Extract:

Question 1 of 5

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

A. The most common manifestation of postpartum depression is harming the infant.'B. Postpartum depression is more likely to occur in women who have a history of depression.'C. Postpartum depression usually begins 48 hours after childbirth.'D. It's common for clients who have postpartum depression to exhibit psychotic behavior.'

Correct Answer: B

Rationale: History of depression increases PPD risk. Harming infants (
A) is rare, onset varies beyond 48 hours (
C), and psychosis (
D) is not common.

Question 2 of 5

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)

A. Involuntary pelvic rocking and hip thrusting movementsB. Facial grimacing and eye blinkingC. Tongue thrusting and lip smackingD. Fine hand tremors and pill rollingE. Urinary retention and constipation

Correct Answer: A,B,C

Rationale: Pelvic rocking (
A), grimacing/blinking (
B), and tongue/lip movements (
C) are tardive dyskinesia signs. Tremors (
D) are parkinsonism, and retention/constipation (E) are unrelated.

Question 3 of 5

A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?

A. Provide a structured environment for the client.B. Identify the client's nutritional status.C. Plan a therapeutic diet for the client.D. Request a mental health consult.

Correct Answer: B

Rationale: Assessing nutritional status addresses severe weight loss and guides interventions. Structured environment (
A), therapeutic diet (
C), and mental health consult (
D) are secondary to immediate physiological needs.

Question 4 of 5

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A. The client tells the nurse he is a government agent.B. The client tells the nurse that he is too tired to attend the group meeting.C. The client states, 'I see purple bugs crawling on the wall.'D. The client states, 'My heart is pounding out of my chest.'

Correct Answer: D

Rationale: Heart pounding indicates anxiety, warranting alprazolam. Delusions (
A), fatigue (
B), and hallucinations (
C) are not anxiety-specific.

Question 5 of 5

Which are common reasons why abused persons remain with an abusive partner? (Select all that apply.)

A. The abused person is personally and financially dependent on the abuser.B. The abused person has low self-esteem and defines their success as a person by the ability to make the relationship work.C. The abused person uses alcohol or illegal drugs in the home.D. The abused person believes that they are unable to function without their partner.E. The abused person is afraid that the abuser will kill them if they try to leave.

Correct Answer: A,B,D,E

Rationale: Dependence (
A), low self-esteem (
B), inability to function (
D), and fear of harm (E) trap victims. Substance use (
C) is not a primary reason.

Nurselytic

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ATI Mental Health NPRO 2000 Exam Questions

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