ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "Let's work together to devise a time schedule that is convenient for you on a daily basis." This answer is correct because it promotes patient-centered care by involving the client in decision-making and ensuring adherence to medication schedules. By collaborating with the client to find a convenient schedule, the nurse increases the likelihood of medication compliance.
Incorrect choices:
A: "You really shouldn't change the schedule we established here in the facility." - This is incorrect as it disregards the client's individual needs and preferences.
C: "I'll have to talk to your provider about switching to an alternative schedule." - This is incorrect as it does not involve the client in decision-making and may cause delays in finding a suitable schedule.
D: "It doesn't really matter what time you take your medications as long as you don't skip any doses." - This is incorrect as specific medication intervals are crucial for therapeutic effectiveness.
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia refer to deficits or reductions in normal emotional, cognitive, or behavioral functioning. Social withdrawal is a classic negative symptom, reflecting a loss of interest in social interactions. Delusions (
A) and hallucinations (
B) are positive symptoms, representing distortions in thoughts and perceptions. Agitation (
D) is a symptom of increased motor activity or restlessness, not a negative symptom. Flat affect (E) is also a negative symptom, but social withdrawal is a more direct example of a negative symptom compared to flat affect.
Question 3 of 5
A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?
Correct Answer: A
Rationale: The correct answer is A: Promote appropriate behavior during group therapy sessions. This is the priority intervention because individuals with histrionic personality disorder often seek attention and may exhibit disruptive behavior in group settings. By promoting appropriate behavior, the nurse can help create a therapeutic environment for all clients. Encouraging client input in the treatment plan (choice
B) is important but may not address immediate behavioral concerns. Communicating with concrete language (choice
C) can be helpful but is not the priority in managing disruptive behavior. Demonstrating assertive behavior (choice
D) may not be as effective as actively promoting appropriate behavior in this context.
Question 4 of 5
A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The nurse should immediately arrange emergency assistance as amitriptyline overdose can be life-threatening.
Question 5 of 5
A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?
Correct Answer: A
Rationale: The correct answer is A because warning the potential victim is crucial to ensuring their safety. By alerting the potential victim, appropriate measures can be taken to prevent harm.
Choice B is incorrect because in cases of harm to others, confidentiality can be breached to protect the safety of the potential victim.
Choice C is incorrect because immediate action is necessary, and waiting for a court order may delay intervention.
Choice D is incorrect because reporting to the psychiatrist may not be sufficient to prevent harm to the potential victim.