ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 43 : Caring for Medically Compromised Persons Questions
Question 1 of 5
A client visits the clinic and complains of chronic pain in her leg as a result of a fall 6 months ago. Which of the following would be most important for the nurse to do first when developing the client?s plan of care?
Correct Answer: A
Rationale: Acknowledging the client?s pain (
A) is the first step to build trust and validate the client?s experience, essential for effective care planning. Identifying pain triggers (
B), rating pain (
C), and reviewing medications (
D) follow but are secondary to establishing rapport.
Question 2 of 5
The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?
Correct Answer: B
Rationale: HIV-associated neurocognitive disorder (HAN
D) primarily affects cognitive function, making cognitive impairment (
B) the most critical assessment. Sensory impairment (
A), social behaviors (
C), and anxiety (
D) may be present but are less central to HAND?s core pathology.
Question 3 of 5
A client visits the clinic and tells the nurse about experiencing chronic stress on the job for the past 3 months. When teaching the client about chronic stress, which of the following would the nurse include as a possible result?
Correct Answer: C
Rationale: Chronic stress weakens the immune system, increasing susceptibility to infections (
C). Lung (
A), renal (
B), and thyroid disorders (
D) are less directly linked to chronic stress, though prolonged stress may exacerbate existing conditions.
Question 4 of 5
A client visits the emergency department after she was raped in her apartment. The nurse assesses the client?s ability to adapt to the trauma by assessing her social support systems and which of the following?
Correct Answer: A
Rationale: Assessing the ability to activate coping strategies (
A) is critical for evaluating adaptation to trauma, alongside social support. Body image disturbance (
B), affect (
C), and fear response (
D) may be relevant but are less directly tied to adaptive capacity.
Question 5 of 5
The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Which client would the nurse anticipate as being most resistive to taking medications for both conditions?
Correct Answer: C
Rationale: The male client with delusions of being the president?s twin brother (
C) is likely experiencing psychosis, which often leads to medication resistance due to lack of insight. Push of speech (
A) suggests mania but less resistance, sleep issues (
B) and poor eye contact (
D) are less indicative of non-compliance.