ATI RN
Target Healthcare Questions
Question 1 of 5
What behavior signals that a nurse caring for a patient with bulimia nervosa is experiencing rescue feelings? The nurse:
Correct Answer: D
Rationale: The correct answer is D because providing a diet to follow indicates a rescuer mentality, where the nurse is assuming the role of fixing the patient's eating habits without addressing the underlying emotional issues. A, B, and C focus on supportive and empowering approaches which are more appropriate for helping the patient with bulimia nervosa.
Question 2 of 5
A depressed patient is receiving imipramine (Tofranil) 300 mg daily. Which side effect requires seeking medical attention?
Correct Answer: D
Rationale: The correct answer is D: Urinary retention. Imipramine is known to cause anticholinergic side effects, such as urinary retention. This side effect is serious and requires immediate medical attention to prevent complications like bladder distention or urinary tract infections. Dry mouth and blurred vision are common but less urgent side effects of imipramine, while nasal congestion is not typically associated with this medication. Thus, urinary retention stands out as the side effect requiring immediate medical attention among the choices provided.
Question 3 of 5
A patient with bipolar disorder has rapid cycles. To prepare teaching materials, the nurse anticipates which medication will be prescribed?
Correct Answer: C
Rationale: Rationale: Carbamazepine (Tegretol) is commonly used in treating rapid cycling bipolar disorder due to its mood stabilizing properties. It helps regulate mood swings and prevent manic or depressive episodes. It is effective in managing rapid cycling symptoms. Clonidine (A) is used for ADHD and hypertension, not bipolar disorder. Phenytoin (B) is an anticonvulsant, not typically used for bipolar disorder. Chlorpromazine (D) is an antipsychotic mainly for schizophrenia, not specifically indicated for rapid cycling in bipolar disorder.
Question 4 of 5
Which nursing diagnosis is a priority for both a patient with depression and one with acute mania?
Correct Answer: B
Rationale: The correct answer is B: Disturbed sleep pattern. Both depression and acute mania can disrupt sleep, leading to negative impacts on overall health. Sleep disturbances can exacerbate symptoms of both conditions and hinder recovery. Addressing sleep patterns is crucial in managing symptoms and improving outcomes for patients with depression and acute mania. A: Deficient diversional activity is more relevant to depression than acute mania, as patients with mania often engage in excessive activities. C: Fluid volume excess is not typically associated with depression or acute mania. D: Defensive coping may be relevant to both conditions but is not a priority compared to addressing sleep patterns for patient safety and symptom management.
Question 5 of 5
A client tried to gouge out his eye in response to auditory hallucinations commanding, 'If thine eye offend thee, pluck it out.' The nurse would analyze this behavior as indicating:
Correct Answer: A
Rationale: The correct answer is A: Impaired impulse control. This behavior shows a lack of control over impulsive actions, as the client acted immediately on the auditory hallucination without considering the consequences. Choice B is incorrect because anger management is not directly related here. Choice C, derealization, refers to feeling disconnected from reality, which is not evident in the scenario. Choice D, inappropriate affect, does not fit as the client's action is more about impulsivity than emotional expression. Ultimately, the client's behavior aligns most closely with impaired impulse control due to the immediate and extreme response to the auditory hallucination.