ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is talking with a client who has schizophrenia. Suddenly the client states, 'I'm frightened. Do you hear that? The voices are telling me to do terrible things.' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Asking what the voices say assesses potential danger empathetically. Questioning why (
B), denying voices (
C), or instructing to dismiss them (
D) may invalidate or distress.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: D
Rationale: Liver function tests must be monitored as valproate can cause liver failure that may be fatal. High serum sodium levels do not directly cause toxic levels of valproate (
A), thyroid function tests every 6 months are not standard (
B), and a pretreatment EEG is not typically required (
C).
Question 3 of 5
A nurse is caring for a young adult client who has acute schizophrenic disorder and tells the nurse, 'Yesterday noon the sun moon went over the rover to see the lawnmower.' Which of the following manifestations is the client exhibiting?
Correct Answer: C
Rationale: Associative looseness is shown by unrelated speech shifts. Delusional disorder (
A) involves plausible delusions, anhedonia (
B) is pleasure loss, and hallucination (
D) is sensory.
Question 4 of 5
Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?
Correct Answer: D
Rationale: Consistent unit policies create a stable, predictable environment, significantly impacting care and milieu. Educating on policies (
A), addressing behaviors (
B), and timely medication (
C) are important but less comprehensive.
Extract:
A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census. The unit has:
1. 84-year-old male with AFib, diaphoretic, and complaining of fatigue.
2. 45-year-old female with SVT not responding to adenosine.
3. 78-year-old female with bradycardia who was given atropine and epinephrine, yet unresolved.
4. 80-year-old male in pulseless Ventricular fibrillation being coded and transferred to Intensive Care Unit.
5. 69-year-old female who arrived at the unit symptomatic and currently being coded is pulseless with Ventricular Tachycardia.
Question 5 of 5
The nurse on the step-down unit explains to the nursing student the electricity to be used for each dysrhythmia. Select the correct electricity to be used to manage the dysrhythmias listed:Transcutaneous Pacing, Defibrillation, or Synchronized cardioversion?Dysrhythmias:
| Options | Transcutaneous Pacing | Defibrillation | Synchronized cardioversion |
|---|---|---|---|
| Ventricular fibrillation | |||
| PVC-run ventricular tachycardia with a pulse | |||
| Atrial Flutter | |||
| Bradycardia |
Correct Answer:
Rationale: Ventricular fibrillation: The correct electricity is Defibrillation. Ventricular fibrillation is a life-threatening condition that requires immediate medical attention. Defibrillation is the process of delivering an electric shock to the heart to stop the fibrillation and allow the heart’s normal rhythm to resume4.
PVC-run ventricular tachycardia with a pulse: The correct electricity is Synchronized Cardioversion. This is used when the patient is hemodynamically stable. It involves the delivery of a therapeutic dose of electrical current to the heart at a specific moment in the cardiac cycle5.
Atrial Flutter: The correct electricity is Synchronized Cardioversion. Atrial flutter is a type of abnormal heart rhythm, or arrhythmia. It can be treated with synchronized cardioversion, in which a controlled electric shock is delivered to the heart to restore normal rhythm5.
Bradycardia: The correct electricity is Transcutaneous Pacing. This is a temporary means of pacing a patient’s heart during a medical emergency. It should be undertaken by healthcare providers who are trained in the procedure5.
So, the correct answer is Defibrillation for Ventricular fibrillation, Synchronized Cardioversion for PVC-run ventricular tachycardia with a pulse and Atrial Flutter, and Transcutaneous Pacing for Bradycardia, after analyzing all choices.