Questions 69

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ATI RN Mental Health 2019 NGN Questions

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Question 1 of 5

A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect?

Correct Answer: A,B,C,D

Rationale: Bradycardia (
A), Russell’s sign (
B), lanugo (
C), and hypotension (
D) are common in anorexia due to energy conservation, purging, malnutrition, and low cardiac output. Diarrhea (E) is not typical, with constipation more likely.

Question 2 of 5

A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?

Correct Answer: B

Rationale: Dialectical behavior therapy (DBT) addresses emotion regulation and self-harm, ideal for borderline personality disorder. Co-dependency (
A) and dual diagnosis (
D) groups are less relevant, and desensitization (
C) is for phobias.

Question 3 of 5

A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Let's discuss what you feel embarrassed about' is empathetic, encouraging the client to share at their pace without judgment, fostering trust. Acknowledging shame (
A) doesn’t promote dialogue, pushing disclosure (
B) risks distress, and minimizing embarrassment (
D) doesn’t address feelings.

Question 4 of 5

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer: A

Rationale: Aripiprazole can lower the seizure threshold, making seizure disorder a contraindication due to increased seizure risk. Crohn’s disease (
B), asthma (
C), and hypothyroidism (
D) are not direct contraindications, though monitoring may be needed for other effects.

Question 5 of 5

A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?

Correct Answer: A

Rationale: An online self-help course fosters virtual connection, addressing isolation without requiring the client to leave home. Journaling (
B), exercise (
C), and imagery (
D) don’t directly promote social interaction.

Similar Questions

A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?

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