ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse’s station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. Dystonia is a movement disorder characterized by involuntary muscle contractions, which can be a side effect of antipsychotic medications like risperidone. Benztropine is commonly used to manage dystonia by blocking acetylcholine receptors in the brain. By administering benztropine, the nurse can help alleviate the client's symptoms of muscle contractions and provide relief.
Incorrect options:
A: Medicate the client with thioridazine - Thioridazine is not the appropriate medication for managing dystonia.
B: Offer a hot pack for muscle spasms - While heat therapy can be helpful for muscle relaxation, it does not address the underlying cause of dystonia.
D: Direct client to occupational therapy - Occupational therapy may be beneficial for overall mental health, but it does not specifically address the acute symptoms of dystonia.
Overall, option
Question 2 of 5
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
Correct Answer: D
Rationale: As a tutor, the correct answer is D: Asking 'why' questions. This is not considered a therapeutic communication technique because it can be perceived as challenging or confrontational, potentially making the patient defensive or uncomfortable. Instead, therapeutic communication focuses on creating a safe and supportive environment for the patient to express their thoughts and feelings without feeling judged. Restating, encouraging description of perception, and summarizing are all considered therapeutic techniques as they demonstrate active listening, empathy, and help the patient feel understood and validated. Asking 'why' questions may come across as interrogative and may hinder open communication.
Question 3 of 5
What assessment question will provide the nurse with information regarding the effects of a woman’s circadian rhythms on her quality of life?
Correct Answer: E
Rationale: The correct answer is E. Asking about how much sleep the woman usually gets each night will provide the nurse with information regarding her circadian rhythms and their effects on her quality of life. Circadian rhythms are the body's natural cycles that influence sleep-wake patterns. By understanding her sleep habits, the nurse can assess if she is getting enough rest at the right times, which directly impacts her quality of life.
Choices A, B, C, and D are incorrect as they do not directly relate to circadian rhythms or sleep patterns.
Choice A focuses on general well-being, choice B on cardiac health, choice C on past illnesses, and choice D on urinary problems. These questions are not specific to circadian rhythms and do not address the effects on quality of life.
Question 4 of 5
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development?
Correct Answer: C
Rationale: During the working phase of group development, the focus is on achieving the group's goals.
Choice C is correct as it involves discussing ways to use new coping skills learned, which aligns with the working phase where members actively engage in problem-solving and skill-building. This approach helps group members apply their learning to real-life situations and promotes personal growth.
Choice A is incorrect because establishing rapport typically occurs during the initial orientation phase.
Choice B is incorrect as clarifying roles and responsibilities is more relevant to the initial and transition phases.
Choice D is incorrect because helping clients identify problem areas is usually part of the exploration phase, not the working phase where active problem-solving occurs.
Question 5 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: A
Rationale: The correct answer is A: Not sleeping for several days. This is the most important statement to explore because it indicates potential severe distress and disruption in the client's sleep patterns, which can have significant impacts on mental and physical health. Lack of sleep can exacerbate symptoms of depression and increase the risk of suicide. It is crucial for the RN to assess the severity of the sleep disturbance and intervene appropriately to ensure the client's safety and well-being.
The other choices (B, C,
D) are also important concerns, but not as urgent as the client's severe sleep disturbance. Wishing to be with the deceased spouse, lack of interest in usual activities, and eating very little are all common symptoms of grief and depression, but they do not pose an immediate risk to the client's health and safety compared to the potential consequences of severe sleep deprivation.