ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 37 Questions
Question 1 of 5
An 80-year-old client visits the mental health clinic with her daughter. During the assessment process, the client tells the nurse that she is taking an antidepressant, an antibiotic, and an occasional aspirin. Which question would be most important for the nurse to ask?
Correct Answer: A
Rationale: Grapefruit juice can interact with many medications, including some antidepressants and antibiotics, by inhibiting the cytochrome P450 enzyme system, potentially leading to increased drug levels and toxicity. Orange, tomato, and grape juices (options B, C,
D) do not have significant interactions with these medications, making grapefruit juice the most critical to assess.
Question 2 of 5
A nurse is assessing an older adult client. Which of the following would the nurse interpret as most indicative of mental health and wellness?
Correct Answer: B
Rationale: Interacting with others in the environment (option
B) is most indicative of mental health and wellness, as it reflects social engagement, a key component of psychological well-being. Keeping social contacts to a minimum (
A) or relying solely on family (
C) suggests isolation or dependence, which are less healthy. Bereavement (
D) is a normal response but not an indicator of wellness.
Question 3 of 5
An elderly client tells the nurse that she had been constipated for the last few days and decided to use an over-the-counter fiber laxative that is dissolved in water. When reviewing the use of this laxative with the client, which of the following would the nurse include as a possible side effect?
Correct Answer: C
Rationale: Fiber laxatives, such as psyllium, increase bulk in the stool and can cause flatus (gas) as a common side effect due to fermentation in the gut. Diarrhea (option
A) may occur with overuse but is less common. Nausea (option
B) and stomach pain (option
D) are less directly associated with fiber laxatives compared to flatus.
Question 4 of 5
A nurse is providing an in-service educational program for beginning nurses regarding mental health assessment needs of the older adult. One of the topics addressed is the importance of interviewing family members in addition to the older adult client. The nurse tells the audience that family members are sometimes able to give a more accurate history if the client has memory impairment. The nurse also emphasizes that interviewing family members provides which of the following?
Correct Answer: A
Rationale: Interviewing family members provides a clearer picture of the client?s social support resources (option
A), which is critical for assessing the older adult?s ability to manage mental health challenges. Option B focuses on caregiver ability, which is secondary. Option C is partially correct but less comprehensive, as memory impairment is only one aspect. Option D is incorrect, as interviews are not primarily for family respite.
Question 5 of 5
A nurse has used the Geriatric Depression Scale (short form) to assess an older adult client for depression. Which score would lead the nurse to suspect that the client is mildly depressed?
Correct Answer: C
Rationale: The Geriatric Depression Scale (short form) has 15 questions, with scores of 5?8 indicating mild depression and 9?15 indicating moderate to severe depression. A score of 8 (option
C) falls within the mild depression range. Scores of 3 and 5 (options A and
B) are below the threshold, and 13 (option
D) indicates moderate to severe depression.