ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?
Correct Answer: A
Rationale: Constant supervision ensures immediate safety when a client declines a safety contract. Locking doors (
B), removing objects (
C), and plastic utensils (
D) are secondary.
Question 2 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: A,C
Rationale: Blunt affect (
A) and anhedonia (
C) are negative symptoms. Delusions (
B), hallucinations (
D), and poor judgment (E) are not negative symptoms.
Extract:
History and Physical
Week 1:
• Bipolar disorder.
• Type 2 diabetes mellitus.
• Depression.
• Hyperlipidemia.
• Family history of alcohol use disorder.
Nurses' Notes.
Week 1: Client reports feelings of anxiety about a new diagnosis of type 2 diabetes mellitus.
Client states, "This can lead to heart disease, having to learn how to self-administer insulin, not to mention that I could even die from this.”. Week 4: Client visits outpatient clinic once a month and continues to have concerns about the dangers of diabetes mellitus and other concerns of "not feeling well.”. Month 6: Client seen for feelings of increased anxiety and excessive thoughts of recent diagnosis of type 2 diabetes mellitus.
"I can't sleep and now I have pain all over my body all the time.
I have diarrhea every day and my stomach hurts when I eat.”. A nurse is assessing a client who has been coming to an outpatient clinic for the last 6 months.
Question 3 of 5
A nurse is caring for a client in an outpatient clinic. The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: Anxiety (
A), GI distress (
B), pain (
C), health fixation (E), and depression (F) are somatic symptom disorder manifestations. Bipolar disorder (
D) and amnesia (G) are separate.
Extract:
Question 4 of 5
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Reassurance supports the client when tests are normal, avoiding invalidation. Flooding therapy (
A) is inappropriate, saying pain isn’t real (
B) dismisses feelings, and invasive testing (
D) is unnecessary.
Question 5 of 5
A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Positive feedback for assertiveness encourages independence. Self-mutilation (
A) relates to other disorders, flamboyance (
C) to histrionic, and exploitation (
D) to antisocial.