ATI SCHIZOPHRENIA SPECTRUM DISORDERS AND PSYCHOSIS
COVERAGE
Within the Assessment Technologies Institute RN curriculum, this topic
evaluates the learner's ability to understand and manage serious
psychiatric conditions that impact cognition, perception, mood, and
behavior. The coverage includes identification and differentiation of
schizophrenia spectrum and other psychotic disorders, with attention
to hallmark positive symptoms such as hallucinations, delusions, and
disorganized thinking, as well as negative symptoms like reduced
emotional expression, social withdrawal, and lack of motivation. It also
assesses the use of therapeutic communication, de-escalation
strategies, and priority nursing interventions to maintain patient and
staff safety during acute episodes.
,A nurse is speaking with a client about the potential impact of living
with a serious mental illness. Which of the following pieces of
information should the nurse share?
a. having a job is positively associated with recovery from serious
mental illness (SMI)
b. the stigma over SMIs has improved dramatically in recent years in
the United States
c. males who have SMIs are more likely to be victimized than females
who have SMIs
d. once housing is secured, clients who have SMIs generally do not
have issues with housing insecurity
a. having a job is positively associated with recovery from serious
mental illness (SMI)
,Rational: While there are many factors that contribute to recovery and
reduction of manifestations, employment is positively associated with
recovery. Having a job can make it more likely for someone to be able
to afford treatment, have insurance, and have stable housing, which all
contribute toward better outcomes.
, A nurse is providing information about hallucinations to a client who
has schizophrenia. Which of the following statements should the nurse
make?
a. "It is a belief that something is real when in reality it is not."
b. "It is when behaviors that you typically display are abnormally
absent."
c. "It is when you see or hear things that others are not experiencing."
d. "It is when you experience symptoms that affect your memory."
c. "It is when you see or hear things that others are not experiencing."
Rational: Hallucinations are seeing or hearing things that others are
not experiencing. The nurse should include this statement when
providing information about hallucinations to a client who has
schizophrenia.