ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
An RN is providing education to the family of a client diagnosed with schizophrenia who is being treated with clozapine (Clozaril). The RN should instruct the family to report which symptom immediately?
Correct Answer: A
Rationale: The correct answer is A: Sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. A sore throat can be an early sign of agranulocytosis, so it should be reported immediately to the healthcare provider for further evaluation and monitoring. Weight loss (
B), constipation (
C), and lightheadedness (
D) are common side effects of clozapine but are not as concerning as a sore throat in this scenario.
Question 2 of 5
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit?
Correct Answer: C
Rationale: The correct answer is C: Disturbed sensory perception. The client's delusional beliefs about their IQ, relationships, and perceptions indicate a possible psychotic disorder. Disturbed sensory perception is the priority as it reflects a break from reality and can lead to unsafe behaviors. Ineffective sexual patterns (
A) may be a concern, but the primary issue is the client's distorted perceptions. Impaired environmental interpretation (
B) may be present, but it is secondary to the client's distorted sensory perceptions. Compromised family coping (
D) is not the priority as the focus should be on the client's immediate safety and stabilization.
Question 3 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.
Question 4 of 5
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing†to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is built on the foundation of genuine acceptance, respect, and concern for the patient's situation. By exhibiting these qualities, the nurse establishes a trusting and supportive relationship with the patient, which can enhance the therapeutic process. Patients are more likely to appreciate and respond positively to a nurse who demonstrates empathy and understanding. In contrast, choices B, C, and D do not address the core principles of effective communication or the importance of establishing a supportive environment for the patient.
Choice B incorrectly assumes that patients are not interested in what the nurse has to say, choice C disregards the potential harm that insensitive communication can cause, and choice D generalizes about individuals with mental illness.
Question 5 of 5
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment?
Correct Answer: B
Rationale: The correct answer is B: Sleep at least 6 hours a night. This is the most important client goal to achieve within the first three days of treatment because addressing the client's sleep deprivation is crucial for overall well-being and mental health. Lack of sleep can exacerbate symptoms of depression and impact the effectiveness of antidepressant medication. By ensuring the client gets adequate sleep, it can improve mood, cognitive function, and overall health.
Choices A, C, and D are not as critical within the initial days of treatment. Meeting with a dietitian, understanding the purpose of the medication regimen, and describing the reasons for hospitalization are all important aspects of care but do not take precedence over addressing the immediate sleep deprivation issue.