ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Vomiting or diarrhea can cause dehydration, increasing lithium toxicity risk, so notifying the provider is crucial. Empty stomach (
A), extra saliva (
B), and reduced fluid (
D) are incorrect.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: A
Rationale: Command hallucinations can direct harm to self or others, making them the priority. Tactile (
B), gustatory (
C), and visual (
D) hallucinations are less immediately dangerous.
Question 3 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder. (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Lithium (
A), valproate (
B), carbamazepine (
C), and paroxetine (E) are used for bipolar disorder. Donepezil (
D) is for Alzheimer's disease and not typically used.
Question 4 of 5
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: A
Rationale: Adherence to clozapine prevents relapse. Fluid restriction (
B) is unnecessary, RBC counts (
C) are not routine (WBC is for agranulocytosis), and tyramine (
D) relates to MAOIs.
Extract:
History and Physical
Week 1:
• Bipolar disorder.
• Type 2 diabetes mellitus.
• Depression.
• Hyperlipidemia.
• Family history of alcohol use disorder.
Nurses' Notes.
Week 1: Client reports feelings of anxiety about a new diagnosis of type 2 diabetes mellitus.
Client states, "This can lead to heart disease, having to learn how to self-administer insulin, not to mention that I could even die from this.”. Week 4: Client visits outpatient clinic once a month and continues to have concerns about the dangers of diabetes mellitus and other concerns of "not feeling well.”. Month 6: Client seen for feelings of increased anxiety and excessive thoughts of recent diagnosis of type 2 diabetes mellitus.
"I can't sleep and now I have pain all over my body all the time.
I have diarrhea every day and my stomach hurts when I eat.”. A nurse is assessing a client who has been coming to an outpatient clinic for the last 6 months.
Question 5 of 5
A nurse is caring for a client in an outpatient clinic. The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: Anxiety (
A), GI distress (
B), pain (
C), health fixation (E), and depression (F) are somatic symptom disorder manifestations. Bipolar disorder (
D) and amnesia (G) are separate.