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ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units
Total Questions : 31
Showing 31 questions
Question 1:
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?.
A. Ask the client about the lethality of their plan
B. Encourage the client to focus on the positive aspects of life.
C. Reassure the client that everything is going to work out.
D. Allow the client time alone to self-reflect.
Explanation
Correct Answer: A
A rationale: Asking the client about the lethality of their plan is the most appropriate
action. This allows the nurse to assess the immediate risk to the client’s safety.
B rationale: Encouraging the client to focus on the positive aspects of life may be
helpful in some situations, but it does not address the immediate safety concern.
C rationale: Reassuring the client that everything is going to work out may provide
temporary relief, but it does not address the immediate safety concern.
D rationale: Allowing the client time alone to self-reflect is not appropriate in this
situation as it could increase the risk of self-harm.
A
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Question 2:
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?.
A. The stress from my new job could be the cause of my depressed mood
B. "My high blood pressure could be the cause of my depressed mood.”.
C. "My elevated heart rate could be the cause of my depressed mood.”.
D. "My renal dysfunction could be the cause of my depressed mood.”.
Explanation
Correct Answer: A
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.
B rationale: High blood pressure is not typically a direct cause of a depressed mood. It
is a physical health condition that needs to be managed, but it does not directly cause
depression.
C rationale: An elevated heart rate is not typically a direct cause of a depressed mood.
It is a physical symptom that can be associated with many different conditions, but it
does not directly cause depression.
D rationale: Renal dysfunction is not typically a direct cause of a depressed mood. It is
a physical health condition that needs to be managed, but it does not directly cause
depression.
A
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, A
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Question 3:
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?.
A. "The stress from my new job could be the cause of my depressed mood.”.
B. "My high blood pressure could be the cause of my depressed mood.”.
C. "My elevated heart rate could be the cause of my depressed mood.”.
D. "My renal dysfunction could be the cause of my depressed mood.”. .
Explanation
Correct Answer: A
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.
B rationale: High blood pressure is not typically a direct cause of a depressed mood. It
is a physical health condition that needs to be managed, but it does not directly cause
depression.
C rationale: An elevated heart rate is not typically a direct cause of a depressed mood.
It is a physical symptom that can be associated with many different conditions, but it
does not directly cause depression.
D rationale: Renal dysfunction is not typically a direct cause of a depressed mood. It is
a physical health condition that needs to be managed, but it does not directly cause
depression.
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, A
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Question 4:
A charge nurse in a mental health facility is teaching a newly licensed nurse
how to perform an Abnormal Involuntary Movement Scale (AIMS) assessment
on a client.
The charge nurse should identify that the AIMS assessment is used for which of
the following conditions?.
A. Opiate withdrawal
B. Tardive dyskinesia.
C. Alcohol withdrawal.
D. Lithium toxicity.
Explanation
Correct Answer: B
A rationale: Opiate withdrawal is a condition that occurs when a person stops using
opiates after prolonged use. It is characterized by symptoms such as restlessness,
muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes. The AIMS
assessment is not typically used for this condition.
B rationale: Tardive dyskinesia is a movement disorder characterized by irregular,
involuntary movements most commonly in areas of the face, around the eyes, and of
the mouth, including the jaw, tongue, and lips. The AIMS assessment is a clinical
outcome checklist completed by a healthcare provider to assess the presence and
severity of abnormal movements of the face, limbs, and body in patients with tardive
dyskinesia.
C rationale: Alcohol withdrawal is a condition that can occur when a person who has
been drinking too much alcohol every day suddenly stops drinking alcohol. Symptoms
can include tremors, anxiety, nausea and vomiting, headaches, increased heart rate,
and seizures The AIMS assessment is not typically used for this condition
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