Practice Question
A community health nurse is evaluating an elderly client whose wife passed away 4 weeks prior. The client mentions he is not eating and states, "Why bother, why bother going on at all?" Which of the following should the nurse recognize as the need for further assessment?
Answer Choices:
Correct Answer:
Risk for suicide
Rationale:
🔷 Expressions like "Why bother going on at all?" suggest hopelessness, a key indicator of suicidal ideation.
🔷 Bereavement can lead to complicated grief, but the presence of suicidal thoughts warrants immediate further assessment.
🔷 Early identification of suicide risk is critical to prevent self-harm or death.
🔷 The nurse should assess for plans, means, and intent to intervene appropriately.
🔷 Social isolation and chronic pain are concerns but less urgent than imminent suicide risk.
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This question is from RN ATI NSG133 Mental Health Exam 2 which contains 38 questions.
More Questions from This Exam
A nurse is educating the community about anxiety disorders. Which of the following should be included as predisposing factors for the development of anxiety disorders? (Select all that apply.)
Answer Choices:
A. Regular exercise
B. Family history of anxiety disorders
C. Regular meditation practice
D. Being a perfectionist
E. Excessive caffeine consumption
F. Chronic physical illness
Serotonin-norepinephrine reuptake inhibitors (SNRIs), such as Duloxetine, are used for generalized anxiety disorder. Which of the following increases the risk for the client developing serotonin syndrome?
Answer Choices:
A. Missing a dose of medication that increases serotonin levels
B. Taking monoamine oxidase inhibitor (MAOI) medication
C. Taking serotonin-norepinephrine reuptake inhibitors (SNRI) as directed
D. Combining medications that increase serotonin levels
A nurse is planning care for a newly admitted client diagnosed with major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority?
Answer Choices:
A. The client assumes an active role in her care planning process.
B. The client identifies positive qualities about herself.
C. The client exhibits expected grieving behaviors.
D. The client makes a contract to avoid self-harm.
The nurse is evaluating teaching for a client diagnosed with depression who is prescribed bupropion (Wellbutrin). Which of the following statements made by the client indicates that the teaching was effective?
Answer Choices:
A. "It may take up to at least 2 weeks to see the effects of bupropion."
B. "l can drink one glass of wine with dinner each day while taking bupropion."
C. "l may develop a slow heartbeat while taking bupropion."
D. "l should watch for increased salivation and drooling while taking bupropion."
A nurse is caring for a client with generalized anxiety disorder who is experiencing a panic attack. Which of the following is the nurse's priority action for this client?
Answer Choices:
A. Escort the client to the common area.
B. Contact security for possible restraints.
C. Stay with the client.
D. Stay away from the client.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4
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