Extract:

Question 1 of 5

A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?

A. Monitor the client's whereabouts at all times.B. Reward the client for her change in behavior.C. Ask the client why her behavior has changed.D. Encourage family to take the client out of the facility for short periods of time.

Correct Answer: A

Rationale: Sudden mood improvement may indicate suicide risk, so monitoring whereabouts ensures safety. Rewarding behavior (
B), asking why (
C), or family outings (
D) do not prioritize safety.

Question 2 of 5

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

A. The most common manifestation of postpartum depression is harming the infant.'B. Postpartum depression is more likely to occur in women who have a history of depression.'C. Postpartum depression usually begins 48 hours after childbirth.'D. It's common for clients who have postpartum depression to exhibit psychotic behavior.'

Correct Answer: B

Rationale: History of depression increases PPD risk. Harming infants (
A) is rare, onset varies beyond 48 hours (
C), and psychosis (
D) is not common.

Question 3 of 5

Which are common reasons why abused persons remain with an abusive partner? (Select all that apply.)

A. The abused person is personally and financially dependent on the abuser.B. The abused person has low self-esteem and defines their success as a person by the ability to make the relationship work.C. The abused person uses alcohol or illegal drugs in the home.D. The abused person believes that they are unable to function without their partner.E. The abused person is afraid that the abuser will kill them if they try to leave.

Correct Answer: A,B,D,E

Rationale: Dependence (
A), low self-esteem (
B), inability to function (
D), and fear of harm (E) trap victims. Substance use (
C) is not a primary reason.

Question 4 of 5

A nurse is caring for a client who has major depressive disorder and was prescribed fluoxetine 2 weeks ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?

A. Explain that antidepressants often take several weeks to be fully effective.B. Tell the client that the provider will need to change fluoxetine to a different medication.C. Speak to the provider about adding an MAOI to the current medication regimen.D. Recommend a sleep study be done on the client.

Correct Answer: A

Rationale: SSRIs like fluoxetine take 4-6 weeks for full effect. Changing medication (
B) is premature, MAOIs (
C) have risks, and a sleep study (
D) is not the priority.

Question 5 of 5

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

A. Provide a structured activity schedule for the client.B. Identify precipitating factors for ritualistic behaviors.C. Instruct the client on relaxation techniques for use when anxiety increases.D. Discuss alternative coping strategies with the client.

Correct Answer: B

Rationale: Identifying triggers tailors interventions to reduce OCD symptoms. Structured schedules (
A), relaxation techniques (
C), and coping strategies (
D) follow trigger identification.

Nurselytic

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ATI Mental Health NPRO 2000 Exam Questions

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