ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct manifestations to include are A (Seizures), B (Illusions), and C (Tremors). Seizures commonly occur during alcohol withdrawal due to central nervous system hyperexcitability. Illusions are perceptual distortions that can occur as a result of alcohol withdrawal. Tremors are a common physical symptom of alcohol withdrawal, often seen in the hands.
Choice D (Polyphagia) refers to excessive hunger, which is not typically associated with alcohol withdrawal.
Choice E (Nystagmus) is an involuntary eye movement that is not a common manifestation of alcohol withdrawal. The key is to focus on symptoms directly related to alcohol withdrawal to provide accurate teaching to the client.
Question 3 of 5
A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?
Correct Answer: A
Rationale: The correct answer is A: Promote appropriate behavior during group therapy sessions. This is the priority intervention because individuals with histrionic personality disorder often seek attention and may exhibit disruptive behavior in group settings. By promoting appropriate behavior, the nurse can help create a therapeutic environment for all clients. Encouraging client input in the treatment plan (choice
B) is important but may not address immediate behavioral concerns. Communicating with concrete language (choice
C) can be helpful but is not the priority in managing disruptive behavior. Demonstrating assertive behavior (choice
D) may not be as effective as actively promoting appropriate behavior in this context.
Question 4 of 5
A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.
Question 5 of 5
A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?
Correct Answer: D
Rationale: The correct answer is D: "If suspicion of abuse exists, then reporting is mandatory." This statement indicates an understanding of the legal and ethical obligations of healthcare workers regarding reporting suspected child abuse. Reporting is required when there is a reasonable suspicion of abuse, even if concrete evidence is lacking. This is to ensure the safety and well-being of the child.
Other choices are incorrect:
A: "Evidence must exist prior to reporting." - Incorrect because waiting for evidence could delay necessary intervention and compromise the child's safety.
B: "If the potential abuser commits to stopping the abuse, health care workers are not required to report it." - Incorrect because the commitment to stop does not negate the need to report and protect the child.
C: "I don't want to defame someone if the report is false." - Incorrect because the priority is the safety of the child, and reporting suspicions is necessary even if there is a possibility of a false report.