Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse at a primary care clinic is assessing a client for manifestations of depression.
Which of the following client statements should the nurse identify as being consistent with depression?.
A. "I can't sit still. I feel like I need to be doing things around the house.”.
A rationale: This statement indicates restlessness, which is not typically associated with depression.
B. "I can't get my mind to stop racing at night.
B rationale: This statement indicates insomnia, which is a common symptom of depression.
C. "When I went to my provider, they told me I have high blood pressure.”.
C rationale: High blood pressure is not a symptom of depression.
D. "Lately, I feel like I am more alert than usual and can focus better.”.
D rationale: Increased alertness and focus are not typical symptoms of depression.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
This statement indicates restlessness, which is not typically associated with depression.
Choice B rationale:
This statement indicates insomnia, which is a common symptom of depression.
Choice C rationale:
High blood pressure is not a symptom of depression.
Choice D rationale:
Increased alertness and focus are not typical symptoms of depression.
Similar Questions
A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia.
Which of the following medications should the nurse anticipate the provider to prescribe for this client?.
A. Valbenazine
A rationale: Valbenazine is a medication approved by the FDA for treating tardive dyskinesia.
B. Diphenhydramine.
B rationale: Diphenhydramine is an antihistamine and is not used to treat tardive dyskinesia.
C. Naloxone.
C rationale: Naloxone is used to reverse opioid overdose, not tardive dyskinesia.
D. Fluoxetine.
D rationale: Fluoxetine is an antidepressant and does not treat tardive dyskinesia.
Full Explanation
Choice A rationale:
Valbenazine is a medication approved by the FDA for treating tardive dyskinesia.
Choice B rationale:
Diphenhydramine is an antihistamine and is not used to treat tardive dyskinesia.
Choice C rationale:
Naloxone is used to reverse opioid overdose, not tardive dyskinesia.
Choice D rationale:
Fluoxetine is an antidepressant and does not treat tardive dyskinesia.
A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?.
A. "This procedure will cause me to have brief seizures.”.
A rationale: ECT does cause brief seizures, which is a correct understanding of the procedure.
B. "One ECT treatment will be effective for my depression.”.
B rationale: One ECT treatment is usually not enough to effectively treat depression.
C. "I will not need to have a pre-ECT workup before the procedure.”.
C rationale: A pre-ECT workup is typically required before the procedure.
D. "I will be able to eat breakfast prior to my procedure.”. .
D rationale: Patients are usually required to fast before ECT due to the use of general anesthesia.
Full Explanation
Choice A rationale:
ECT does cause brief seizures, which is a correct understanding of the procedure.
Choice B rationale:
One ECT treatment is usually not enough to effectively treat depression.
Choice C rationale:
A pre-ECT workup is typically required before the procedure.
Choice D rationale:
Patients are usually required to fast before ECT due to the use of general anesthesia.
A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.
A. "I was in a car crash 2 weeks ago and I have nightmares when I sleep.”.
A rationale: The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
B. "I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.”.
B rationale: This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
C. "I was physically abused when I was a child and have frequent flashbacks since then.”.
C rationale: Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
D. "My parents fought a lot when I was a child.
D rationale: The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
Full Explanation
Choice A rationale:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.