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ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Reassurance supports the client when tests are normal, avoiding invalidation. Flooding therapy (
A) is inappropriate, saying pain isn’t real (
B) dismisses feelings, and invasive testing (
D) is unnecessary.

Question 2 of 5

A nurse is reviewing the medical record of a client who performs self-injury. Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?

Correct Answer: C

Rationale: Borderline personality disorder is strongly linked to self-harm. Bulimia (
A) is less directly related, parental disorder (
B) is not a specific risk, and promotion (
D) is positive.

Question 3 of 5

A nurse is caring for a client who is experiencing suicidal thoughts. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Removing harmful objects minimizes self-harm risk. Twelve-hour observation (
A) may be insufficient, and unregulated visitors (C,
D) risk bringing harmful items.

Question 4 of 5

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

Correct Answer: B

Rationale: Offering a choice promotes autonomy and encourages self-care. Confrontation (
A), forcefulness (
C), and ignoring (
D) are unhelpful.

Question 5 of 5

A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?

Correct Answer: D

Rationale: Giving away possessions may indicate putting affairs in order, a serious suicide warning sign. Stopping medication (
A), discussing depression (
B), and sleeping excessively (
C) are less specific.

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