a nurse is reviewing the medical records of a client with a history of depression who is experiencing a situational crisis what should the nurse do fi a nurse is reviewing the medical records of a client with a history of depression who is experiencing a situational crisis what should the nurse do fi
Logo

Nursing Elites

ATI RN

ATI Exit Exam

1. A nurse is reviewing the medical records of a client with a history of depression who is experiencing a situational crisis. What should the nurse do first?

Correct answer: A

Rationale: Confirming the client's perception of the event is crucial in understanding how they are interpreting the crisis situation. This helps the nurse gain insight into the client's perspective, emotions, and needs. By validating the client's perception, the nurse can establish trust and rapport, which are essential in providing effective support during a crisis. Notifying the client's support system (Choice B) may be important but should come after understanding the client's perspective. Helping the client identify personal strengths (Choice C) and teaching relaxation techniques (Choice D) are valuable interventions but should follow the initial step of confirming the client's perception to ensure individualized care.

2. A healthcare professional is preparing to administer Butorphanol to a client who has a history of substance use disorder. The healthcare professional should identify which of the following information as true regarding Butorphanol?

Correct answer: D

Rationale: Corrected Rationale: Butorphanol, an opioid agonist/antagonist, can lead to abstinence syndrome in clients who are opioid-dependent. This syndrome may present with symptoms like abdominal pain, fever, and anxiety. It is crucial for healthcare professionals to consider this risk when administering Butorphanol to clients with a history of substance use disorder. Choices A, B, and C are incorrect. Butorphanol is less likely to be abused than morphine, causes less respiratory depression than morphine, and can be reversed with an opioid antagonist.

3. A nurse is reviewing the medication orders for a client with heart failure. Which of the following medications should the nurse clarify with the provider?

Correct answer: D

Rationale: The correct answer is D, Ibuprofen. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can worsen heart failure due to its effects on renal function and fluid retention. Therefore, the nurse should clarify the use of Ibuprofen with the provider. Choices A, B, and C (Furosemide, Spironolactone, and Digoxin) are commonly prescribed medications for heart failure that help manage symptoms and improve cardiac function, so they do not need clarification in this scenario.

4. Bernadette, a participant in a longitudinal study, became quite familiar with the test over time and, as a result, her performance improved. This limitation of longitudinal research is known as __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 34 Test Bank for Berk, Development Through the Lifespan, 7e

Correct answer: B

Rationale: Practice effects refer to the phenomenon where participants in a longitudinal study show improvement in test performance over time due to becoming familiar with the tasks or test materials. This can be considered a limitation as it may distort the results by showing an artificial improvement rather than a true developmental change.

5. When discussing hair loss with Mrs. Lim, who begins to cry, the best response would be:

Correct answer: D

Rationale: When a patient is emotionally affected, it is essential to acknowledge their feelings while providing reassurance and information. Option D demonstrates empathy by acknowledging the difficulty Mrs. Lim is facing and offers hope by reassuring her that her hair will grow back after chemotherapy, which can provide comfort and support during a challenging time.

Similar Questions

A nurse is caring for a client who has osteoarthritis. Which of the following actions should the nurse take?
While providing care to a group of patients, which patient should the nurse see first?
When administering IV Amphotericin B to a client with a systemic fungal infection, the nurse should monitor the client for which of the following adverse effects of this medication?
Which disease requires strict isolation due to its mode of transmission?
What laboratory finding should the nurse expect in a child with an excess of water?

Access More Features

ATI Basic

  • 50,000 Questions with answers
  • All ATI courses Coverage
    • 30 days access @ $69.99

ATI Basic

  • 50,000 Questions with answers
  • All ATI courses Coverage
    • 90 days access @ $149.99