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{NGN} MENTAL HEALTH |ATI RN MENTAL HEALTH ACTUAL EXAM WITH NGN QUESTIONS AND CORRECT ANSWERS WITH RATIONALES UPDATE ALREADY A GRADED A nurse is admitting a patient with schizophrenia to an acute care setting. When the nurse questions the pati$117.99
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{NGN} MENTAL HEALTH |ATI RN MENTAL HEALTH ACTUAL EXAM WITH NGN QUESTIONS AND CORRECT ANSWERS WITH RATIONALES UPDATE ALREADY A GRADED A nurse is admitting a patient with schizophrenia to an acute care setting. When the nurse questions the pati
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{NGN} MENTAL HEALTH
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{NGN} MENTAL HEALTH
{NGN} MENTAL HEALTH |ATI RN MENTAL HEALTH
ACTUAL EXAM WITH NGN QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES UPDATE
ALREADY A GRADED
A nurse is admitting a patient with schizophrenia to an acute care setting. When the nurse
questions the patient regarding their admission, the client states...
{NGN } MENTAL HEALTH | ATI RN MENTAL HEALTH ACTUAL EXAM WITH NGN QUEST IONS AND CORRECT ANSWERS WITH RATIONALES 2023 -2024 UPDATE ALREADY A GRADED A nurse is admitting a patient with s chizophrenia to an acute care setting. When the nurse questions the patient regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following? a. Cla ng association b. Word salad c. Neologism d. Echolalia a. Clang association Rationale: The nurse should document that the patients speech uses clang associations which often rhyme or contain a string of words that can have a similar sound b. In word sala d, words are completely meaningless and disorganized. c. Neologism consists of words that are made up by the patient d. In echolalia, the patient repeats the words of another person A nurse is assessing a patient who has schizophrenia. Which of the followi ng findings should the nurse document as a negative symptom of this disorder? a. Delusions b. Neologisms c. Anhedonia d. Echopraxia Anhedonia Rationale: Positive symptoms of schizophrenia usually appear suddenly and are alteration in behavior, perceptio n, speech, and thought. Delusions, inability to think abstractly, neologisms (made up words), echolalia (repeating of someone else's words, motor agitation, and echopraxia (mimicking someone else's movements) are all positive symptoms of schizophrenia . Negative symptoms of schizophrenia affect a person's ability to interact with others and are less dominant than positive symptoms. Negative symptoms develop over time. Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia (i nability to enjoy otherwise pleasurable activities), and thought blocking (inability to think, speak, or move in response to outside stimuli) A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? Change the dressing of a client who has borderline personality disorder and superficial self -
inflicted wounds Rationale: A patient who has borderline personality disorder is at risk for self -mutilati on such as cutting, self -inflicted wounds, scratching or picking at wounds. It is within the LPNs scope of practice to change the dressing, cleanse the wound, and collect data regarding the healing of the wound. A nurse is assessing a school -age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate? a. Feelings of remorse b. Extended periods of depression c. Deficits in intellectual functioning d. Aggression towards animals d. Aggression tow ard animals Rationale: The nurse should identify that aggression toward people and animals is an expected characteristic of a child who has conduct disorder a. The nurse should identify that lack of remorse is an expected characteristic of a child who ha s conduct disorder b. The nurse should identify that a child who has bipolar disorder is likely to have extended periods of depression. This is not an expected characteristic of a child who has conduct disorder c. The nurse should identify that a child who has intellectual deficit disorder exhibits deficits in intellectual functioning, such as reasoning, abstract thinking, and academic ability. A deficit in intellectual functioning is not an expected characteristic of a child who has conduct disorder A nurs e in a mental health clinic is planning care for a client who has a new prescription for Olanzapine. Which of the following interventions should the nurse identify as the priority? Instruct the client to avoid driving during initial therapy Rationale: The greatest risk to the patient is injury resulting from drowsiness or dizziness. Therefore, the nurse's priority intervention is to instruct the patient to avoid activities that require mental alertness during initial medication therapy A nurse is caring fo r a patient who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral Lorazepam, the patient refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? a. Do not administer the Lorazepam b. Request a prescription for IV lorazepam c. Request that another nurse attempt to administer the lorazepam d. Place the lorazepam in the patient's food a. Do not administer the Lorazepam Rationale: Patients who are in a facility due to an involuntary admission retain the right to refuse treatment. Therefore, the nurse should hold the medication and document the patient's refusal b. Requesting a prescription for and adminis tering IV lorazepam violates the patient's right to refuse treatment b. Requesting that another nurse administer the lorazepam violates the patient's right to refuse treatment d. Placing the lorazepam in the patient's food violates the patient's right to r efuse treatment A nurse is caring for a patient who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? a. The patient is exhibiting echolalia b. The patient reports command hallucinations c. The patient reports loss of motivation d. The patient is exhibiting blunted affect b. The patient reports command hallucinations Rationale: The nurse should identify that command hallucinations can indicate a pote ntial psychiatric emergency for a patient who has schizophrenia. Command hallucinations can direct the patient to harm themselves or others . a. The nurse should identify that echolalia, or the repeating of another's words, is an expected manifestation of schizophrenia c. The nurse should identify that a loss of motivation, or avolition, is an expected manifestation of schizophrenia A nurse is assessing a patient who has borderline personality disorder. Which of the following findings should the nurse expec t? a. Emotional lability b. Self -sacrificing c. Suspicious of others d. Grandiosity a. Emotional lability Rationale: It is the rapid transition from one emotion to another and is a primary feature of borderline personality disorder. Patients who have BPD react to situations with emotional responses that are out of proportion to the circumstances. While observing group therapy, a nurse recognizes that a patient is behaving in a way suggestive of dependent personality disorder. Which of the following behavi ors is consistent with this condition? The patient needs excessive external input to make everyday decisions Rationale: patients who have dependent personality disorder need excessive input from others to make everyday decisions A home health nurse is assessing an older adult patient whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect? a. Increased confusion
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