ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 2 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 3 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Recent head injury. The nurse should report this finding to the provider because bupropion is contraindicated in patients with a history of seizures or recent head trauma. Bupropion lowers the seizure threshold, increasing the risk of seizures in these patients. Hepatitis B infection (choice
A), hypothyroidism (choice
B), and knee arthroplasty 1 month ago (choice
C) are not contraindications for bupropion use in smoking cessation. The presence of a recent head injury poses a significant risk and warrants immediate attention to ensure patient safety.
Question 4 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: B
Rationale: The correct answer is B because the client's daily meditation time being interrupted by therapy indicates spiritual distress. Meditation is often a key spiritual practice for individuals to find peace and connection. Therapy disrupting this routine may indicate a lack of spiritual fulfillment or distress. The other choices do not directly indicate spiritual distress as they mostly mention positive aspects of spiritual beliefs or practices.
Choice A shows that faith provides hope, choice C indicates comfort from meditation, and choice D suggests increased support from a spiritual advisor, all of which are positive indicators of spiritual well-being.
Question 5 of 5
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Discussing the importance of confidentiality is important but should not be the first action. Addressing immediate emotional needs and coping strategies takes precedence. Identifying prior coping skills helps establish a foundation for managing the current crisis. It allows the nurse to build on existing strengths and provide support tailored to the adolescents' individual needs. Reviewing community resources is valuable but should come after addressing immediate emotional needs and identifying coping skills. Initiating referrals may be necessary, but it should follow the identification of coping skills and immediate emotional support.