ATI RN
ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale:
Correct Answer: C - It is now time for you to bathe
Rationale: The nurse should use a direct, clear, and non-confrontational approach to encourage the client to bathe. This statement acknowledges the importance of personal hygiene without shaming the client. It sets a clear expectation and provides a gentle reminder for the client to engage in self-care activities. By using a neutral and supportive tone, the nurse respects the client's autonomy while promoting health and well-being.
Summary of Other
Choices:
A: Incorrect - Ignoring the lack of self-care enables further neglect and does not address the client's needs.
B: Incorrect - Forcing the client to bathe in a confrontational manner may cause distress and resistance.
D: Incorrect - This statement comes off as judgmental and may make the client defensive, hindering effective communication and rapport-building.
Question 2 of 5
A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because stress is a common cause of depressed mood. Stress can lead to feelings of sadness and hopelessness. High blood pressure (
B), elevated heart rate (
C), and renal dysfunction (
D) are not typically direct causes of depressed mood. High blood pressure and elevated heart rate are more closely associated with physical health, while renal dysfunction is related to kidney function, not mental health.
Therefore, A is the best choice as it aligns with common triggers of depression.
Extract:
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Vital Signs.
Day 1 1030: Vital Signs.
Temperature 37°C (98.6° F). Heart rate 72/min.
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: B,D,E
Rationale: The correct answer is B, D, and E. Lack of motivation (
B) is a key negative symptom of schizophrenia, reflecting reduced drive and initiative. Lack of energy (
D) is another negative symptom, manifesting as fatigue and lethargy. Being withdrawn (E) is also indicative of negative symptoms, as it represents social withdrawal and reduced communication. Blood pressure (
A) and change in behavior (
C) are more likely related to positive symptoms like agitation or paranoia. Option F and G are likely irrelevant to negative symptoms of schizophrenia.
Extract:
Question 4 of 5
A nurse is planning discharge for a client who has schizophrenia and reports 'I don't have a place to live.' Which of the following referrals should the nurse request from the provider?
Correct Answer: C
Rationale: The correct answer is C: Take aspirin for headaches. The nurse should request this referral to address the client's reported headache. It is essential to address the client's physical health needs to promote overall well-being. Referring to a spiritual advisor (
A) is not appropriate for addressing the immediate health concern. Expecting swelling in hands and feet (
B) is unrelated. Eating foods high in potassium (
D) is important for overall health but not urgent in this situation.
Question 5 of 5
A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?
Correct Answer: A
Rationale: The correct answer is A: "This procedure will cause me to have brief seizures." This answer is correct because ECT involves inducing controlled seizures to help alleviate symptoms of certain mental health conditions. The client understanding this aspect of the procedure demonstrates awareness of what to expect.
Choices B, C, and D are incorrect. B is incorrect because ECT usually requires multiple treatments for effectiveness. C is incorrect as a pre-ECT workup is typically necessary for safety reasons. D is incorrect because clients are usually instructed to fast before the procedure.