ATI RN
ATI N200 Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse notices that a client with paranoid schizophrenia stops in mid-sentence when talking and tilts his head to the side as if to listen. The most appropriate intervention by the nurse would be to:
Correct Answer: A
Rationale: The correct answer is A: Ask the client, 'What are the voices saying to you?' This is the most appropriate intervention because the client's behavior suggests he may be experiencing auditory hallucinations, a common symptom of paranoid schizophrenia. By directly addressing the possibility of hearing voices, the nurse acknowledges the client's experience and opens up communication for further assessment and support. This intervention demonstrates empathy and understanding, essential in building therapeutic rapport with clients with schizophrenia.
Other choices are incorrect:
B: Giving a PRN dose of benztropine is not appropriate as the client's behavior is not indicative of extrapyramidal symptoms that would require anticholinergic medication.
C: Reporting the behavior to the physician without first assessing the client directly may delay necessary intervention and support.
D: Dismissing the client's behavior as a distraction may lead to further communication barriers and hinder the therapeutic relationship.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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