a patient is diagnosed with major depressive disorder which nursing diagnosis should be the priority a patient is diagnosed with major depressive disorder which nursing diagnosis should be the priority
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Nursing Elites

ATI LPN

ATI Mental Health Practice A 2023

1. When a patient is diagnosed with major depressive disorder, which nursing diagnosis should be the priority?

Correct answer: B

Rationale: The priority nursing diagnosis for a patient diagnosed with major depressive disorder is 'Risk for suicide.' This is the priority as it addresses the immediate risk of self-harm in individuals suffering from major depressive disorder. Monitoring and intervening to prevent self-harm take precedence over other nursing diagnoses in this scenario.

2. Which of the following foods is high in indispensable amino acids?

Correct answer: D

Rationale: The correct answer is D, eggs. Eggs are considered a high-quality protein source as they are rich in indispensable amino acids. Lentils, tofu, and peanuts also contain protein but are not as high in indispensable amino acids as eggs, making them less complete protein sources.

3. A client has a new prescription for metformin. Which of the following instructions should the nurse include?

Correct answer: C

Rationale: The correct instruction for a client starting metformin is to increase fluid intake. This is crucial to prevent gastrointestinal discomfort, a common side effect of metformin. Adequate hydration can also help reduce the risk of kidney problems associated with metformin use. Choices A, B, and D are incorrect. While it's generally recommended to take metformin with food to reduce stomach upset, monitoring for signs of hypoglycemia is more relevant for other antidiabetic medications, and a metallic taste in the mouth is not a common side effect of metformin.

4. For which of the following is informed consent required?

Correct answer: D

Rationale: Informed consent is required when asking a patient to participate in a research study, as mentioned in choice D. Choices A, B, and C involve routine care measures that do not require specific informed consent. Ordering a liquid diet, providing saline solution for dry nasal passages, or listening to a patient's personal secrets are part of standard care and do not typically necessitate formal consent beyond general consent for treatment.

5. A client has a new prescription for lisinopril. Which of the following instructions should the nurse include?

Correct answer: A

Rationale: The correct answer is to instruct the client to monitor their blood pressure daily. Lisinopril is known to cause hypotension, so monitoring blood pressure regularly is essential to detect any potential issues early on. Choice B is incorrect as lisinopril is usually taken on an empty stomach. Choice C is incorrect as lisinopril can increase potassium levels, so additional intake of potassium-rich foods may lead to hyperkalemia. Choice D is incorrect because grapefruit juice can interact with lisinopril, leading to adverse effects.

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