ATI RN
ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Questions
Extract:
Question 1 of 5
A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?
Correct Answer: A
Rationale: The client's statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Question 2 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: If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.
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 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.
Extract:
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1230: A 38-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Client reports, "I have been hearing voices again telling me to hurt myself.
I hear voices at nighttime so I am not sleeping well.”. Day 1 1730: Vital Signs.
Client consumed 35% of evening meal.
Client appears nervous but reports not hearing voices at this time.
Day 1 1930: Nurse enters client's room.
Client is standing on bed and states, "Do you see that man? He is telling me he is going to hurt me.”. Client pointing to corner of the room.
Client is talking to themselves and states, "I don't want to hurt myself.
Tell the voices to go away!" Nurse asks the client who they are talking to and states, "Tell me more about who is trying to hurt you.”.
Question 5 of 5
The nurse is reviewing the client's medical record.Select the "3" findings that require immediate follow-up by the nurse.
Correct Answer: B,C,D
Rationale: Hallucinations, insomnia, and delusions are serious symptoms of schizophrenia and require immediate follow-up.