ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?
Correct Answer: A
Rationale: Muscle weakness indicates mild lithium toxicity. Constipation (
B), urinary retention (
C), and hyperactivity (
D) are not typical symptoms.
Question 2 of 5
A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?
Correct Answer: B
Rationale: Disorganized speech indicates acute mania, characterized by racing thoughts. Weight gain (
A), hallucinations (
C), and clothing choice (
D) are not specific to mania.
Question 3 of 5
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct Answer: B
Rationale: Agranulocytosis, a clozapine side effect, causes sore throat and muscle aches due to reduced infection-fighting ability. Respiratory depression (
A), anxiety (
C), and restlessness (
D) are unrelated.
Question 4 of 5
A nurse is caring for a client who was recently diagnosed with somatic symptom disorder. The client says to the nurse, 'I don't understand, they can't find anything medically wrong with me. I guess I will never feel better.' Which of the following responses is the most therapeutic?
Correct Answer: B
Rationale: Offering support to manage symptoms is therapeutic, addressing distress. Questioning confidence (
A), focusing on symptoms (
C), or vague reassurance (
D) is less helpful.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Telling the client the hallucination is not real grounds them in reality. Asking questions (
A) may validate it, arguing with voices (
B) increases distress, and acting as if real (
C) reinforces the hallucination.