ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 43 : Caring for Medically Compromised Persons Questions
Question 1 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.
Question 2 of 5
A client has had a major stroke, and she is struggling to adjust to living with the consequent changes and permanent disabilities because of problems related to speech and mobility. The nurse is making a home visit and assesses the client closely based on the understanding that the client is at increased risk for which of the following?
Correct Answer: B
Rationale: Major depressive disorder (
B) is a common risk following a major stroke due to the impact of speech and mobility impairments on quality of life. Bipolar disorder (
A), anxiety (
C), and PTSD (
D) are less directly associated with stroke-related disability.
Question 3 of 5
A nurse is trying to determine whether a client is exhibiting symptoms of depression or of her medical illness. Which of the following group of symptoms would indicate to the nurse that the client may be experiencing depression in addition to being medically ill?
Correct Answer: C
Rationale: Feeling guilty, difficulty making decisions, and low self-esteem (
C) are specific to depression, distinguishing it from medical illness symptoms like sleep issues or appetite changes (A, B,
D), which can overlap with physical conditions.
Question 4 of 5
A group of nursing students is reviewing information about barriers to pain management. The group demonstrates the need for additional study when they identify which of the following as a barrier?
Correct Answer: B
Rationale: Adequate reimbursement (
B) is not a barrier to pain management; it facilitates access to care. Fear of tolerance (
A), concern for being a 'good client' (
C), and reluctance to report pain (
D) are recognized barriers due to patient fears and behaviors.
Question 5 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.