NUR 325 ATI Quiz questions
1. A nurse is caring for a client who lost all his possessions in a house fire and states, "i have no
idea what i am going to do. I cannot even think right now". Which of the following actions
should the nurse take?
A-Identify other housing options and sources of transportation
B- notify the facility chaplain to request scheduling an appointment
c- confirm that everything will be alright because belongings can be replaced
d- d-maintain eyecontact with client and summarize the client's feelings
Answer
e- this demonstrates therapeutic communication. during the initial interview, it is important for
the nurse to provide an atmosphere of support and safety. If a person believes that someone is
genuinely concerned, then he may believe that help is available.
Maintaining eye contact demonstrates support, empathy, and advocacy.
- do not offer false hope, instead focus on the feelings of the client and his unique response to
the crisis
-you should help the client identify sources of support ( do not do it for them or presume what is
best
- it can be overwhelming to the client to think about housing and transportation and they are
immediate needs but right now the nurse should focus on the feelings of the client
2. A nurse is assessing a client who is experiencing chronic stress. Which of the following
findings should the nurse expect?
a- Hypotension
b- viral infection
c- increased energy
d- increased cognitive awareness
Answer
B-viral infection because chronic stress can cause a decreased immune response which leads to
viral or bacterial infections
-the nurse should expect to find the client hypertensive due to increased cardiac tone from the
response to chronic stress
- you would expect to find decreased energy and decreased memory and ability to learn
3. A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is
distressed after an insulin injection. Which of the following play activities should the nurse
,recognize is therapeutic in helping the child deal with the injection?
a- a needless syringe and a doll
b- a video game
c- a story book about a child who has diabetes
d- a period of play in the playroom
Answer
a- this a therapeutic activity for a child because they will allow the child to act out feelings of
anger and helplessness
-a video game is a distraction, the activity book does not provide an outlet for working out the
feelings that a child is unable to verbalize, playing in the playroom is not therapeutic in this
activity
4. A nurse is admitting a client who has experienced a weight-loss of 11 kg/25 Lbs in 3 months.
The client weighs 40 kg(88lbs) and believes she is fat. Which of the following aspects of care
should the nurse consider the first priority of care for this client?
a- identify the client's nutritional status
b- request a mental health consult
c-plan a therapeutic diet for the client
d- provide a structured environment for the client
Answer
A- according to the nursing process the nurse should perform an assessment first to gather data
regarding nutritional status and other findings in order to plan, implement, and evaluate care.
- mental health consult might be necessary but another aspect of care is priority
-it is important to provide structured environments for the client regarding meal times, for
weighing, and monitoring eating- but other aspects of care is the priority
5. A nurse at a college campus mental health counseling center is caring for a student who just
failed an exam. The student spends the session berating the teacher and the course. The nurse
should recognize this behavior as which of the following defense mechanisms?
a- conversion
b- projection
c- undoing
, d- regression
Answer
B- the client is refusing to acknowledge unacceptable personal characteristics and transfers
feelings, thought and traits onto another person.
-conversion as a defense mechanism in which the client unconsciously expresses emotional
conflict via physical symptoms - such as paralysis or loss of sensory function
-undoing is a defense mechanism in which the client takes an action to make up for a wrong
action or statement
-regression is a defense mechanism in which the client adopts a more primitive, immature
behavior in response to an unwanted situation
6. a nurse is caring for a client who was involved in a heavy combat and observed war
casualties. The nurse should suspect that the client is suffering PTSD if the client makes which
ofthe following statements?
a- "I check any room I enter because the enemy is still after me and could be hiding anywhere"
b- " My child was born with a birth defect due to an exposure I had overseas"
c- "I killed four enemy soldiers with my bare hands and saved my entire battalion."
d- "In my dreams, all I can see are the wounded reaching out and trying to grab me."
Answer
d- Many clients with PTSD repeatedly re-experience the ordeal in the form of flashback
episodes, memories, nightmares, or frightening thoughts, especially when exposed to events or
objects reminiscent of the trauma.
7. a nurse is caring for a group of clients on a mental health unit. Which of the following should
the nurse recognize as a maladaptive defense mechanism?
a- a client slams a drawer after misplacing her wallet
b- a man buys his partner a gift after flirting with his secretary
c- a client forgets to schedule needed appointments when fearing chemotherapy
d- a client ignores the thought of pain when scheduled for oral surgery
Answer
c- repression occurs when a person deals with anxiety by unconsciously putting the
unacceptable/ stressful thought out of their mind. This is considered maladaptive because it is
interfering with healthy functioning aka not getting chemo
8. a nurse is assessing a parent who lost a 12- year-old child in a car crash 2 years ago. Which
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