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 1230: A 38-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Client reports, "I have been hearing voices again telling me to hurt myself.
I hear voices at nighttime so I am not sleeping well.”. Day 1 1730: Vital Signs.
Client consumed 35% of evening meal.
Client appears nervous but reports not hearing voices at this time.
Day 1 1930: Nurse enters client's room.
Client is standing on bed and states, "Do you see that man? He is telling me he is going to hurt me.”. Client pointing to corner of the room.
Client is talking to themselves and states, "I don't want to hurt myself.
Tell the voices to go away!" Nurse asks the client who they are talking to and states, "Tell me more about who is trying to hurt you.”.
Question 1 of 5
The nurse is reviewing the client's medical record.Select the "3" findings that require immediate follow-up by the nurse.
Correct Answer: B,C,D
Rationale: Hallucinations, insomnia, and delusions are serious symptoms of schizophrenia and require immediate follow-up.
Extract:
Question 2 of 5
A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?
Correct Answer: A
Rationale: A vulnerability gene is a variant that increases the risk for the development of a specific mental illness. It does not guarantee the development of the illness, but it increases susceptibility.
Question 3 of 5
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
Correct Answer: C
Rationale: Schizophrenia is most commonly diagnosed in young adulthood. This is when symptoms such as hallucinations, delusions, and disorganized thinking typically become apparent.
Question 4 of 5
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?
Correct Answer: D
Rationale: Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
Question 5 of 5
A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?
Correct Answer: B
Rationale: Making small fires in the backyard could be a sign of trauma related to the wildfire.