ATI RN
ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions
Extract:
Question 1 of 5
A nurse is responding to a parent of an adolescent who was recently diagnosed with posttraumatic stress disorder following a sexual assault. The parent states, 'My child ignores curfew, is hanging out with a rough crowd, and has been experimenting with drugs. Why would they be doing this?' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer, C, "This must be a difficult time for you," is the best response because it acknowledges the parent's concerns and shows empathy. This response validates the parent's feelings and demonstrates understanding of the challenging situation they are going through. It opens the door for further communication and support.
Choices A and B are irrelevant to the situation described and do not address the parent's concerns.
Choice D, "This is normal behavior for an adolescent," dismisses the severity of the situation and does not offer support or guidance to the parent.
Overall, choice C is the most appropriate response as it shows empathy and provides an opportunity for the nurse to offer support and resources to the parent and the adolescent.
Question 2 of 5
A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?
Correct Answer: A
Rationale: The correct answer is A: "This procedure will cause me to have brief seizures." This answer is correct because ECT involves inducing controlled seizures to help alleviate symptoms of certain mental health conditions. The client understanding this aspect of the procedure demonstrates awareness of what to expect.
Choices B, C, and D are incorrect. B is incorrect because ECT usually requires multiple treatments for effectiveness. C is incorrect as a pre-ECT workup is typically necessary for safety reasons. D is incorrect because clients are usually instructed to fast before the procedure.
Question 3 of 5
A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Ask the client about the lethality of their plan. This is the correct action because assessing the lethality of the client's plan is crucial in determining the level of risk and the necessary interventions. By understanding the specifics of the plan, the nurse can assess the immediacy and severity of the situation, enabling appropriate interventions to be implemented promptly. Encouraging the client to focus on the positive aspects of life (
B) may overlook the seriousness of the situation. Reassuring the client that everything will work out (
C) may minimize the client's feelings and not address the immediate risk. Allowing the client time alone to self-reflect (
D) can be dangerous if the plan is highly lethal.
Question 4 of 5
A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACES). Which of the following clients is considered to have experienced an ACE?
Correct Answer: B
Rationale: The correct answer is B. A child with a parent in prison is considered to have experienced an adverse childhood experience (ACE) due to the significant impact of parental incarceration on a child's well-being, emotional health, and development. This situation can lead to feelings of abandonment, shame, stigma, and disruption in family dynamics.
Choices A, C, and D do not directly indicate exposure to ACEs as they involve normal childhood experiences or academic challenges that are not inherently traumatic.
Therefore, option B is the most appropriate response for identifying a child who has experienced an ACE.
Extract:
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Vital Signs.
Day 1 1030: Vital Signs.
Temperature 37°C (98.6° F). Heart rate 72/min.
Question 5 of 5
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. Lack of motivation (
B) is a key negative symptom of schizophrenia, reflecting reduced drive and initiative. Lack of energy (
D) is another negative symptom, manifesting as fatigue and lethargy. Being withdrawn (E) is also indicative of negative symptoms, as it represents social withdrawal and reduced communication. Blood pressure (
A) and change in behavior (
C) are more likely related to positive symptoms like agitation or paranoia. Option F and G are likely irrelevant to negative symptoms of schizophrenia.