the mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms which questions shouldnt the team an
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Nursing Elites

ATI RN

ATI Mental Health Proctored Exam 2023

1. The mental health team is determining treatment options for a male patient experiencing psychotic symptoms. Which question shouldn't the team answer to determine whether a community outpatient or inpatient setting is most appropriate?

Correct answer: C

Rationale: Assessing suicidal thoughts, judgment, insight, and the need for a therapeutic environment are crucial factors in determining the appropriate treatment setting for a patient experiencing psychotic symptoms. Past experiences with mental healthcare facilities do not play a direct role in deciding between a community outpatient or inpatient setting.

2. A client has been diagnosed with illness anxiety disorder. Which of the following behaviors should the nurse expect?

Correct answer: A

Rationale: The correct answer is A: Preoccupation with having a serious illness. Illness anxiety disorder, formerly known as hypochondriasis, is characterized by a preoccupation with having or acquiring a serious illness, despite medical reassurance. This preoccupation leads individuals to misinterpret normal bodily sensations as signs of a severe illness, causing distress and impairment in daily functioning. Choices B, C, and D are incorrect because fear of social situations, dramatic expressions of emotion, and preoccupation with a perceived physical defect are not typical behaviors associated with illness anxiety disorder.

3. According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?

Correct answer: B

Rationale: The correct answer is B. According to Maslow's hierarchy of needs, safety needs are considered fundamental and must be addressed before higher-level needs. When a client exhibits aggressive behavior toward another client, it poses an immediate threat to safety and requires priority intervention by the nurse to ensure the well-being of all individuals involved. Clients who are rude in their complaints (Choice A), express feelings of failure (Choice D), or state that no one cares (Choice C) are addressing higher-level needs related to social interactions, esteem, and self-actualization, respectively, which can be addressed once safety needs are secured.

4. When assessing a patient with major depressive disorder, which symptom would most likely be observed?

Correct answer: B

Rationale: Anhedonia, the inability to feel pleasure in activities that were once enjoyable, is a hallmark symptom of major depressive disorder. Patients with major depressive disorder often experience a pervasive feeling of emptiness and loss of interest in activities they used to find pleasurable. Euphoria, increased energy, and racing thoughts are more commonly associated with conditions like bipolar disorder rather than major depressive disorder.

5. Which drug group requires nursing assessment for the development of abnormal movement disorders in individuals taking therapeutic dosages?

Correct answer: B

Rationale: Antipsychotics are known to cause extrapyramidal symptoms, which manifest as abnormal movement disorders. Nursing assessments are crucial in monitoring patients taking antipsychotics to promptly identify and manage these potential side effects.

Similar Questions

Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a healthcare professional expect to assess?
A client is prescribed diazepam (Valium) for anxiety. Which statement by the client indicates a need for further teaching?
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
A client with borderline personality disorder is admitted to the psychiatric unit. Which intervention should the nurse implement to promote the client's safety?
Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select one that doesn't apply.

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