ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 43 : Caring for Medically Compromised Persons Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.