ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 43 Questions
Question 1 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 2 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.
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 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 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.