develop over time. Examples of negative include flat affect, anergia lack of

ATI Mental Health Online Practice 2019 A with NGN A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder?

• Delusions
• Neologisms
• Anhedonia
• Echopraxia - CORRECT ANSWER C. Anhedonia

Rationale: Negative symptoms of schizophrenia affect a person's ability to interact with others and are less dominant than positive symptoms. These symptoms develop over time. Examples of negative include flat affect, anergia (lack of energy), anhedonia (inability to enjoy otherwise pleasurable activities), and thought blocking.A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take?

• Move the client to a room near the nurse's station
• Limit visitors until the client is oriented to the environment
• Tell the client that their partner is deceased
• Talk with the client about activities they enjoyed with their partner -

CORRECT ANSWER D. Talk with the client about activities they enjoyed with their partner 1 / 3

Rationale: Talking about positive experiences can help distract the client from

their disorientation A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make?

• "It will be better for you to keep busy to avoid thinking about your child's

death."

• "You will complete the grieving process about a year after your child's death."
• "The grief process will start once your child actually dies."
• "It is not uncommon to feel angry toward yourself or others." - CORRECT

ANSWER D. "it is not uncommon to feel angry toward yourself or others." Rationale: Feelings of blame and anger towards oneself or others are an expected reaction when a client is experiencing a loss.A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching?

• "You might notice an increase in saliva while taking this medication."
• "You might experience difficulties with sexual functioning while taking this

medication."

• "You should expect an improvement in symptoms of depression in 3 to 4 days."
• "You may notice a temporary ringing in the ears when starting this

medication." - CORRECT ANSWER B. "You might experience difficulties with sexual functioning while taking this medication." 2 / 3

Rationale: Fluoxetine is a selective serotonin reuptake inhibitor that can cause sexual dysfunction such as anorgasmia and impotence. The nurse should instruct the client to notify the provider if sexual dysfunction occurs.A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client 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?

• Clang association
• Word salad
• Neologism
• Echolalia - CORRECT ANSWER A. Clang association

Rationale: The nurse should document that they client's speech uses clang

associations, which often rhyme or contain a string of words that can have a similar sound.A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take?

• Raise the pitch of the voice when speaking to the client
• Begin the interview by explaining the plan of care
• Interview the client in a private setting
• Ask the client to complete a detailed questionnaire - CORRECT ANSWER
• Interview the client in a private setting

Rationale: The nurse should interview clients in a private place when asking

questions regarding client health.

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