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ATI RN · ATI Mental Health · Population Specific Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following are considered red flags for a communication disorder?

A. Speech onset at 24 months, lack of pointing to indicate needs, and poor eye contact
B. Short attention, odd intonation of speech, and poor pretend play
C. Lack of pointing to show interests or needs, poor eye contact, and reduced joint attention
D. Weak vocabulary, reduced joint attention, and poor interaction with peers

Expert Explanatory Rationale

Correct Answer: Lack of pointing to show interests or needs, poor eye contact, and reduced joint attention

Question 2 of 5

A patient tells the nurse, 'I can't go to any unit meetings because when I get in that room, everyone can hear my thoughts.' The nurse can correctly assess this symptom as:

A. concrete thinking.
B. loose associations.
C. thought broadcasting.
D. auditory hallucinations.

Expert Explanatory Rationale

Correct Answer: thought broadcasting.

Question 3 of 5

A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and approachable. During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position. His lower jaw is thrust forward and he appears severely anxious. The patient has _____, and the nurse should _____.

A. A dystonic reaction"¦administer PRN IM benztropine (Cogentin)
B. Tardive dyskinesia"¦seek a change in the drug or its dosage
C. Waxy flexibility"¦continue treatment with antipsychotic drugs
D. Akathisia"¦administer PRN diphenhydramine (Benadryl) PO

Expert Explanatory Rationale

Correct Answer: A dystonic reaction"¦administer PRN IM benztropine (Cogentin)

Question 4 of 5

An advance directive gives legally binding direction for health care interventions when a patient

A. has a new diagnosis of cancer.
B. is diagnosed with Parkinson's disease.
C. is unable to make decisions for self because of illness.
D. diagnosed with amyotrophic lateral sclerosis is unable to speak.

Expert Explanatory Rationale

Correct Answer: is unable to make decisions for self because of illness.

Question 5 of 5

A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety. When the son visited today, he found his mother confused and disoriented, with an unsteady gait. The nurse assessed the patient as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the patient's symptoms developed:

A. Over the past few days.
B. Over the past few weeks.
C. Over the past few months.
D. None of the above.

Expert Explanatory Rationale

Correct Answer: Over the past few days.

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