ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 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 2 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 3 of 5
Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?
Correct Answer: D
Rationale: Consistent unit policies create a stable, predictable environment, significantly impacting care and milieu. Educating on policies (
A), addressing behaviors (
B), and timely medication (
C) are important but less comprehensive.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Correct Answer: D
Rationale: Asking what the voices say assesses for command hallucinations, prioritizing safety. Acknowledging voices (
A), linking to illness (
B), and frequency (
C) are less urgent.
Question 5 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.