a nurse is caring for a client who has been diagnosed with schizoaffective disorder the client states i am the president of the united states which of

ATI RN

ATI Mental Health Practice B

1. A nurse is caring for a client who has been diagnosed with schizoaffective disorder. The client states, 'I am the president of the United States.' Which of the following responses should the nurse make?

A. You are not the president. You are a client in the hospital.
B. Tell me more about being the president.
C. Why do you think you are the president?
D. Let's talk about something else.

Correct answer: C

Rationale: The nurse should avoid challenging the client's delusions directly. Asking for more information can help the nurse understand the client's experience and build rapport.

2. Which activity is most appropriate for a child with ADHD?

A. Reading an adventure novel
B. Monopoly
C. Checkers
D. Tennis

Correct answer: D

Rationale: Engaging in physical activities like tennis is beneficial for children with ADHD as it allows them to release excess energy and enhance concentration. Exercise can help improve focus and reduce hyperactivity in children with ADHD.

3. Which statement demonstrates a well-structured attempt at limit setting?

A. Hitting me when you are angry is unacceptable.
B. I expect you to behave yourself during dinner.
C. Come here, right now!
D. Good boys don't bite.

Correct answer: A

Rationale: Choice A, 'Hitting me when you are angry is unacceptable,' demonstrates a well-structured attempt at limit setting because it clearly defines the unacceptable behavior without ambiguity. This statement sets a clear boundary and clearly communicates the consequence for the behavior. In contrast, choices B, C, and D are less effective in setting limits as they are either vague expectations or commands without specific consequences for crossing the limit.

4. Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, <I don't need to come see you anymore. I have found a therapy app on my phone that I love.=Â How should Carolina respond to this news?

A. That sounds exciting, would you be willing to visit and show me the app?
B. At this time, there is no real evidence that the app can replace our therapy.
C. I am not sure that is a good idea right now, we are so close to progress.
D. Why would you think that is a better option than meeting with me?

Correct answer: A

Rationale: Showing interest in the app can build rapport and allow for evaluation of its effectiveness.

5. Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior 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:

A. Favorable with medication
B. In the relapse stage
C. Improvable with psychosocial interventions
D. To have a less positive outcome

Correct answer: D

Rationale: The scenario describes Gilbert as having an early and slow onset of schizophrenia, which typically indicates a less positive prognosis. Individuals with such presentations may experience more severe symptoms and difficulties in functioning, leading to a poorer long-term outcome. In Gilbert's case, his challenges with completing tasks, social withdrawal, and fixation on security measures suggest a more challenging prognosis. Early detection and intervention are crucial in managing schizophrenia, but the described symptoms and onset pattern are concerning for a less favorable outcome.