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 is well chosen for addressing a population at high risk for developing schizophrenia because schizophrenia commonly first appears in late adolescence to early adulthood. By screening this specific age group, healthcare providers can identify early symptoms, provide early intervention, and potentially prevent or delay the onset of schizophrenia. This proactive approach aligns with evidence-based practices in mental health care.
Summary of why the other choices are incorrect:
B: Forming a support group for females aged 25 to 35 with substance use issues is not directly addressing the high-risk population for developing schizophrenia.
C: Providing coping skills information to patients between 45 and 55 is not targeting the age group most at risk for developing schizophrenia.
D: Educating parents of developmentally delayed children on early intervention is important but not specific to addressing the high-risk group for schizophrenia.
Question 2 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 higher risk for co-occurring substance use disorders, including alcohol use disorder. Assessing for alcohol use is crucial as it can worsen symptoms and interfere with treatment. Major depressive disorder (
B) is a common comorbidity but is not specific to schizophrenia. Stomach cancer (
C) is not directly associated with schizophrenia. Polydipsia (
D), excessive thirst, can be seen in schizophrenia due to medication side effects but is not a primary associated condition.
Question 3 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations. First-generation antipsychotic medications are primarily used to target positive symptoms of schizophrenia, such as hallucinations. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. Providing this information to the patient is crucial for managing expectations and understanding the potential benefits of the prescribed medication.
Choices A, B, and C are incorrect because first-generation antipsychotics do not specifically address memory problems, depressive episodes, or social interactions. While some side effects of the medication may impact these areas, the primary focus is on reducing hallucinations and other positive symptoms of schizophrenia. It is important for the nurse to provide accurate information to the patient to ensure effective treatment and management of their condition.
Question 4 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 behaviors driven by fear and mistrust. Individuals experiencing paranoia may perceive others as threats and act out violently in self-defense. Pressured speech (choice
B) and negative symptoms (choice
C) are not typically associated with direct physical harm to others. Depersonalization (choice
A) refers to a sense of detachment from oneself and does not directly result in harm to others. In summary, paranoia is the most concerning characteristic in terms of potential harm to others in individuals diagnosed with schizophrenia.
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, inability to perform household chores, and obsession with locks are indicative of schizophrenia, a severe and chronic mental disorder. Onset at a young age and slow progression are associated with a poorer prognosis. Medication can help manage symptoms but may not completely alleviate them. Psychosocial interventions may offer some support but are unlikely to significantly alter the course of the illness. The relapse stage implies some improvement followed by worsening, which is not described in Gilbert's case.
Therefore, option D is the most appropriate as it reflects the challenging nature of schizophrenia in young individuals like Gilbert.