ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in schizophrenia poses the greatest risk for injury to others as it can lead to aggressive or defensive behaviors. Paranoia involves irrational fears and beliefs that others are out to harm the individual, leading to potential violent actions. Depersonalization (
A) is a dissociative symptom, Pressured speech (
B) is a symptom of mania or anxiety, and Negative symptoms (
C) refer to deficits in emotional expression and motivation, which do not directly lead to harm to others. In summary, Paranoia is the most concerning characteristic in schizophrenia due to the potential for aggressive behaviors towards others.
Question 2 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 3 of 5
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
Correct Answer: D
Rationale: The correct answer is D: Beef tips with gravy. Phenelzine is a monoamine oxidase inhibitor (MAOI) which interacts with tyramine-rich foods, such as aged cheeses, cured meats, and gravies. Beef tips with gravy contain aged meat and gravy, which are high in tyramine and can lead to a dangerous hypertensive crisis in clients taking MAOIs.
Choices A, B, and C do not contain high levels of tyramine and are safe options for clients on phenelzine.
Question 4 of 5
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse’s station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. Dystonia is a movement disorder characterized by involuntary muscle contractions, which can be a side effect of antipsychotic medications like risperidone. Benztropine is commonly used to manage dystonia by blocking acetylcholine receptors in the brain. By administering benztropine, the nurse can help alleviate the client's symptoms of muscle contractions and provide relief.
Incorrect options:
A: Medicate the client with thioridazine - Thioridazine is not the appropriate medication for managing dystonia.
B: Offer a hot pack for muscle spasms - While heat therapy can be helpful for muscle relaxation, it does not address the underlying cause of dystonia.
D: Direct client to occupational therapy - Occupational therapy may be beneficial for overall mental health, but it does not specifically address the acute symptoms of dystonia.
Overall, option
Question 5 of 5
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?
Correct Answer: A
Rationale: The correct answer is A. Clonidine is an antihypertensive medication that can lower blood pressure. With blood pressure readings of 90/62 mmHg to 92/58 mmHg, the client already has hypotension, which can be exacerbated by clonidine, leading to further lowering of blood pressure and potential adverse effects like dizziness, lightheadedness, or fainting.
Therefore, the RN should withhold the clonidine prescription to prevent a significant drop in blood pressure.
Option B is incorrect because a pulse rate of 68-78 BPM is within normal range and not a contraindication for clonidine administration. Option C is incorrect as a temperature of 99.5-99.7 F is also normal and not a reason to withhold clonidine. Option D is incorrect as a respiration rate of 24 breaths per minute is within normal limits and does not warrant withholding clonidine.