ATI RN Mental Custom Health Next Gen -Nurselytic

Correct Answer: A

Rationale: The correct answer is A because paranoia, such as the fear of belongings being stolen, can be a symptom of the prodromal phase of schizophrenia in adolescents. This early phase often includes social withdrawal, suspiciousness, and unusual beliefs.
Choice B, an unusual interest in numbers, is more indicative of autism spectrum disorder.
Choice C, lack of interest in athletics, is not specific to schizophrenia.
Choice D, being more comfortable among males, is not a common symptom of the prodromal phase of schizophrenia.

Correct Answer: D

Rationale: The correct answer is D: She should experience a reduction in hallucinations. First-generation antipsychotic medications are primarily used to treat positive symptoms of schizophrenia, such as hallucinations and delusions. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. Memory problems (choice
A) are a common side effect of first-generation antipsychotics and are not expected to decrease. Depressive episodes (choice
B) are not directly treated by first-generation antipsychotics. Enjoying social interactions more (choice
C) is not a typical effect of these medications. In summary, the correct information to provide to the patient is that the medication should help reduce her hallucinations.

Correct Answer: A

Rationale: The correct answer is A because attempting to physically restrain an aggressive client can escalate the situation and potentially result in harm to both the client and the mental health worker. It is crucial for the RN to intervene immediately to prevent any physical confrontation and ensure safety for all individuals involved.


Choice B is incorrect because maintaining a safe distance from an aggressive client is a recommended practice to ensure personal safety.
Choice C is incorrect as guiding the client to a quiet area can be a de-escalation technique.
Choice D is incorrect as using a loud voice may be necessary to communicate effectively in a tense situation. It is important to prioritize safety and de-escalation techniques when caring for clients with escalating aggressive 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.

Correct Answer: B

Rationale: The correct answer is B. This statement demonstrates reflection as it involves paraphrasing and repeating back the patient's words to show understanding. By restating, "So you are saying that life has no meaning," the nurse is reflecting the patient's feelings and thoughts accurately.
Choice A is more of a personal opinion.
Choice C shows confusion rather than reflection.
Choice D is an observation rather than reflecting the patient's feelings.