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 is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?
Correct Answer: B
Rationale: Neuroleptic malignant syndrome causes hyperpyrexia, unstable blood pressure, and diaphoresis. Pseudoparkinsonism (
A), acute dystonia (
C), and tardive dyskinesia (
D) do not typically include these symptoms.
Question 2 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 3 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?
Correct Answer: C
Rationale: Providing reassurance and safety addresses immediate needs in confusion and distorted thinking. Group activities (
A), distraction (
B), and PRN medications (
D) are secondary.
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 is reviewing the medical record of a client who performs self-injury. Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?
Correct Answer: C
Rationale: Borderline personality disorder is strongly linked to self-harm. Bulimia (
A) is less directly related, parental disorder (
B) is not a specific risk, and promotion (
D) is positive.