ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates understanding of a relapse prevention plan?
Correct Answer: B
Rationale: Identifying personal relapse triggers helps clients take early action to prevent deterioration.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s emotions helps encourage further discussion.
Question 3 of 5
A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Anorexia nervosa is often associated with amenorrhea, distorted body image, excessive activity, and bradycardia due to malnutrition.
Question 4 of 5
A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Neuroleptic malignant syndrome (NMS). NMS is a rare but life-threatening side effect of antipsychotic medications like haloperidol. The client's symptoms of high fever, elevated blood pressure, and muscle rigidity are classic signs of NMS. The nurse should suspect NMS due to the acute onset of these symptoms in a client taking haloperidol.
A) Agranulocytosis is a potential side effect of antipsychotic medications but does not present with the same symptoms as NMS.
B) Akathisia is characterized by restlessness and does not typically involve fever or muscle rigidity.
C) Tardive dyskinesia is a movement disorder that develops with long-term antipsychotic use and does not present acutely with fever and elevated blood pressure.
Therefore, the correct choice is D as it aligns with the client's presentation and medication history.
Question 5 of 5
A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: The client's withdrawal from alcohol will be managed without complications. This is the highest priority goal because alcohol withdrawal can be life-threatening, requiring close monitoring and intervention to prevent complications like seizures or delirium tremens. It ensures the client's safety and well-being.
Choice A is important but not the highest priority as the client's physical health takes precedence.
Choice B focuses on long-term goals and can be addressed after managing withdrawal.
Choice C addresses anxiety but doesn't address the immediate risks of alcohol withdrawal. Overall, managing withdrawal without complications is the most critical goal to prioritize in this scenario.