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ATI RN · ATI Mental Health · Age Specific Care Competency

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A community mental health nurse receives a new client for his caseload. The diagnosis of the client is residual schizophrenia. Documentation states that the client has a number of negative symptoms. Which symptom would the nurse expect to assess in the client?

A. Bizarre, somatic delusions
B. Disorganized speech pattern
C. Catatonic posturing
D. Emotional blunting

Expert Explanatory Rationale

Correct Answer: Emotional blunting

Question 2 of 5

A client with moderate to severe dementia does not remember her son's name. The son repeatedly questions the mother when he visits the dementia facility, asking, 'Do you know my name?' The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:

A. Your mother is angry with you and is punishing you by 'forgetting' who you are. Be patient and she'll get over it.'
B. I know it is difficult for you, but your mother's dementia is severe and she cannot retain information even for short periods of time. She senses your distress and becomes agitated.'
C. Although it's a strain for you, you will need to reorient your mother as often as you can, during the time you are with her. With repetition, she may be able to understand and recall what you are saying.'
D. Because you become so distressed, it might be better if you come to see your mother only once a week and stay for only a short time.'

Expert Explanatory Rationale

Correct Answer: I know it is difficult for you, but your mother's dementia is severe and she cannot retain information even for short periods of time. She senses your distress and becomes agitated.'

Question 3 of 5

An individual is seeking treatment for bulimia nervosa. The therapist decides to use cognitive behavioral therapy and medication. For what medication can a nurse expect to develop a patient education program?

A. A selective serotonin reuptake inhibitor (SSRI).
B. Lithium.
C. Acamprosate.
D. A benzodiazepine.

Expert Explanatory Rationale

Correct Answer: A selective serotonin reuptake inhibitor (SSRI).

Question 4 of 5

A 38-year-old woman, who had a subtotal thyroidectomy 8 years previously, is again thyrotoxic. Which one of the following is the most appropriate management?

A. Perform total thyroidectomy after preparation with carbimazole.
B. Radioactive iodine after preparation with oral iodine treatment.
C. Prescribe immunosuppressive treatment with azathioprine.
D. Control with cardimazole and then administration of radioactive iodine.

Expert Explanatory Rationale

Correct Answer: Control with cardimazole and then administration of radioactive iodine.

Question 5 of 5

A victim of spousal abuse comes to the emergency department for treatment of a broken arm. She appears hypervigilant and anxious and admits to sleep disturbance when the nurse questions the dark circles under her eyes. She reluctantly tells the nurse the abuse usually occurs when the husband has been drinking, although she concedes he is always jealous and controlling. She is a stay-at-home mother of two preschool children. The family has lived in this town for 1 month. The patient states she has fleetingly considered suicide but must stay alive to care for her children and work her way out of the abusive relationship. She denies any further suicidal thoughts. The nurse should document in the medical record that: (Select all that apply.)

A. Signs of high anxiety and chronic stress are present.
B. The patient relies on the perpetrator for basic needs.
C. The patient has a history of suicidal ideation.
D. None of the above.

Expert Explanatory Rationale

Correct Answer: Signs of high anxiety and chronic stress are present.

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