ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 43 : Caring for Medically Compromised Persons Questions
Question 1 of 5
A nursing instructor is describing how pain can impact a client psychosocially. As part of the discussion, the instructor explains the pain response. Which of the following would the instructor include as excitatory amino acids involved? Select all that apply.
Correct Answer: B,C,E
Rationale: Substance P (
B), L-glutamate (
C), and N-methyl-D-aspartate (E) are excitatory amino acids involved in pain transmission. Somatostatin (
A) and endorphins (F) are inhibitory, and serotonin (
D) modulates pain but is not an excitatory amino acid.
Question 2 of 5
A client with heart disease who had a myocardial infarction 2 months ago comes to the clinic for a follow-up visit. While assessing the client, the nurse would be alert most likely for the development of which of the following responses? Select all that apply.
Correct Answer: B,D
Rationale: Depression (
B) and anxiety disorder (
D) are common post-myocardial infarction due to emotional and physical stress. Personality disorders (
A) are not typically triggered, substance abuse (
C) is less directly linked, and delirium (E) is more acute and less likely 2 months post-event.
Question 3 of 5
A nurse is reviewing the medication history of a client with a medical illness who is also exhibiting signs and symptoms of depression and agitation. Which medications would the nurse identify as possibly contributing to the client?s current state? Select all that apply.
Correct Answer: A,D,E
Rationale: Clonidine (
A), baclofen (
D), and carvedilol (E) can contribute to depression or agitation due to their CNS effects. Ibuprofen (
B) and acetaminophen (
C) are less likely to cause these psychiatric symptoms.
Question 4 of 5
A nurse is assessing a client with HIV who has developed HAND. The nurse determines that the client?s extrapyramidal system has been affected when the client exhibits which of the following? Select all that apply.
Correct Answer: A,C,D
Rationale: HAND can affect the extrapyramidal system, leading to ataxia (
A), tremors (
C), and spasticity (
D). Inattention (
B) and memory loss (E) are cognitive symptoms, not specific to extrapyramidal dysfunction.
Question 5 of 5
After teaching a group of nursing students about the connections between mental health and medical disorders on clients and families, the instructor determines the need for additional teaching when the students identify which of the following as an effect?
Correct Answer: A
Rationale: Increased motivation for self-care (
A) is not a typical effect of combined mental health and medical disorders; these conditions often reduce motivation. Prolonged hospitalization (
B), delayed recovery (
C), and increased financial strain (
D) are recognized effects.