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ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions

Extract:


Question 1 of 5

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, 'My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?' Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Isolation in the prodromal phase is an early schizophrenia warning. General uncertainty (
A), introversion (
B), and avoiding friends for voices (
D) are less accurate.

Question 2 of 5

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?

Correct Answer: C

Rationale: Carbamazepine, a mood stabilizer, reduces mania. Fluvastatin (
A) is for cholesterol, lorazepam (
B) is for anxiety, and propranolol (
D) is for hypertension.

Question 3 of 5

A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?

Correct Answer: A

Rationale: Constant supervision ensures immediate safety when a client declines a safety contract. Locking doors (
B), removing objects (
C), and plastic utensils (
D) are secondary.

Question 4 of 5

A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?

Correct Answer: A

Rationale: Twisting tongue movements are characteristic of tardive dyskinesia. Shuffling gait (
B) is parkinsonism, fever (
C) is NMS, and tapping (
D) is akathisia.

Question 5 of 5

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

Correct Answer: B

Rationale: Offering a choice promotes autonomy and encourages self-care. Confrontation (
A), forcefulness (
C), and ignoring (
D) are unhelpful.

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