ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased hemoglobin. In anorexia nervosa, severe malnutrition can lead to a decrease in hemoglobin levels due to inadequate intake of essential nutrients like iron and vitamins. This can result in anemia. Elevated potassium levels (choice
A) are not typically seen in anorexia nervosa, as potassium levels tend to be low due to malnutrition. Increased blood glucose (choice
C) is not a common finding in anorexia nervosa unless there are complications like refeeding syndrome. Elevated liver enzymes (choice
D) may indicate liver damage but are not a typical finding in anorexia nervosa unless there are underlying conditions.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Normal thyroid function. In major depressive disorder, thyroid function typically remains within normal range. This is because depression does not directly affect thyroid hormone production or levels. Decreased cortisol levels (
A) are more commonly associated with conditions like Addison's disease or adrenal insufficiency. Elevated sodium levels (
C) are seen in conditions like dehydration or hypernatremia, not typically in major depressive disorder. Increased white blood cell count (
D) is more indicative of infections or inflammatory conditions, not depression.
Question 3 of 5
A nurse is caring for a client who has generalized anxiety disorder. Which of the following physical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Muscle tension. Generalized anxiety disorder often manifests physically, leading to symptoms such as muscle tension. This is due to the body's response to stress, causing muscles to contract and tighten. Bradycardia (
A) is not typically associated with anxiety disorders; instead, tachycardia is more common. Hypotension (
C) is also not a typical physical finding in generalized anxiety disorder; anxiety can actually lead to elevated blood pressure. Improved respiratory rate (
D) is unlikely as anxiety can cause rapid breathing or shortness of breath. In summary, muscle tension is a common physical finding in generalized anxiety disorder due to the body's response to stress.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following behaviors should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Impulsive actions. Individuals with borderline personality disorder often exhibit impulsive behaviors such as reckless driving, substance abuse, or self-harm. This is due to emotional dysregulation and difficulty in controlling impulses.
Choice A is incorrect as individuals with BPD often have unstable and intense emotional responses.
Choice C is incorrect as they struggle with maintaining stable interpersonal relationships due to fear of abandonment.
Choice D is incorrect as rational decision-making is impaired by impulsivity and emotional instability in individuals with BPD.
Question 5 of 5
A nurse is caring for a client who has schizophrenia. Which of the following behaviors should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Social withdrawal. In schizophrenia, clients often exhibit social withdrawal due to symptoms like paranoia, hallucinations, and negative symptoms. This behavior is a common manifestation of the illness. Logical conversations (choice
A) may be challenging due to disorganized thinking. Consistent eye contact (choice
C) may be difficult due to paranoia or hallucinations. Stable mood (choice
D) is unlikely as mood swings are common in schizophrenia.