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