ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because in inpatient settings, there is continuous monitoring and supervision available to ensure Pablo's safety and prevent any self-harm behaviors. This is crucial for someone expressing a wish to die. Option B is incorrect because it focuses on symptom stabilization, which is not the primary rationale for inpatient treatment in this case. Option C is also incorrect as it addresses physical needs rather than the immediate mental health and safety concerns. Option D is incorrect because while medication adherence may be part of the treatment plan, it is not the primary reason for recommending inpatient treatment in this scenario.
Question 2 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations. First-generation antipsychotic medications are primarily used to treat positive symptoms of schizophrenia, such as hallucinations and delusions. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. Memory problems (choice
A) are a common side effect of first-generation antipsychotics and are not expected to decrease. Depressive episodes (choice
B) are not directly treated by first-generation antipsychotics. Enjoying social interactions more (choice
C) is not a typical effect of these medications. In summary, the correct information to provide to the patient is that the medication should help reduce her hallucinations.
Question 3 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that April is getting more wound up and losing self-control despite being put in time-out multiple times a day. This suggests that time-out is no longer effective in helping April self-reflect or manage her behavior. Continuing to use an ineffective tool can be detrimental to April's well-being and may lead to escalating behavior issues.
Choices A, C, and D are incorrect because they do not address the fact that time-out is no longer effective in this situation. A suggests that time-out is still important, C assumes April enjoys time-out, and D jumps to a more extreme measure without exploring other alternatives.
Question 4 of 5
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
Correct Answer: B
Rationale: The correct answer is B: Antipsychotics. Antipsychotics are known to potentially cause abnormal movement disorders, such as tardive dyskinesia, even at therapeutic dosages. Nursing assessment is crucial to monitor for early signs of these adverse effects. SSRIs (
A) are not typically associated with movement disorders. Benzodiazepines (
C) primarily affect the central nervous system and are more associated with sedation and cognitive impairments. Tricyclic antidepressants (
D) can cause side effects like dry mouth and constipation, but not movement disorders.
Question 5 of 5
Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient’s nursing diagnosis is altered thought processes?
Correct Answer: C
Rationale: The correct answer is C: "You say you hear voices, what are they telling you?" This response acknowledges the patient's experience without dismissing it or imposing the nurse's reality. It shows empathy and encourages the patient to express their thoughts, facilitating therapeutic communication.
Choice A fails to acknowledge the patient's experience and may come off as dismissive.
Choice B is directive and denies the reality of the patient's experience, potentially causing distress.
Choice D is also directive and may alienate the patient.
Choices E, F, and G are not provided, but they would likely be incorrect if they fail to address the patient's altered thought processes in a nonjudgmental and empathetic manner.