Practice Question
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:
Correct Answer:
The client makes a contract to avoid self-harm.
Rationale:
🔸 The immediate priority in depression after loss is ensuring client safety.
🔸 A contract to avoid self-harm indicates the client’s commitment to safety and reduces suicide risk.
🔸 Other goals like self-esteem and grieving are important but secondary to life preservation.
🔸 Contracting supports ongoing assessment and therapeutic alliance.
🔸 Nurses should continuously evaluate and reinforce safety plans.
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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 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:
A. Complicated grieving
B. Chronic pain
C. Risk for suicide
D. Social isolation
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
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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