ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?
Correct Answer: D
Rationale: Giving away possessions may indicate putting affairs in order, a serious suicide warning sign. Stopping medication (
A), discussing depression (
B), and sleeping excessively (
C) are less specific.
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Client appears withdrawn and does not engage in conversation.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 2 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Rationale: Withdrawn (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.
Extract:
Question 3 of 5
A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Vomiting is a common symptom of lithium toxicity. Flatulence (
A), loss of appetite (
C), and headaches (
D) are not specific indicators.
Question 4 of 5
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Muscle spasms (
B), tremors (
C), and fidgeting (D, akathisia) are EPS. Sexual dysfunction (
A) and blurred vision (E) are unrelated to EPS.
Question 5 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder. (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Lithium (
A), valproate (
B), carbamazepine (
C), and paroxetine (E) are used for bipolar disorder. Donepezil (
D) is for Alzheimer's disease and not typically used.