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ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions

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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: A,C

Rationale: Blunt affect (
A) and anhedonia (
C) are negative symptoms. Delusions (
B), hallucinations (
D), and poor judgment (E) are not negative symptoms.

Question 2 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 3 of 5

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.)

Correct Answer: B,C,D

Rationale: Muscle spasms (
B), tremors (
C), and fidgeting (D, akathisia) are EPS. Sexual dysfunction (
A) and blurred vision (E) are unrelated to EPS.

Question 4 of 5

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Correct Answer: D

Rationale: Diarrhea can cause dehydration, increasing lithium toxicity risk. Green tea (
A), moderate exercise (
B), and increased sodium (
C) do not directly cause toxicity.

Question 5 of 5

Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?

Correct Answer: D

Rationale: Consistent unit policies create a stable, predictable environment, significantly impacting care and milieu. Educating on policies (
A), addressing behaviors (
B), and timely medication (
C) are important but less comprehensive.

Similar Questions

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.)
A nurse is talking with a client who has schizophrenia. Suddenly the client states, 'I'm frightened. Do you hear that? The voices are telling me to do terrible things.' Which of the following responses by the nurse is appropriate?
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?

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