ATI RN
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.
Day 1 1030: Vital Signs.
A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
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Rationale: The correct answer is B (Lack of motivation), D (Lack of energy), and E (Withdrawn) because these are classic negative symptoms of schizophrenia. Negative symptoms refer to the absence or reduction of normal behaviors or functions. Lack of motivation and energy, along with withdrawal from social interactions, are key indicators of negative symptoms in schizophrenia. Blood pressure (
A) and change in behavior (
C) are more indicative of general health or other psychiatric conditions.
Therefore, they are not specific to negative symptoms of schizophrenia.
Extract:
Question 2 of 5
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Correct Answer: A
Rationale: The correct answer is A: Valbenazine. Valbenazine is a medication used to treat tardive dyskinesia, a side effect of antipsychotic medications like fluphenazine. Valbenazine works by reducing the involuntary movements associated with tardive dyskinesia. Diphenhydramine (
Choice
B) is an antihistamine that may help with symptoms but is not specifically indicated for tardive dyskinesia. Naloxone (
Choice
C) is used to reverse opioid overdose, not for tardive dyskinesia. Fluoxetine (
Choice
D) is an antidepressant and not typically used for treating tardive dyskinesia.
Question 3 of 5
A nurse is covering a phone triage line for trauma and crisis support. A client on the phone asks, 'Can you help me understand how trauma-related disorders develop?' Which of the following responses by should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Experiencing or witnessing a traumatic event can result in developing a trauma-related disorder. Trauma-related disorders, such as PTSD, can develop following exposure to a traumatic event. This can result in a range of symptoms and difficulties in coping.
Choice A is incorrect because trauma-related disorders can result from various types of trauma, not just physical harm.
Choice B is incorrect as trauma-related disorders are not solely genetic.
Choice D is incorrect as while brain chemistry can play a role in mental health, it is not the sole cause of trauma-related disorders.
Question 4 of 5
A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: The stress from my new job could be the cause of my depressed mood.
Rationale: Stress is a common trigger for depression. Acknowledging the impact of a new job on mental well-being shows an understanding of how external factors can contribute to mood changes. This client statement demonstrates insight into the potential link between stress and depression.
Summary:
B: High blood pressure is a physical health condition and not typically directly linked to depressed mood.
C: Elevated heart rate may indicate anxiety or stress, but it is not a direct cause of depression.
D: Renal dysfunction is a medical issue that may affect mood indirectly but is not a common primary cause of depression.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale:
Correct Answer: C - It is now time for you to bathe
Rationale: The nurse should use a direct, clear, and non-confrontational approach to encourage the client to bathe. This statement acknowledges the importance of personal hygiene without shaming the client. It sets a clear expectation and provides a gentle reminder for the client to engage in self-care activities. By using a neutral and supportive tone, the nurse respects the client's autonomy while promoting health and well-being.
Summary of Other
Choices:
A: Incorrect - Ignoring the lack of self-care enables further neglect and does not address the client's needs.
B: Incorrect - Forcing the client to bathe in a confrontational manner may cause distress and resistance.
D: Incorrect - This statement comes off as judgmental and may make the client defensive, hindering effective communication and rapport-building.