ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Command hallucination. This is the priority because command hallucinations can pose a direct threat to the client or others if the commands are harmful or dangerous. Addressing command hallucinations promptly is crucial to ensure the safety of the client and those around them. Visual hallucinations (
A) may not necessarily lead to immediate harm. Gustatory hallucinations (
B) involve taste sensations and are not typically associated with imminent danger. Tactile hallucinations (
D) involve false perceptions of touch and are also less likely to result in immediate harm compared to command hallucinations.
Question 2 of 5
A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?
Correct Answer: D
Rationale: The correct answer is D because the statement indicates the client is experiencing intrusive memories and nightmares, which are common symptoms of PTSD. This suggests the client is reliving the traumatic event.
Choice A suggests hypervigilance, which can be a symptom of PTSD but is not as specific as intrusive memories.
Choice B indicates possible grandiosity or exaggerated sense of self-importance.
Choice C suggests guilt related to a different issue. Summarily, choices A, B, and C do not directly align with the hallmark symptoms of PTSD like choice D does.
Question 3 of 5
A nurse is assessing a client who has a diagnosis of conversion disorder. Which of the following is an expected finding?
Correct Answer: D
Rationale: The correct answer is D: Involuntary loss of a sensory function. In conversion disorder, physical symptoms are present without a known medical cause. This can manifest as sensory deficits such as blindness or paralysis. This finding is expected as it is a hallmark of conversion disorder. Manic episodes (
A) are more indicative of bipolar disorder, medication refusal due to paranoia (
B) may be seen in conditions like schizophrenia, and preoccupation with various illnesses (
C) is characteristic of somatic symptom disorder.
Therefore, the correct choice is D as it aligns with the presentation of conversion disorder.
Question 4 of 5
A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "I'm glad you called, and I want to send an ambulance to help you." This answer demonstrates immediate concern for the client's well-being and prioritizes getting them the necessary medical help. It acknowledges the seriousness of the situation and the potential danger of taking an entire bottle of medication. Sending an ambulance ensures that the client receives prompt medical attention, which is crucial in cases of overdose.
Incorrect responses:
B: "You must have been feeling pretty depressed to do that." - This response focuses on the client's emotional state rather than addressing the immediate need for medical assistance.
C: "Do you know how many pills were in the bottle?" - This question does not prioritize the urgency of the situation and does not address the immediate need for medical help.
D: "Were you trying to kill yourself by taking an overdose?" - This response may come off as accusatory and could potentially escalate the situation. It is important to prioritize the client's safety and well-being
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following types of crisis?
Correct Answer: D
Rationale: The correct answer is D: Situational crisis. The client's denial of the HIV diagnosis and refusal of treatment indicate an acute crisis triggered by a specific event or situation - the new HIV diagnosis. In a situational crisis, individuals struggle to cope with a sudden and unexpected event, leading to cognitive dissonance and emotional distress. The client's disbelief and avoidance of the reality of the diagnosis demonstrate a maladaptive response to the crisis. Adventitious crisis (
A) refers to events like natural disasters, which are not applicable here. Internal crisis (
B) involves inner conflicts, not evident in this scenario. Maturational crisis (
C) arises from developmental life stages, which is not the case here.