ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Neuroleptic malignant syndrome (NMS). NMS is a rare but life-threatening side effect of antipsychotic medications like haloperidol. The client's symptoms of high fever, elevated blood pressure, and muscle rigidity are classic signs of NMS. The nurse should suspect NMS due to the acute onset of these symptoms in a client taking haloperidol.
A) Agranulocytosis is a potential side effect of antipsychotic medications but does not present with the same symptoms as NMS.
B) Akathisia is characterized by restlessness and does not typically involve fever or muscle rigidity.
C) Tardive dyskinesia is a movement disorder that develops with long-term antipsychotic use and does not present acutely with fever and elevated blood pressure.
Therefore, the correct choice is D as it aligns with the client's presentation and medication history.
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia refer to deficits or reductions in normal emotional, cognitive, or behavioral functioning. Social withdrawal is a classic negative symptom, reflecting a loss of interest in social interactions. Delusions (
A) and hallucinations (
B) are positive symptoms, representing distortions in thoughts and perceptions. Agitation (
D) is a symptom of increased motor activity or restlessness, not a negative symptom. Flat affect (E) is also a negative symptom, but social withdrawal is a more direct example of a negative symptom compared to flat affect.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s emotions helps encourage further discussion.
Question 4 of 5
A nurse is admitting a client who has multiple injuries following a motor vehicle crash. Shortly after admission, the client's partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging the partner to express emotions helps with emotional processing and coping.
Question 5 of 5
A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?
Correct Answer: D
Rationale: Secondary intervention involves direct care during a suicide crisis, such as life-saving measures.