Practice Question
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Answer Choices:
Correct Answer:
Hypertension
Rationale:
🟣 Cocaine is a potent central nervous system stimulant that causes increased norepinephrine and dopamine levels.
🟣 This leads to sympathetic nervous system stimulation, manifesting as hypertension, tachycardia, dilated pupils, and hyperactivity.
🟣 Other signs include euphoria, restlessness, and risk of myocardial infarction or stroke.
🟣 The nurse must assess for cardiovascular instability and monitor for complications of overdose or toxicity.
🟣 Cocaine withdrawal may follow with symptoms of fatigue and depression, but acute use causes elevated vital signs.
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This question is from RN ATI Mental Health-2023 which contains 45 questions.
More Questions from This Exam
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Answer Choices:
A. Notify the provider that the client should stay longer at the facility to work on anger management.
B. Avoid reporting the information provided by the client because it is confidential.
C. Tell risk management about the clients plan to hurt their partner.
D. Report the information to local authorities.
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Answer Choices:
A. Remain with the client for 1 hr after meals.
B. Weigh the client every other day.
C. Offer snacks when the client is hungry.
D. Plan a menu with the client.
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Answer Choices:
A. "Ask a family member to check the locks for you at night."
B. "Focus on abdominal breathing whenever you go to check the locks."
C. "Keep a journal of how often you check the locks each night."
D. "Snap a rubber band on your wrist when you think about checking the locks."
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Answer Choices:
A. Improvement in manifestations of depression
B. Reduced frequency of panic attacks
C. Reduced frequency of seizures
D. Decreased fear of heights
A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?
Answer Choices:
A. "You should try to focus on yourself for a change."
B. "Why do you feel like things will never work out?"
C. "Have you been thinking about harming yourself?"
D. "Maybe an antidepressant will make you feel better."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4
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