ATI Dynamic Quizzes Flashcards
(32 cards)
A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?
A. Altered level of consciousness
B. Impaired judgment
C. Rapid change in personality
D. Disturbances in perception
B. Impaired judgment
A nurse is determining the total score for a client’s Alcohol Use Disorders Identification Test (AUDIT) by assigning a
score of 0 to 4 for each answer. For which of the following self-reported findings should the nurse assign the client
a score of 4?
A. The frequency of alcohol intake is typically 3 times per week.
B. The client misses work once a month because of alcohol intake.
C. Alcohol intake does not cause the client to have feelings of guilt.
D. Last month, the provider suggested the client should reduce alcohol intake.
D. Last month, the provider suggested the client should reduce alcohol intake.
A nurse is providing discharge teaching to the guardians of an adolescent who has bipolar disorder. Which of the
following manifestations should the nurse identify as an indication of acute mania? (Select all that apply.)
A. Completes school projects
B. Naps during the daytime
C. Eats large amounts
D. Spends excessive amounts of money
E. Speaks crassly using a loud voice
D. Spends excessive amounts of money
E. Speaks crassly using a loud voice
A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following nursing actions is
contraindicated for this client?
A. Explaining that tube feeding will be necessary if the client refuses oral intake
B. Weighing the client each day prior to any oral intake
C. Permitting the client to spend some quiet time alone after each meal
D. Refraining from commenting about the client’s eating during meal times
C. Permitting the client to spend some quiet time alone after each meal
A home health nurse is assessing a client who has advanced dementia and whose caretaker recently passed away.
The client is not violent or suicidal. For which of the following treatment settings should the nurse make a referral
for this client?
A. Partial hospitalization
B. Adult day care facility
C. Inpatient geropsychiatric unit
D. Long-term care nursing center
D. Long-term care nursing center
A nurse in the emergency department is assessing a client who has cocaine intoxication. Which of the following
findings should the nurse expect?
A. Pinpoint pupils
B. Drowsiness
C. Nystagmus
D. Hypervigilance
D. Hypervigilance
A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted
under a court order following the theft and destruction of a car. Which of the following behaviors should the nurse
expect the client to display?
A. Relief about finally receiving care
B. Anger with the nursing staff for hospitalizing him against his will
C. Withdrawal from others due to shame over his recent actions
D. Remorse for stealing and destroying the car
B. Anger with the nursing staff for hospitalizing him against his will
A nurse is counseling a client following a recent death in the family. Which of the following situations should the
nurse identify as a risk factor for maladaptive grieving?
A. The death was a result of violence.
B. The client expresses anger over the loss.
C. This is the client’s first experience of the loss of a family member.
D. The client demonstrates reorganization of behavior.
A. The death was a result of violence.
A nurse is teaching a parent who has admitted to verbally abusing his children about stress management
techniques. Which of the following strategies is the nurse providing?
A. Tertiary prevention
B. Individual psychotherapy
C. Family psychotherapy
D. Primary prevention
A. Tertiary prevention
A nurse is talking with a client who has major depressive disorder. Which of the following client statements should
the nurse identify as a covert statement of suicidal ideation?
A. “I don’t want to be alive any longer.”
B. “I think every day about killing myself.”
C. “My parents will be happier when I’m dead.”
D. “I won’t have to deal with things much longer.”
D. “I won’t have to deal with things much longer.”
A nurse in a community mental health facility is caring for 4 clients. Which of the following clients should the nurse
identify as experiencing an adventitious crisis?
A. A client who has a new diagnosis of severe bipolar disorder
B. A client who is depressed following a devastating fire in her home
C. A client who is experiencing acute grief following his father’s death
D. A client who is experiencing postpartum depression following the birth of her first child
B. A client who is depressed following a devastating fire in her home
A nurse in an acute mental health facility is planning care for a client who has obsessive-compulsive disorder
(OCD). Which of the following actions should the nurse include in the plan?
A. Encourage the client to focus on personal hygiene.
B. Limit the hours the client sleeps each day.
C. Instruct the client to practice thought-stopping.
D. Make negative statements about the client’s behavior.
C. Instruct the client to practice thought-stopping.
by saying “STOP” out loud, patient learns to interrupt obsessive thoughts
A nurse is providing teaching to the family of a client who has schizophrenia. Which of the following statements by
a family member indicates an understanding of the teaching?
A. “We will not set time limits for discussing her delusions.”
B. “We will avoid reacting to her command hallucinations.”
C. “She might lose weight due to her medications.”
D. “She might be having a relapse if she stops attending social events.”
D. “She might be having a relapse if she stops attending social events.”
A nurse is teaching a client who has schizophrenia about involuntary commitment. Which of the following
statements should the nurse identify as an indication that the client understands the teaching?
A. “My family cannot commit me because I am homeless.”
B. “Even when I’m calm, I’ll be forced to take psychotropic medication.”
C. “At least 2 doctors must support the commitment application.”
D. “I am afraid the doctors will make me have surgery.”
C. “At least 2 doctors must support the commitment application.”
A nurse is assessing the lethality of a client’s plan for committing suicide. Which of the following plans should the
nurse identify as a soft method of suicide?
A. Jumping off a bridge
B. Inhaling carbon monoxide
C. Hanging with a rope
D. Swallowing antidepressant pills
D. Swallowing antidepressant pills
due to low risk of death from swallowing antidepressant pills compared to the other ways such
A nurse is caring for a client who has end-stage lung cancer. Which of the following client statements should the
nurse identify as an indication that the client is experiencing the bargaining stage of Kubler-Ross’ stages of grief?
A. “I would give anything to live to see my grandchild born.”
B. “Can you make sure there hasn’t been a mistake with my test results?”
C. “I feel so sad that I will be leaving my partner all alone.”
D. “What have I done to deserve this death sentence?”
A. “I would give anything to live to see my grandchild born.”
A nurse is assessing a client who is at risk for cognitive impairment. Which of the following findings should the
nurse identify as an early indication of cognitive decline?
A. Disorientation to time
B. Problems handling finances
C. Social withdrawal
D. Impaired recent memory
D. Impaired recent memory
A nurse is caring for a client who has post-traumatic stress disorder (PTSD) and who is undergoing eye movement
desensitization and reprocessing (EMDR) therapy. The nurse should identify that EMDR includes which of the
following strategies?
A. Exposes the client to circumstances that trigger the PTSD
B. Assists the client with behavioral modification
C. Encourages the client to visualize a relaxing scene when traumatic memories occur
D. Uses stimuli to change how the client processes the trauma
D. Uses stimuli to change how the client processes the trauma
A nurse is caring for a client who has a substance use disorder and was involuntarily admitted by court order for 90
days. When the nurse attempts to administer prescribed oral lorazepam to decrease the manifestations of
withdrawal, the client aggressively refuses. Which of the following actions should the nurse take?
A. Place the lorazepam on hold.
B. Request a prescription for IM lorazepam.
C. Request that another nurse attempt to administer the lorazepam.
D. Place the lorazepam in the client’s food.
A. Place the lorazepam on hold.
patient has the right to refuse medication even though they are involuntarily admitted.
A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which of the following
medications should the nurse expect the provider to prescribe to assist the client with maintaining sobriety?
A. Varenicline
B. Clonidine
C. Buprenorphine
D. Disulfiram
D. Disulfiram
A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following
comments should the nurse include in the teaching?
A. “You will watch from a secure location as your therapist goes to public spaces.”
B. “You will start your therapy by staying in a public space until your anxiety decreases.”
C. “You will be instructed to say ‘stop!’ out loud when you become anxious in public spaces.”
D. “You will slowly be exposed to increasing levels of public spaces.”
D. “You will slowly be exposed to increasing levels of public spaces.”
A nurse working in the emergency department is caring for a client following an overdose of pentobarbital sodium.
For which of the following findings should the nurse assess the client?
A. Cerebrovascular accident
B. Dysrhythmias
C. Liver failure
D. Respiratory depression
D. Respiratory depression
A nurse in the emergency department is assessing a client with heroin intoxication. Which of the following findings
should the nurse expect?
A. Seizure activity
B. Respiratory depression
C. Hypersensitivity to pain
D. Increased mental alertness
B. Respiratory depression
A nurse is caring for a client with borderline personality disorder who has been engaging in self-mutilation. The
nurse should encourage the client to participate in which of the following groups?
A. Co-dependents support group
B. National Alliance on Mental Illness
C. Dialectical behavior treatment group
D. Dual diagnosis treatment group
C. Dialectical behavior treatment group
