ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
Correct Answer: A
Rationale: The correct answer is A: Screening a group of males between the ages of 15 and 25 for early symptoms. This intervention is well chosen because schizophrenia typically emerges in late adolescence to early adulthood, with males having a higher risk during this age range. Screening for early symptoms allows for early detection and intervention, improving outcomes.
Choice B is incorrect as it targets a different population group with substance use issues, not specifically at high risk for schizophrenia.
Choice C is incorrect as it focuses on coping skills for an age group less at risk for developing schizophrenia.
Choice D is incorrect as it targets developmentally delayed children, not a population at high risk for schizophrenia.
Extract:
Exhibit 1 Client brought in by a family member who states that the client
has been drinking "nonstop since the death of the client's
parents 3 months ago.*
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago
and remained sober until several months ago when both
parents died.
According to the client's family member, the client has been
unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states. *Everything combined caused th
drinking to start again.*
Family member estimates the client's last drink was 2 hr ago.
Question 2 of 5
A nurse is caring for a client who was admitted for alcohol disorder. which one of the following require follow uo by the nurse? select all that apply
Correct Answer: B
Rationale: The correct answer is B: Smoking history. The nurse should follow up on the client's smoking history because tobacco use can exacerbate alcohol-related health issues and impact treatment outcomes. Cardiac assessment, genitourinary assessment, neurological assessment, recent loss, and gastrointestinal assessment are important aspects of care for a client with alcohol disorder but are not specifically related to smoking, which is a common co-occurring behavior with alcohol use.
Therefore, the other choices are incorrect as they do not specifically address the potential impact of smoking on the client's health in the context of alcohol disorder.
Extract:
Question 3 of 5
Which statement demonstrates a well-structured attempt at limit setting?
Correct Answer: A
Rationale: The correct answer is A because it clearly states the behavior that is unacceptable (hitting), expresses the consequence (unacceptable), and sets the boundary. It addresses the specific action and its consequence, providing a clear guideline for behavior.
Choice B lacks specificity, C is a command rather than setting a limit, and D is a vague statement without a clear consequence. Overall, A effectively communicates expectations and consequences for the behavior, making it a well-structured attempt at limit setting.
Question 4 of 5
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Administer a medication such as benztropine IM to correct this dystonic reaction. The patient is exhibiting signs of acute dystonia, a side effect of haloperidol characterized by sustained muscle contractions. Benztropine is an anticholinergic medication that can help alleviate these symptoms quickly. Holding the medication (option
A) is not the priority as the immediate focus should be on managing the acute symptoms. Wiping with cold water or alcohol (option
B) may provide temporary relief but does not address the underlying issue. Reassuring the patient about tardive dyskinesia (option
D) is not relevant at this point as the priority is to address the acute dystonic reaction.
Question 5 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.