{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

{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, "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. Clang 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 salad, 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 following 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, perception, 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 (inability 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 selfinflicted wounds Rationale: A patient who has borderline personality disorder is at risk for self-mutilation 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 toward 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 has 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 nurse 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 therap