanisms, and interactions among family members. It provides insight into rituals, traditions, and community connections.
Choices A, B, and C focus more on individual and family dynamics rather than sociocultural context. Option A pertains to personal identity, not sociocultural influences. Option B relates to future aspirations, not immediate sociocultural factors. Option C addresses family structure and roles, but not specifically related to sociocultural context.