ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?
Correct Answer: D
Rationale: Consistent unit policies create a stable, predictable environment, significantly impacting care and milieu. Educating on policies (
A), addressing behaviors (
B), and timely medication (
C) are important but less comprehensive.
Question 2 of 5
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Muscle spasms (
B), tremors (
C), and fidgeting (D, akathisia) are EPS. Sexual dysfunction (
A) and blurred vision (E) are unrelated to EPS.
Question 3 of 5
A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?
Correct Answer: D
Rationale: Giving away possessions may indicate putting affairs in order, a serious suicide warning sign. Stopping medication (
A), discussing depression (
B), and sleeping excessively (
C) are less specific.
Question 4 of 5
A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Having consistent unit routines provides stability and predictability, beneficial for mania. Stimulating environments (
B) can worsen symptoms, seclusion (
C) may cause isolation, and discouraging napping (
D) risks fatigue.
Question 5 of 5
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Reassurance supports the client when tests are normal, avoiding invalidation. Flooding therapy (
A) is inappropriate, saying pain isn’t real (
B) dismisses feelings, and invasive testing (
D) is unnecessary.