ATI Mental Health Practice B 2023

Questions 202

ATI RN

ATI RN Test Bank

ATI RN Mental Health Asn Questions

Extract:


Question 1 of 5

A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

Correct Answer: A

Rationale: The correct answer is A: Affective flattening. Negative symptoms refer to deficits in normal emotional responses or behaviors. Affective flattening specifically involves a reduction in the range and intensity of emotional expression. This is commonly seen in individuals with schizophrenia and can impact their ability to communicate and engage with others. Bizarre behavior (choice
B), illogicality (choice
C), and somatic delusions (choice
D) are not negative symptoms but rather positive symptoms, which involve the presence of abnormal behaviors or beliefs. Bizarre behavior refers to actions that are unusual or out of the ordinary, illogicality refers to disorganized thinking, and somatic delusions involve false beliefs about the body.

Question 2 of 5

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.

Question 3 of 5

A nurse is assessing a client experiencing chronic stress. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: The correct answer is D: Hyperglycemia. Chronic stress triggers the release of cortisol and adrenaline, leading to increased blood sugar levels. This physiological response can result in hyperglycemia. A: Hypotension is unlikely as stress often causes increased blood pressure. B: Increased energy may occur initially due to the body's fight-or-flight response but chronic stress typically leads to fatigue. C: Increased cognitive awareness is less likely as chronic stress can impair cognitive function. Summary: A is incorrect because hypotension is not a typical finding in chronic stress. B is incorrect as chronic stress usually leads to fatigue, not increased energy. C is incorrect as chronic stress can impair cognitive function, rather than enhance it.

Question 4 of 5

A nurse is assigning a room to a client who is experiencing a manic episode. Which of the following is the most appropriate room selection?

Correct Answer: A

Rationale: A room close to the nursing station allows for close monitoring and quick intervention if necessary.

Question 5 of 5

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and is now pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Walking with the client helps provide support while allowing them to work through their anxiety.

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