ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 43 : Caring for Medically Compromised Persons Questions
Question 1 of 5
The nurse is developing a plan of care for a client with chronic pain caused by osteoarthritis. The client?s pain has been severe and prolonged. Which of the following would the nurse identify as a priority assessment?
Correct Answer: D
Rationale: Chronic pain, especially from osteoarthritis, is strongly associated with depression (
D) due to its impact on quality of life and functioning. Grief (
A) may occur but is less prevalent, panic disorder (
B) is not directly linked, and bulimia (
C) is unrelated to chronic pain.
Question 2 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 3 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 4 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 5 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.