Questions 31

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ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions

Extract:

A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Vital Signs.
Day 1 1030: Vital Signs.
Temperature 37°C (98.6° F). Heart rate 72/min.


Question 1 of 5

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Correct Answer: B,D,E

Rationale: Lack of motivation, lack of energy (anhedonia), and being withdrawn are negative symptoms of schizophrenia, indicating a decrease in purposeful activities, pleasure, and social interest.

Extract:


Question 2 of 5

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.

Question 3 of 5

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?

Correct Answer: D

Rationale: Generalized anxiety disorder is characterized by excessive anxiety and worry about a number of events or activities. The individual finds it difficult to control the worry.

Question 4 of 5

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Asking the client about the lethality of their plan is the most appropriate action. This allows the nurse to assess the immediate risk to the client's safety.

Question 5 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: C

Rationale: Medication adherence after the resolution of acute psychosis is crucial when taking antipsychotics to prevent relapse.

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