ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?
Correct Answer: C
Rationale: Walking with the nurse provides calming physical activity and one-on-one interaction, suitable for mania. Group discussions (
A), videos (
B), and basketball (
D) may overstimulate.
Extract:
History and Physical
Week 1:
• Bipolar disorder.
• Type 2 diabetes mellitus.
• Depression.
• Hyperlipidemia.
• Family history of alcohol use disorder.
Nurses' Notes.
Week 1: Client reports feelings of anxiety about a new diagnosis of type 2 diabetes mellitus.
Client states, "This can lead to heart disease, having to learn how to self-administer insulin, not to mention that I could even die from this.”. Week 4: Client visits outpatient clinic once a month and continues to have concerns about the dangers of diabetes mellitus and other concerns of "not feeling well.”. Month 6: Client seen for feelings of increased anxiety and excessive thoughts of recent diagnosis of type 2 diabetes mellitus.
"I can't sleep and now I have pain all over my body all the time.
I have diarrhea every day and my stomach hurts when I eat.”. A nurse is assessing a client who has been coming to an outpatient clinic for the last 6 months.
Question 2 of 5
A nurse is caring for a client in an outpatient clinic. The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: Anxiety (
A), GI distress (
B), pain (
C), health fixation (E), and depression (F) are somatic symptom disorder manifestations. Bipolar disorder (
D) and amnesia (G) are separate.
Extract:
Question 3 of 5
A nurse is caring for a client who was recently diagnosed with somatic symptom disorder. The client says to the nurse, 'I don't understand, they can't find anything medically wrong with me. I guess I will never feel better.' Which of the following responses is the most therapeutic?
Correct Answer: B
Rationale: Offering support to manage symptoms is therapeutic, addressing distress. Questioning confidence (
A), focusing on symptoms (
C), or vague reassurance (
D) is less helpful.
Question 4 of 5
A nurse is caring for a young adult client who has acute schizophrenic disorder and tells the nurse, 'Yesterday noon the sun moon went over the rover to see the lawnmower.' Which of the following manifestations is the client exhibiting?
Correct Answer: C
Rationale: Associative looseness is shown by unrelated speech shifts. Delusional disorder (
A) involves plausible delusions, anhedonia (
B) is pleasure loss, and hallucination (
D) is sensory.
Question 5 of 5
A nurse is conducting an in-service for a group of newly licensed nurses about the interventions used for clients experiencing non-suicidal self-harm (NSSH). Which of the following should the nurse include?
Correct Answer: B
Rationale: Early recognition facilitates timely intervention for NSSH. Discouraging discussion (
A), labeling as attention-seeking (
C), and immediate questioning (
D) are unhelpful.