Questions 62

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ATI N200 Mental Health Exam 2 Questions

Extract:


Question 1 of 5

A client with a history of substance abuse is admitted. Which assessment tool should the nurse use to evaluate withdrawal risk?

Correct Answer: B

Rationale: CIWA-Ar assesses alcohol withdrawal severity guiding treatment.
Choice A screens for alcohol use disorder.
Choice C evaluates movement disorders.
Choice D assesses depression not withdrawal.

Question 2 of 5

During intake assessment the nurse is most likely to hear a client with major depressive disorder say which of the following statements about depression? (SELECT ALL THAT APPLY)

Correct Answer: A C D

Rationale:
Choice A reflects suicidal ideation common in major depressive disorder.
Choice C indicates guilt and worthlessness hallmark symptoms.
Choice D shows recognition of episodic nature possible in some clients.
Choice B is less typical as it suggests avoidance not a core symptom.
Choice E is less likely due to lack of motivation in depression.

Question 3 of 5

A nurse is teaching a client about sertraline for depression. Which side effect should the nurse emphasize?

Correct Answer: D

Rationale: All listed side effects (weight gain dry mouth nausea) are common with sertraline and should be discussed to ensure adherence and monitoring.

Choices A B and C are individually correct but incomplete.

Question 4 of 5

A client with panic disorder reports chest pain during an episode. Which action should the nurse take first?

Correct Answer: B

Rationale: Chest pain requires ruling out cardiac causes with an ECG especially in panic disorder where symptoms mimic heart issues.
Choice A is secondary without assessment.
Choice C is not immediate.
Choice D requires medical orders.

Question 5 of 5

A nurse is caring for a 22-year-old female client who has bulimia nervosa and frequently self-induces vomiting. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)

Correct Answer: A B C E

Rationale:

Choices A B C and E are expected due to hormonal imbalances acid erosion dehydration and malnutrition respectively.
Choice D (icteric sclera) is unrelated to bulimia nervosa indicating liver issues.

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