ATI MENTAL HEALTH PROCTORED REMEDIATION EXAM

1) A nurse is contributing the plan of care for a client admitted with a paranoid personality disorder. What are important recommendations to make during this time? • When contributing to the plan of care, safety is priority. Some clients with PD are at risk for violence or self-injury. • Clients with personality disorder often have the comorbidity of substance abuse and/or a history of violent and nonviolent crimes. • The nurse should set limits, be consistent, and firm, yet supportive when providing care. 2) A nurse is caring for a client hospitalized for opioid dependency. What manifestations should the nurse anticipate when abstinence syndrome begins? • Abstinence syndrome: o Onset begins with sweating, runny nose, goose bumps, tremors, and irritability. o Symptoms then progress to severe weakness, diarrhea, fever, insomnia, pupil dilation, nausea and vomiting, pain in muscles and bone, and muscle spasms 3) How do delirium and dementia differ in onset and outcome? • Delirium has a rapid onset and can occur in as little as a few hours to a few days. The outcomes re reversible if it is diagnosed and treated as soon as possible. • Dementia, or Major neurocognitive disorder, involves deterioration of function that occurs gradually over months or years. The outcome with dementia is irreversible and progressive. 4) The nurse is reviewing the admission information on a client being admitted with schizophrenia. The provider has indicated that the client has schizophrenia with negative symptoms. What would the nurse expect to notice in this client? How do negative symptoms differ from the positive symptoms of schizophrenia? • Negative symptoms involve the absence of things that are normally present and are usually more difficult to treat. Positive symptoms involve manifestations of things that are not normslly present and are usually identified more easily. • Negative symptoms include flat or blunted affect, anergia, alogia, anhedonia, and avolition. • Positive symptoms include hallucinations, delusions, altered speech, and bizarre behavior. ...................................................................................................CONTINUE.