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 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 2 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 3 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.
Question 4 of 5
A female client is being treated for depression that has occurred secondary to a chronic cardiopulmonary condition. Which antidepressant would the nurse anticipate being prescribed for this client?
Correct Answer: C
Rationale: Fluoxetine (Prozac) (
C), an SSRI, is often prescribed for depression in clients with cardiopulmonary conditions due to its favorable side effect profile and minimal cardiac impact. Trazodone (
A) is sedating, bupropion (
B) may increase seizure risk, and amitriptyline (
D), a tricyclic, has significant cardiac side effects.
Question 5 of 5
A 22-year-old college student was involved in an automobile accident that resulted in permanent cognitive and physical disability. The night of the accident, the client and his friends had been celebrating a friend?s birthday at a local bar. The friend who was celebrating a birthday had been driving, and he was killed during the accident. The client feels guilty about his friend?s death. Which of the following would be a priority assessment for this client?
Correct Answer: A
Rationale: Risk for suicide (
A) is the priority due to the client?s guilt and trauma from the accident, which increase suicidality in the context of new disabilities. Depression level (
B), social support (
C), and financial status (
D) are important but secondary to ensuring safety.