ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D:
To have a less positive outcome. Gilbert's symptoms of odd behavior, academic decline, social withdrawal, and obsession with locks indicate a significant impact on his daily functioning, suggesting severe impairment. Schizophrenia typically has a chronic course with fluctuating symptoms and poor functional outcomes, especially when onset is early and symptoms are persistent. While medication and psychosocial interventions can help manage symptoms, the early and slow onset of schizophrenia in Gilbert suggests a more challenging prognosis.
Choices A and C are incorrect because they imply a more optimistic outlook that may not align with the severity of Gilbert's symptoms.
Choice B is incorrect as Gilbert's symptoms indicate more than just a relapse stage.
Question 2 of 5
During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Auditory. During an admission assessment and interview, the nurse should monitor auditory communication channels to gather information through listening to the patient's responses, tone of voice, and other auditory cues. This helps in understanding the patient's condition, concerns, and needs. Visual (
B), written (
C), and tactile (
D) communication channels are not typically monitored during an interview for admission assessment as they may not provide direct verbal information from the patient. Visual cues might be important in non-verbal communication, but for this specific scenario, auditory communication is the primary channel for obtaining information.
Question 3 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B. This statement demonstrates reflection as it involves paraphrasing and repeating back the patient's words to show understanding. By restating, "So you are saying that life has no meaning," the nurse is reflecting the patient's feelings and thoughts accurately.
Choice A is more of a personal opinion.
Choice C shows confusion rather than reflection.
Choice D is an observation rather than reflecting the patient's feelings.
Question 4 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D:
To have a less positive outcome. Gilbert's symptoms of odd behavior, academic decline, social withdrawal, and obsession with locks indicate a significant impact on his daily functioning, suggesting severe impairment. Schizophrenia typically has a chronic course with fluctuating symptoms and poor functional outcomes, especially when onset is early and symptoms are persistent. While medication and psychosocial interventions can help manage symptoms, the early and slow onset of schizophrenia in Gilbert suggests a more challenging prognosis.
Choices A and C are incorrect because they imply a more optimistic outlook that may not align with the severity of Gilbert's symptoms.
Choice B is incorrect as Gilbert's symptoms indicate more than just a relapse stage.
Question 5 of 5
What assessment question will provide the nurse with information regarding the effects of a woman’s circadian rhythms on her quality of life?
Correct Answer: E
Rationale: The correct answer is E. Asking about how much sleep the woman usually gets each night will provide the nurse with information regarding her circadian rhythms and their effects on her quality of life. Circadian rhythms are the body's natural cycles that influence sleep-wake patterns. By understanding her sleep habits, the nurse can assess if she is getting enough rest at the right times, which directly impacts her quality of life.
Choices A, B, C, and D are incorrect as they do not directly relate to circadian rhythms or sleep patterns.
Choice A focuses on general well-being, choice B on cardiac health, choice C on past illnesses, and choice D on urinary problems. These questions are not specific to circadian rhythms and do not address the effects on quality of life.