ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Patients with anosognosia lack awareness of their illness, leading them to deny their condition and refuse treatment. They genuinely believe they are not sick, making it challenging to accept medication.
Choice A is incorrect as it assumes a belief in the medication's lack of efficacy.
Choice B is incorrect because it introduces a paranoid belief about nurses.
Choice C is incorrect as it focuses on fear of side effects rather than denial of illness.
Question 2 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.
Question 3 of 5
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit?
Correct Answer: C
Rationale: The correct answer is C: Disturbed sensory perception. The client's delusional beliefs about their IQ, relationships, and perceptions indicate a possible psychotic disorder. Disturbed sensory perception is the priority as it reflects a break from reality and can lead to unsafe behaviors. Ineffective sexual patterns (
A) may be a concern, but the primary issue is the client's distorted perceptions. Impaired environmental interpretation (
B) may be present, but it is secondary to the client's distorted sensory perceptions. Compromised family coping (
D) is not the priority as the focus should be on the client's immediate safety and stabilization.
Question 4 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 5 of 5
A client with an eating disorder tells the RN, "I’ve been eating only 400 calories per day and have been taking diuretics to lose weight.” What is the RN’s best response?
Correct Answer: D
Rationale: The correct answer is D: “The diuretics could be causing your body to lose essential nutrients.” This response addresses potential harm caused by diuretics in addition to the low calorie intake. Diuretics can lead to electrolyte imbalances and dehydration, which are dangerous for someone with an eating disorder. Monitoring calorie intake (
B) or discussing physical effects (
C) are not as critical as addressing the immediate risk of nutrient loss from diuretics. Simply stating the diet is harmful (
A) lacks specificity.