ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a 48-year-old client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lb and is having difficulty sleeping. Which of the following factors indicate the client is experiencing maladaptive grieving?
Correct Answer: C
Rationale: The correct answer is C: The client has lost 30 lb. This indicates maladaptive grieving as significant weight loss is a common physical manifestation of unresolved grief. The weight loss could be due to lack of appetite or neglecting self-care, both of which are concerning signs. Losing a large amount of weight within a short period can negatively impact the client's health and well-being.
Choices A, B, and D are not directly related to maladaptive grieving. Age (
A) and the time since the husband's death (
B) are not indicative of maladaptive grieving, as everyone grieves differently and at their own pace. Difficulty sleeping (
D) is a common symptom of grief but may not necessarily indicate maladaptive grieving on its own.
Question 2 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: A
Rationale: Haloperidol can cause QT prolongation, increasing the risk of dysrhythmias.
Question 3 of 5
A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: A
Rationale: The correct answer is A: Affective flattening. Negative symptoms refer to deficits in normal emotional responses or behaviors. Affective flattening specifically involves a reduction in the range and intensity of emotional expression. This is commonly seen in individuals with schizophrenia and can impact their ability to communicate and engage with others. Bizarre behavior (choice
B), illogicality (choice
C), and somatic delusions (choice
D) are not negative symptoms but rather positive symptoms, which involve the presence of abnormal behaviors or beliefs. Bizarre behavior refers to actions that are unusual or out of the ordinary, illogicality refers to disorganized thinking, and somatic delusions involve false beliefs about the body.
Question 4 of 5
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?
Correct Answer: C
Rationale: OCD rituals are performed to reduce anxiety, even if they are illogical or excessive.
Question 5 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: A, B, C, E
Rationale: The correct answer includes characteristics that are commonly associated with obsessive-compulsive disorder (OC
D).
A: Difficulty relaxing - Individuals with OCD often experience persistent intrusive thoughts or obsessions, leading to heightened anxiety and difficulty relaxing.
B: Irrational fear of certain objects - OCD can manifest as specific fears or obsessions that are irrational and intrusive, causing distress and leading to compulsive behaviors.
C: Rule-conscious behavior - People with OCD tend to adhere rigidly to self-imposed rules or rituals to manage their anxiety and obsessions.
E: Perfectionist behavior - Perfectionism is a common trait in individuals with OCD, as they may feel the need to perform tasks perfectly to alleviate anxiety associated with obsessions.
Incorrect choices:
D: Unaware of compulsions - Individuals with OCD are usually aware of their compulsive behaviors, as these actions are driven by the need to reduce anxiety related to obsessions.