ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Having consistent unit routines provides stability and predictability, beneficial for mania. Stimulating environments (
B) can worsen symptoms, seclusion (
C) may cause isolation, and discouraging napping (
D) risks fatigue.
Extract:
History and Physical
Week 1:
• Bipolar disorder.
• Type 2 diabetes mellitus.
• Depression.
• Hyperlipidemia.
• Family history of alcohol use disorder.
Nurses' Notes.
Week 1: Client reports feelings of anxiety about a new diagnosis of type 2 diabetes mellitus.
Client states, "This can lead to heart disease, having to learn how to self-administer insulin, not to mention that I could even die from this.”. Week 4: Client visits outpatient clinic once a month and continues to have concerns about the dangers of diabetes mellitus and other concerns of "not feeling well.”. Month 6: Client seen for feelings of increased anxiety and excessive thoughts of recent diagnosis of type 2 diabetes mellitus.
"I can't sleep and now I have pain all over my body all the time.
I have diarrhea every day and my stomach hurts when I eat.”. A nurse is assessing a client who has been coming to an outpatient clinic for the last 6 months.
Question 2 of 5
A nurse is caring for a client in an outpatient clinic. The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: Anxiety (
A), GI distress (
B), pain (
C), health fixation (E), and depression (F) are somatic symptom disorder manifestations. Bipolar disorder (
D) and amnesia (G) are separate.
Extract:
Question 3 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 4 of 5
A nurse is talking with a client who has schizophrenia. Suddenly the client states, 'I'm frightened. Do you hear that? The voices are telling me to do terrible things.' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Asking what the voices say assesses potential danger empathetically. Questioning why (
B), denying voices (
C), or instructing to dismiss them (
D) may invalidate or distress.
Question 5 of 5
A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Having consistent unit routines provides stability and predictability, beneficial for mania. Stimulating environments (
B) can worsen symptoms, seclusion (
C) may cause isolation, and discouraging napping (
D) risks fatigue.