ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Alcohol use disorder. Patients with schizophrenia are at increased risk for co-occurring substance use disorders, particularly alcohol use disorder. This assessment is crucial as alcohol can worsen symptoms and interfere with treatment efficacy.
Choice B, Major depressive disorder, is incorrect as it is a common comorbidity but not the most frequently associated condition with schizophrenia.
Choices C (Stomach cancer) and D (Polydipsia) are unrelated to schizophrenia and not commonly associated conditions.
Question 2 of 5
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this therapeutic technique?
Correct Answer: C
Rationale: The main goal of the therapeutic technique in this scenario is to allow the client to identify the way he interacts. By mirroring the client's behaviors, the RN provides an opportunity for the client to witness his own actions and communication style. This reflection can help the client gain self-awareness and insight into how he presents himself to others. It can also serve as a starting point for discussions on potential areas for growth and change in his communication patterns.
A: Initiating a non-threatening conversation with the client is not the main goal here, as the focus is on reflection and self-awareness.
B: Dialoguing about the ineffectiveness of his interactions is not the primary purpose at this stage; the emphasis is on self-identification.
D: Discussing the client's feelings when he responds is not the main objective; the focus is on the client's behavior and communication style.
Question 3 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct response is B because it reflects active listening and empathy by acknowledging the patient's non-verbal cues. By pointing out the discrepancy between the patient's words and body language, it encourages further exploration of the patient's feelings.
Choice A dismisses the patient's non-verbal cues and provides a superficial reassurance.
Choice C jumps to conclusions without exploring the underlying emotions.
Choice D imposes assumptions on the patient without allowing them to express themselves.
Question 4 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Ineffective breathing pattern. This is the highest priority because aspiration of a caustic material can lead to respiratory distress or compromise, posing an immediate threat to the client's life. Ensuring adequate oxygenation is crucial. Impaired comfort (
A) and Ineffective coping (
D) are important but secondary to the client's physiological needs. Risk for injury (
B) may be a concern but is not immediate in this scenario.
Question 5 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.