ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Correct Answer: D
Rationale: Sudden mood improvement may indicate suicide risk, so monitoring whereabouts ensures safety. Family outings (
A), rewarding behavior (
B), and asking why (
C) do not prioritize safety.
Question 2 of 5
A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?
Correct Answer: D
Rationale: A WBC of 2,900 cells/mm^2 indicates possible agranulocytosis, requiring clozapine discontinuation. BUN (
A), potassium (
B), and hematocrit (
C) are not contraindications.
Extract:
A nurse is caring for a client who has schizophrenia.
Nurses' Notes: Day 1 1030: A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Day 1 1730: Client refuses to eat or drink.
Client appears withdrawn and does not engage in conversation.
Client has flat affect.
Does not want to go to therapy session and wants to sleep.
Client's movements are slow.
Vital Signs: Day 1 1030: Temperature 37° C (98.6° F). Heart rate 72/min.
Respiratory rate 20/min.
Blood pressure 132/38 mm Hg. Oxygen saturation: 99% on room air.
Question 3 of 5
Select the '3' findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia:
Correct Answer: A,B,D
Rationale: Withdrawn (
A), lack of energy (
B), and lack of motivation (
D) are negative symptoms. Change in behavior (
C) is broad, and blood pressure (E) is physiological.
Extract:
Question 4 of 5
A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Vomiting or diarrhea can cause dehydration, increasing lithium toxicity risk, so notifying the provider is crucial. Empty stomach (
A), extra saliva (
B), and reduced fluid (
D) are incorrect.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Blurred vision and ataxia indicate lithium toxicity, so the nurse should withhold the medication. Administering the next dose (
B) risks worsening toxicity, propranolol (
C) is irrelevant, and levothyroxine (
D) is for hypothyroidism.