ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?
Correct Answer: A
Rationale: Twisting tongue movements are characteristic of tardive dyskinesia. Shuffling gait (
B) is parkinsonism, fever (
C) is NMS, and tapping (
D) is akathisia.
Question 2 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.
Question 3 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 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 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.