a nurse is planning care for a client with schizophrenia which of the following interventions should be included in the plan of care

ATI RN

ATI Mental Health Practice B

1. When planning care for a client with schizophrenia, which of the following interventions should be included in the plan of care?

A. Encourage reality testing
B. Provide opportunities for socialization
C. Monitor for command hallucinations
D. Promote adherence to medication regimen

Correct answer: A

Rationale: When caring for a client with schizophrenia, encouraging reality testing is essential. This intervention assists the client in distinguishing between delusions and reality, aiding in their treatment. While providing opportunities for socialization can help reduce isolation, monitoring for command hallucinations is crucial for the client's safety. Promoting adherence to the medication regimen is vital for symptom management. Addressing delusional thoughts in a therapeutic manner is preferable to outright discouragement, fostering a supportive environment for the client.

2. Which mood stabilizer is commonly prescribed for bipolar disorder?

A. Sertraline
B. Lithium
C. Clozapine
D. Haloperidol

Correct answer: B

Rationale: Lithium is a well-established mood stabilizer commonly prescribed for the treatment of bipolar disorder. It helps to control manic episodes, stabilize mood swings, and reduce the risk of relapse in individuals with this condition. Sertraline is an antidepressant commonly used for treating depression, while Clozapine and Haloperidol are antipsychotic medications used for different psychiatric conditions. Therefore, the correct answer is B because it is specifically indicated and effective for bipolar disorder.

3. A healthcare provider is assessing a client with suspected bipolar disorder. Which of the following findings should the healthcare provider expect? Select one that does not apply.

A. Periods of elevated mood
B. Decreased need for sleep
C. Flight of ideas
D. Anhedonia

Correct answer: D

Rationale: Findings in a client with bipolar disorder typically include periods of elevated mood, decreased need for sleep, and flight of ideas. Anhedonia, characterized by the inability to experience pleasure, is more commonly associated with major depressive disorder. Therefore, the healthcare provider should not expect anhedonia in a client with suspected bipolar disorder. The other choices are characteristic features of bipolar disorder, such as mania or hypomania.

4. Pablo is a homeless adult who has no family connection. Pablo passed out on the street, and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select one that doesn't apply.

A. Intermittent supervision is available in inpatient settings.
B. He requires stabilization of multiple symptoms.
C. How do you feel about talking to a mental health counselor?
D. Medication adherence will be mandated.

Correct answer: D

Rationale: The correct answer is D because medication adherence being mandated is not a primary rationale for inpatient treatment. The main reasons for recommending inpatient treatment in this scenario include the need for stabilization of multiple symptoms, addressing nutritional and self-care needs, and ensuring safety due to the imminent danger of self-harm. Inpatient settings provide a more intensive level of care and supervision to address these complex issues effectively.

5. An individual who has survived incest and is receiving treatment at the mental health clinic feels relief upon understanding that her anxiety and depression are:

A. Going to be eradicated with treatment
B. Normal and will soon pass
C. Abnormal but will pass
D. A normal reaction to posttraumatic events

Correct answer: D

Rationale: It is important to recognize that anxiety and depression are common responses to traumatic events like incest. Understanding that these feelings are normal reactions can help validate the individual's experiences and reduce stigma. By acknowledging that anxiety and depression are expected outcomes of posttraumatic events, the mental health clinic can provide appropriate support and treatment to help the survivor cope and heal. Therefore, option D is the correct choice as it reflects a compassionate and informed approach to addressing the survivor's emotional struggles.