ATI RN
ATI Mental Health Proctored Exam 2023
1. To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select one that doesn't apply.
- A. Alcohol use disorder
- B. Major depressive disorder
- C. Stomach cancer
- D. Polydipsia
Correct answer: C
Rationale: Schizophrenia is often associated with comorbid conditions such as alcohol use disorder, major depressive disorder, polydipsia, and metabolic syndrome. Stomach cancer is not a common associated condition with schizophrenia and would not be a typical focus of assessment in managing a patient with this mental health disorder.
2. A client diagnosed with major depressive disorder is receiving cognitive-behavioral therapy (CBT). Which outcome indicates that the therapy is effective?
- A. The client identifies and challenges negative thoughts.
- B. The client reports an increase in suicidal thoughts.
- C. The client experiences an increase in anxiety.
- D. The client shows no change in behavior.
Correct answer: A
Rationale: In cognitive-behavioral therapy (CBT), one of the primary objectives is to help clients identify and challenge their negative thoughts. This process allows the individual to reframe their thinking patterns and develop more adaptive coping strategies. Reporting an increase in suicidal thoughts (Choice B) or experiencing an increase in anxiety (Choice C) are not desired outcomes and may indicate a need for further intervention. Showing no change in behavior (Choice D) suggests that the therapy has not been effective. Therefore, the correct indicator of effective therapy in this context is the client's ability to identify and challenge negative thoughts (Choice A).
3. A client diagnosed with schizophrenia is receiving discharge teaching. Which of the following instructions should the nurse exclude?
- A. Continue taking medications as prescribed
- B. Avoid all social interactions
- C. Report any side effects of medications to the healthcare provider
- D. Develop a daily routine
Correct answer: B
Rationale: The nurse should exclude the instruction to 'Avoid all social interactions' when providing discharge teaching to a client with schizophrenia. It's important for individuals with schizophrenia to continue taking medications as prescribed, report any medication side effects to the healthcare provider, and develop a daily routine to promote stability. Social interactions, albeit with appropriate boundaries, can be beneficial for the client's well-being and integration into the community.
4. A school nurse is assessing a female high school student who is overly concerned about her appearance. The client's mother states, 'That's not something to be stressed about!' Which is the most appropriate nursing response?
- A. Teenagers! They don't know a thing about real stress.
- B. Stress occurs only when there is a loss.
- C. When you are in poor physical condition, you can't experience psychological well-being.
- D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
Correct answer: D
Rationale: The most appropriate response is D: 'Stress can be psychological. A threat to self-esteem may result in high stress levels.' This response acknowledges the psychological aspect of stress and how a perceived threat to self-esteem can be just as stressful as a physiological change. Choices A, B, and C are incorrect because they do not address the client's concerns or provide a therapeutic response to the situation.
5. Which of the following is a common side effect of benzodiazepines prescribed for anxiety?
- A. Insomnia
- B. Weight gain
- C. Drowsiness
- D. Increased appetite
Correct answer: C
Rationale: Drowsiness is a common side effect of benzodiazepines prescribed for anxiety. Benzodiazepines work by depressing the central nervous system, which can lead to drowsiness as a side effect. This sedative effect is often desired in the treatment of anxiety disorders, but individuals should be cautious when engaging in activities that require alertness, such as driving, while taking these medications. Insomnia, weight gain, and increased appetite are not typically associated with benzodiazepines; instead, drowsiness and sedation are more common side effects.
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