ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 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 is most effective because it addresses the symptoms presented by the client - psychomotor retardation, hypersomnia, and amotivation. Structured activities can help regulate the client's daily routine, combat inertia, and provide a sense of purpose and accomplishment. By setting specific tasks and goals, the client can gradually increase their level of activity and engagement, which can improve mood and motivation. Encouraging exercise (choice
A) may be beneficial, but developing a structured plan encompasses a broader approach to address all symptoms. Creating a list of pleasurable activities (choice
B) may not address the lack of motivation or structure. Providing education on sleep enhancement methods (choice
C) may not directly address psychomotor retardation and amotivation.
Question 2 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. Echolalia is a common symptom of schizophrenia, where the individual repeats words or phrases they hear. Escorting the client to his room provides a safe and appropriate environment for the client to engage in the behavior without bothering other clients. Avoiding recognition (choice
A) may not address the behavior and could lead to escalation. Isolating the client (choice
B) may be seen as punitive and could worsen the client's symptoms. Administering a sedative (choice
C) should be a last resort and not the initial intervention for managing echolalia.
Question 3 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 used to treat anxiety and anxiety disorders due to their ability to regulate neurotransmitters like serotonin and norepinephrine, which play a role in mood regulation and anxiety. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are often prescribed for anxiety disorders, as they help improve symptoms of anxiety over time. Antipsychotics (
A) are typically used for psychotic disorders, mood stabilizers (
B) are used for bipolar disorder, and cholinesterase inhibitors (
D) are used in conditions like Alzheimer's disease.
Question 4 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: How much sleep do you usually get each night? This question directly addresses the effects of circadian rhythms on the woman's quality of life as sleep patterns are regulated by these rhythms. By understanding her typical sleep duration, the nurse can assess if her circadian rhythms are impacting her quality of life.
Choices A, B, C, and D do not specifically address circadian rhythms and their effects. A focuses on general well-being, B on cardiac issues, C on fever, and D on urinary problems. These options do not provide relevant information about circadian rhythms and their impact on quality of life, making them incorrect in this context.
Extract:
Exhibit 1 Client brought in by a family member who states that the client
has been drinking "nonstop since the death of the client's
parents 3 months ago.*
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago
and remained sober until several months ago when both
parents died.
According to the client's family member, the client has been
unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states. *Everything combined caused th
drinking to start again.*
Family member estimates the client's last drink was 2 hr ago.
Question 5 of 5
A nurse is caring for a client who was admitted for alcohol disorder. which one of the following require follow uo by the nurse? select all that apply
Correct Answer: B
Rationale: The correct answer is B: Smoking history. This requires follow-up by the nurse because smoking can exacerbate alcohol-related health issues. The nurse needs to assess smoking habits to provide comprehensive care and address potential risks.
A: Cardiac assessment is important but not specifically related to alcohol disorder.
C: Genitourinary assessment may be important but is not a priority in this case.
D: Neurological assessment is crucial in alcohol disorder but is not the focus of the question.
F: Client's recent loss is important but not directly related to the client's alcohol disorder.
G: Gastrointestinal assessment is relevant but not a priority in this scenario.