ATI RN Mental Health Asn

ATI RN Mental Health Asn Related

Review ATI RN Mental Health Asn related questions and content

A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?

  • A. Agranulocytosis
  • B. Akathisia
  • C. Tardive dyskinesia
  • D. Neuroleptic malignant syndrome
Correct Answer: D

Rationale: The correct answer is D: Neuroleptic malignant syndrome (NMS). The client's symptoms of high fever, hypertension, and muscle rigidity are classic signs of NMS, a rare but life-threatening adverse effect of antipsychotic medications like haloperidol. NMS is a medical emergency that can lead to severe complications such as rhabdomyolysis, renal failure, and even death if not promptly recognized and treated. Agranulocytosis (A) is a potential side effect of some antipsychotic medications but typically presents with symptoms like fever and sore throat due to low white blood cell count. Akathisia (B) is a movement disorder characterized by restlessness and a compelling need to move, which is not consistent with the client's symptoms. Tardive dyskinesia (C) is a late-onset movement disorder associated with long-term antipsychotic use and typically presents with involuntary movements of the face and extremities, not fever

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A nurse is caring for a client who professes a deep and everlasting love for his girlfriend one day and the next day refuses to speak to her or allow her to visit. The nurse recognizes this client behavior as which of the following defense mechanisms?

  • A. Repression
  • B. Splitting
  • C. Sublimation
  • D. Undoing
Correct Answer: B

Rationale: Splitting is characterized by viewing things as all good or all bad, commonly seen in personality disorders.

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

  • A. "I plan to sit on a park bench for a few minutes each day."
  • B. "I can try participating in group therapy every week."
  • C. "I will join a book club in my neighborhood."
  • D. "I should avoid entering elevators and other closed spaces."
Correct Answer: A

Rationale: The correct answer is A: "I plan to sit on a park bench for a few minutes each day." This statement indicates the client's understanding of gradual exposure therapy, a common treatment for agoraphobia. Exposure to feared situations in a controlled manner helps desensitize the client to their anxiety triggers. Sitting on a park bench signifies a small step towards facing the fear of open spaces. Choices B, C, and D do not directly address the core issue of agoraphobia or the specific treatment approach. Group therapy and joining a book club may be beneficial but do not target the fear of open spaces. Avoiding elevators and closed spaces is a safety behavior that reinforces the fear and hinders recovery.

A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?

  • A. A client who has been taking amitriptyline for 3 months for depression.
  • B. A client exhibiting psychotic behavior.
  • C. A client admitted 12 hours ago for acute mania.
  • D. A client who is experiencing alcohol intoxication.
Correct Answer: A

Rationale: Clients who have stabilized with medication are appropriate for group therapy.

A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make?

  • A. "We will call your family in time for them to get here."
  • B. "I wonder if you are fearful of dying alone."
  • C. "I will make sure a staff member is in your room at all times."
  • D. "I will tell your family of your concern so that they can be here."
Correct Answer: B

Rationale: The correct answer is B: "I wonder if you are fearful of dying alone." This response shows empathy and addresses the client's emotional needs. It acknowledges the client's fear and opens up a conversation about their concerns. It allows the client to express their feelings and provides an opportunity for therapeutic communication.

Choice A is incorrect because it only focuses on calling the family and does not address the client's emotional state. Choice C is incorrect as it only ensures physical presence but does not address the client's emotional needs. Choice D is incorrect as it shifts the responsibility to the family without acknowledging the client's feelings.

A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

  • A. Affective flattening.
  • B. Bizarre behavior.
  • C. Illogicality.
  • D. Somatic delusions.
Correct Answer: A

Rationale: The correct answer is A: Affective flattening. Negative symptoms in schizophrenia refer to deficits in normal emotional responses or behaviors. Affective flattening specifically involves a reduction in the expression of emotions, such as reduced facial expressions and tone of voice. This is a core negative symptom in schizophrenia. Bizarre behavior (choice B) is associated with positive symptoms, such as hallucinations and delusions. Illogicality (choice C) is a cognitive symptom related to disorganized thinking. Somatic delusions (choice D) are also positive symptoms involving false beliefs about the body. By process of elimination, Affective flattening is the correct answer.

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