ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about the 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: Excessive sleep or a significant change in sleep patterns can be an indicator of a relapse in schizophrenia. Schizophrenia can disrupt the regular sleep-wake cycle, leading to either insomnia or hypersomnia. When a client begins sleeping more than usual, it may suggest a worsening of symptoms or an impending relapse. This is a critical sign for the family to monitor, as opposed to concentration issues (which are common but less specific), an inflated sense of self (more tied to mania or grandiose delusions not typical of schizophrenia relapse), or increased social activity (which is generally positive and not a relapse sign).
Question 2 of 5
A nurse is providing discharge teaching about the 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: Excessive sleep or a significant change in sleep patterns can be an indicator of a relapse in schizophrenia. Schizophrenia can disrupt the regular sleep-wake cycle, leading to either insomnia or hypersomnia. When a client begins sleeping more than usual, it may suggest a worsening of symptoms or an impending relapse. This is a critical sign for the family to monitor, as opposed to concentration issues (which are common but less specific), an inflated sense of self (more tied to mania or grandiose delusions not typical of schizophrenia relapse), or increased social activity (which is generally positive and not a relapse sign).
Extract:
Nurses’ Notes
2000:
Client presents to the triage desk accompanied by a friend. The client states, “I need help. I was raped about an hour ago.” The client’s friend states, “I think they may have been drugged.” Allergies: penicillin, doxycycline Physical exam: General: exhibits anxiety Respiratory: breath sounds clear Cardiovascular: S1, S2, no murmur Abdomen: soft, mildly tender Skin: bruising to upper arms bilaterally, broken fingernails
Vital Signs
2015:
Blood pressure: 128/88 mm Hg
Heart rate: 80/min
Respiratory rate: 16/min
Temperature: 37°C (98.6°F)
Weight: 67.1 kg (147.9 lbs.)
Diagnostic Results
2030:
Urine drug screen: GHB (gamma-hydroxybutyric acid): positive
Question 3 of 5
A nurse is caring for a client in the emergency department.Drag words from the choices below to fill in each blank in the following sentence. The nurse should identify that the client’s ------------------------ and -------------------- are consistent with sexual assault.
Correct Answer: A,B
Rationale: GHB in diagnostic results and abdominal tenderness with bruising support sexual assault. Other vitals (BP, temp) are normal and less specific.
Extract:
Question 4 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Dizziness is a common adverse effect of quetiapine, often due to orthostatic hypotension, not an allergy. This response reassures the client and explains the cause, suggesting management like rising slowly. Meals don’t address dizziness, stopping for allergy is incorrect, and morning timing doesn’t mitigate it.
Question 5 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the healthcare team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Documenting the client's refusal of the treatment in the medical record is the correct action. It is essential to record the client's decision and the discussion surrounding it to respect their rights and provide a legal record. Even with involuntary commitment, clients retain the right to refuse treatment unless legally deemed incompetent or a danger, requiring specific legal processes. Asking family to encourage ECT doesn’t address autonomy, telling them they can’t refuse is incorrect, and stating ECT doesn’t need consent is unethical.