ATI RN
Mental Health Exam 1 Practice Questions Questions
Question 1 of 5
The nurse makes a home visit to a client who has dysthymic disorder. Which of the following would the nurse expect to assess?
Correct Answer: A
Rationale: The correct answer is A: Low energy. Dysthymic disorder is characterized by persistent low mood, which often leads to decreased energy levels. Individuals with dysthymic disorder may experience fatigue, lack of motivation, and difficulty engaging in activities. Intense concentration (B) is not typically associated with dysthymic disorder, as individuals may have difficulty focusing due to their low energy and mood. Agitation (C) is more commonly seen in conditions such as anxiety disorders, rather than dysthymic disorder. Normal appetite (D) may or may not be present in individuals with dysthymic disorder, as appetite changes can vary among individuals.
Question 2 of 5
A female client is diagnosed with female orgasmic disorder and is receiving treatment by a qualified sex therapist. The client and her partner are being taught sensate focus. Which of the following would the couple be required to do first?
Correct Answer: C
Rationale: The correct answer is C: Participate in nongenital contact. This is the first step in sensate focus, a technique used to treat female orgasmic disorder. Initially, the couple focuses on non-sexual touching to build intimacy and reduce performance pressure. Option A is incorrect as sexual intercourse is not the initial focus. Option B is incorrect as genital touching is also not the first step. Option D is incorrect as masturbation is not typically part of sensate focus exercises between partners.
Question 3 of 5
A nursing instructor is preparing a presentation on the etiology of Alzheimer's disease. When discussing the role of neurotransmitters in the course of the disease, which of the following would the instructor most likely emphasize?
Correct Answer: B
Rationale: The correct answer is B: Acetylcholine. Alzheimer's disease is characterized by a decrease in acetylcholine levels in the brain, leading to cognitive decline. Acetylcholine plays a crucial role in memory and learning. Other neurotransmitters like serotonin, dopamine, and norepinephrine are not as directly linked to Alzheimer's pathology. Serotonin is more associated with mood regulation, dopamine with reward and movement, and norepinephrine with arousal and stress response. Therefore, the instructor would emphasize acetylcholine due to its specific involvement in the disease process.
Question 4 of 5
A client visits the clinic and tells the nurse about experiencing chronic stress on the job for the past 3 months. When teaching the client about chronic stress, which of the following would the nurse include as a possible result?
Correct Answer: C
Rationale: The correct answer is C: Infections. Chronic stress can weaken the immune system, making the body more susceptible to infections. Stress hormones can suppress the immune response, making it harder for the body to fight off pathogens. Lung disorders (A), renal disorders (B), and thyroid disorders (D) are not directly linked to chronic stress in the same way as infections. Stress is more likely to impact the immune system and increase the risk of infections rather than causing specific organ disorders.
Question 5 of 5
A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medications is contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Methylergonovine. Methylergonovine is contraindicated in clients with preeclampsia due to its vasoconstrictive effects, which can further increase blood pressure and potentially worsen the condition. Misoprostol, Dinoprostone, and Oxytocin are appropriate medications for postpartum hemorrhage and do not have the same vasoconstrictive properties as Methylergonovine. Misoprostol helps reduce bleeding by causing uterine contractions, Dinoprostone is a prostaglandin used to induce labor or treat postpartum hemorrhage, and Oxytocin is a uterotonic agent that helps control bleeding after childbirth.