ATI RN
ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions
Extract:
Question 1 of 5
A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?
Correct Answer: D
Rationale: Dilated pupils and loss of muscle coordination are symptoms of serotonin syndrome, which can occur due to an excess of serotonin, often as a result of a combination of medications.
Question 2 of 5
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Depersonalization, which involves feeling detached from one's own body or thoughts, is a key symptom of panic-level anxiety. It occurs when the client feels as though they are observing themselves from outside their body or disconnected from reality, often as a coping mechanism to manage the intense distress experienced during a panic attack.
Question 3 of 5
A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: Stress from a new job could indeed be a cause of a depressed mood. Changes in life circumstances, such as starting a new job, can be stressful and lead to feelings of depression.
Question 4 of 5
A nurse is providing care to a 9-year-old child who uses their hand to mimic shooting a gun anytime someone enters the room or tries to interact with them. The nurse should identify that this is an example of which of the following manifestations of post-traumatic stress disorder?
Correct Answer: B
Rationale: Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child's mimicking of shooting a gun.
Question 5 of 5
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
Correct Answer: A
Rationale: Adaptive vs. maladaptive refers to how well an individual's behavior or response helps them cope with stressors. It's the most relevant concept for understanding and delivering nursing care in this context.