ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 67 : Interaction of Body and Mind Questions
Question 1 of 5
The client arrives at the emergency department reporting symptoms of heart palpitations, tightness in the chest, and epigastric pain after a stressful event. What system will the nurse correlate with the client symptoms?
Correct Answer: B
Rationale: The nurse is correct to correlate stress and the symptoms, which stem from organs affected by the autonomic nervous system. Clients may present with heart palpitations, pounding headache, breathlessness, tightness in the chest, chest pain, chronic pain, irritability, epigastric pain, abdominal discomfort and bloating, or constipation and diarrhea. The respiratory system is affected by stress, but the client's symptoms do not correlate to the respiratory system. The symptoms extend beyond cardiopulmonary system effects. The central nervous system is involved in only the brain and the spinal cord effects.
Question 2 of 5
The nurse researcher and committee monitoring are working with in a research study administering study medications to study participants. If the nurse researcher is administering study medications in a double-blind study, who is knowledgeable of the specifics of the medication?
Correct Answer: D
Rationale: The study committee is knowledgeable about the study medications. The nurse researcher and clients are not aware of the components of the medication, being a therapeutic medication or placebo. Thirty percent of the individuals receiving a placebo experience a positive outcome.
Question 3 of 5
The nurse is caring for a client who is taking a medication that affects the function of the neurotransmitter norepinephrine. The client asks 'What does norepinephrine normally do in the body?' What should the nurse include in the response? Select all that apply.
Correct Answer: A,B,C
Rationale: The nurse should inform the client that norepinephrine affects attention and concentration, raises energy level, and heightens arousal. It does not assist memory storage or decrease seizure potential.
Question 4 of 5
The nurse is caring for a client in whom a psychological disorder is anticipated. Which assessment data would the nurse use to formulate report for the next shift? Select all that apply.
Correct Answer: A,B,C,D
Rationale: The nurse would use verifiable data to report the client's condition to the next shift. Information from community sources may or may not be accurate.
Question 5 of 5
The nurse is admitting a client into a mental health facility and completing a mental status examination. Which assessment criteria would the nurse document to complete a total score? Select all that apply.
Correct Answer: A,C,D,F
Rationale: A mental status examination is one component of a thorough neurologic examination. It is an array of observations and questions that elicit information about a person's cognitive and mental state. The examination does not document a family report or a past history of physical abuse.