ATI RN Mental Health 2023 Exam 3 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: The client begins sleeping more than usual. This is a common manifestation of relapse in schizophrenia. Increased sleep can indicate worsening symptoms, such as withdrawal or increased hallucinations. It is crucial for the family to recognize this early sign to seek timely intervention.

Choices B, C, and D are incorrect because an inability to concentrate, an inflated sense of self, and increased participation in social activities are not typically specific indicators of relapse in schizophrenia. It is important to focus on observable behaviors like changes in sleep patterns for early detection and management of relapse.

Correct Answer: B

Rationale: The correct answer is B: Decreased libido. Citalopram, a selective serotonin reuptake inhibitor (SSRI), can cause sexual side effects such as decreased libido. The rationale is that SSRIs can affect serotonin levels, which in turn can impact sexual function. Urinary retention (
A) is not a common side effect of citalopram. Bruising (
C) is not typically associated with this medication. Jaundice (
D) is a rare side effect of citalopram and would not be the primary concern when monitoring a client taking this medication. Monitoring for decreased libido is important to address potential side effects that may affect the client's quality of life.

Correct Answer: C

Rationale: The correct answer is C: Provide written information about the client's treatment plan. For a client with paranoid personality disorder, providing written information is important as it helps establish trust and transparency in the nurse-client relationship. Written information can reduce the client's anxiety about the treatment plan and provide a sense of control over their care. Monitoring for splitting behaviors (
A) is not directly related to paranoid personality disorder. Isolating the client (
B) goes against the therapeutic goal of promoting social interactions. Encouraging countertransference (
D) is inappropriate as it involves the nurse projecting their feelings onto the client, which can hinder the therapeutic process.

Correct Answer: D

Rationale: The correct answer is D: "How has this impacted your life?" This question allows the nurse to assess the client's emotional response, coping mechanisms, and overall adjustment to the stroke. By understanding the client's perspective, the nurse can provide tailored support.

A: "Why do you think this has happened?" is not the best choice as it focuses on the cause of the condition rather than the client's coping strategies.
B: "Are you okay with not being able to do some things you used to do?" is limiting and may not capture the full extent of the client's experience.
C: "Is anyone available to assist you with your hygiene?" is too specific and does not address the broader impact of the stroke on the client's life.

In summary, asking the client how the stroke has impacted their life (
D) is the most appropriate question to assess coping mechanisms and provide holistic care.

Correct Answer: A

Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.