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 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.
Extract:
A nurse in a mental health facility is caring for a client.
Medical History: Antisocial personality disorder.
Substance use disorder.
Nurses' Notes:. 1400: Client admitted to facility by court order for evaluation following arrest for disorderly conduct and resisting arrest.
Client states, "That judge is so stupid.
I don't belong here!" Client has rigid posture, is pacing around the room attempting to intimidate staff and other clients on the unit.
Extra staff members gather.
1500: Client escorted to room.
Client becomes flirtatious with assistant personnel (AP). Client introduced to roommate, whom they ignore.
Continues to flirt with AP. 1800: Client refuses to go to dining room for dinner.
States, "I'm not sitting down with a bunch of nuts.
Question 2 of 5
Bring my food to me!". For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.
| anticipated | contraindicated |
|---|---|
| Use bargaining to improve behavior. | |
| Provide rewards for positive behavior. | |
| Ignore negative behavior. | |
| Maintain a low-stimuli environment. |
Correct Answer:
Rationale: Rewards for positive behavior (
B) and low-stimuli environment (
D) are anticipated for antisocial personality disorder. Bargaining (
A) reinforces manipulation, and ignoring negative behavior (
C) avoids accountability.
Extract:
Question 3 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.
Question 4 of 5
A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?
Correct Answer: D
Rationale: A WBC of 2,900 cells/mm^2 indicates possible agranulocytosis, requiring clozapine discontinuation. BUN (
A), potassium (
B), and hematocrit (
C) are not contraindications.
Extract:
A nurse is caring for a client who has schizophrenia.
Nurses' Notes: Day 1 1030: A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Day 1 1730: Client refuses to eat or drink.
Client appears withdrawn and does not engage in conversation.
Client has flat affect.
Does not want to go to therapy session and wants to sleep.
Client's movements are slow.
Vital Signs: Day 1 1030: Temperature 37° C (98.6° F). Heart rate 72/min.
Respiratory rate 20/min.
Blood pressure 132/38 mm Hg. Oxygen saturation: 99% on room air.
Question 5 of 5
Select the '3' findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia:
Correct Answer: A,B,D
Rationale: Withdrawn (
A), lack of energy (
B), and lack of motivation (
D) are negative symptoms. Change in behavior (
C) is broad, and blood pressure (E) is physiological.