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 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: The correct answer is A: Adaptive vs. maladaptive. When a client reports an increase in stressors, the nurse must assess how the client is coping. Understanding whether the client's responses to stressors are adaptive (healthy coping mechanisms) or maladaptive (unhealthy coping mechanisms) is crucial in providing appropriate care. This concept helps the nurse tailor interventions to support the client effectively.
Choices B, C, and D are not relevant in this context as they do not address the client's coping strategies in response to stressors. Justified vs. unjustified, good vs. bad, and right vs. wrong are moral or ethical judgments rather than focusing on the client's adaptive abilities.
Question 2 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: The correct answer is D: Dilated pupils and loss of muscle coordination. Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonin levels in the body. Selective serotonin reuptake inhibitors and St. John's Wort can both increase serotonin levels. Dilated pupils and loss of muscle coordination are classic signs of serotonin syndrome due to the overstimulation of serotonin receptors in the brain. Blood pressure (choice
A) can be elevated, but it is not a specific finding for serotonin syndrome. Suicidal ideations (choice
B) are more related to mental health conditions rather than serotonin syndrome. Tinnitus and jerking movements (choice
C) are not typically associated with serotonin syndrome.
Question 3 of 5
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
Correct Answer: C
Rationale: The correct answer is C: Young adulthood. Schizophrenia is typically diagnosed in late teens to early 30s. This is when symptoms commonly appear and are more identifiable due to the onset of stressors like academic or occupational demands. School-age and preschooler choices are too early for schizophrenia onset. Older adulthood is less likely for new diagnoses.
Question 4 of 5
A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Asking the client about the lethality of their plan is crucial in assessing the level of risk for self-harm. It helps determine the immediacy and seriousness of the situation. This information guides the nurse in developing a safety plan and appropriate interventions. Encouraging the client to focus on the positive aspects of life (
B) may overlook the severity of the situation. Reassuring the client that everything will work out (
C) may minimize their feelings and not address the underlying issue. Allowing the client time alone to self-reflect (
D) can be dangerous if the plan is lethal, as it increases the risk of harm.
Question 5 of 5
A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?
Correct Answer: B
Rationale: The correct answer is B: "I can't get my mind to stop racing at night." This statement is consistent with symptoms of depression such as rumination, insomnia, and racing thoughts. In depression, individuals often experience difficulty controlling their thoughts, leading to insomnia and excessive worrying.
Choices A, C, D, and the remaining options do not align with typical symptoms of depression, as they describe restlessness, physical health issues, increased alertness, and lack of information respectively.