RNSG 2363: ATI MOOD
AND AFFECT QUIZ EXAM
TEST Q & A
I. A nurse in an acute care mental health facility is caring for a client who has depression.
After 3 days of treatment, the nurse notices that the client suddenly seems cheerful
and relaxed and there are no longer signs of depressive state. Which of the following
interventions is appropriate to include in the plan of care?
a. Encourage family to take the client out of the facility for short periods of time
b. Reward the client for her change in behavior
c. Monitor the client’s whereabouts at all times
d. Ask the client why her behavior has changed
*Clients who have depression and exhibit a sudden change in behavior are at a risk
and suicide precautions should be included in the plan of care. Antidepressant
medications generally take 1 to 3 weeks before improvement is seen. A cheerful
mood with no signs of depressive state 3 days after treatment begins might
indicate that the client has made a decision to commit suicide.
II. A nurse asks a client who is suicidal to make a safety contract, but the client declines.
Which of the following actions should the nurse identify as the priority?
a. Lock the doors to the unit and secure windows so they cannot be opened
b. Provide the client with plastic eating utensils for meals
c. Remove any objects from the client’s environment that could be used for self-harm
d. Assign a staff member to stay with the client at all times
*The greatest risk to this client is self-injury during unsupervised time; therefore,
the nurse should identify the priority action is to assign a staff member to stay with
the client at all times. The staff member can monitor all of the client’s behaviors
and actions and prevent the client from harming herself.
III. A nurse is caring for a client who has major depressive disorder and attempted suicide.
The
, RNSG 2363: ATI MOOD
AND AFFECT QUIZ EXAM
TEST Q & A
client tells the nurse, “I should have died because I am totally worthless.” Which of
the following responses should the nurse make?
a. “You have a great deal to live for.”
b. “It’s not unusual for depressed people to feel this way.
c. “Why do you feel you are worthless?”
d. “You’ve been feeling that your life has no meaning.”
*This open-ended statement uses the communication tool of empathy and
addresses the client’s feeling of worthlessness. This therapeutic response
communicates to the client that the nurse was listening, and it will encourage the
client to talk further about personal feelings.
IV. A nurse is reviewing medications for a newly admitted client who has bipolar disorder
and is
experiencing mania. Which of the following client prescriptions should the nurse realize
is expected to reduce the client’s mania?
a. Fluvastatin
b. Carbamazepine
*Carbamazepine, an anti-seizure medication and a mood stabilizer, is prescribed
to treat and prevent mania in clients who have bipolar disorder.
c. Lorazepam
d. Propranolol
V. A nurse is caring for a client who has bipolar disorder and has been taking lithium
for 1 year. Before administering the medication, the nurse should check to see that
which of the following tests have been completed?
a. Thyroid hormone assay
*Thyroid testing is important because long-term use of lithium may lead to thyroid
dysfunction.
b. Liver function tests
c. Erythrocyte sedimentation rate
AND AFFECT QUIZ EXAM
TEST Q & A
I. A nurse in an acute care mental health facility is caring for a client who has depression.
After 3 days of treatment, the nurse notices that the client suddenly seems cheerful
and relaxed and there are no longer signs of depressive state. Which of the following
interventions is appropriate to include in the plan of care?
a. Encourage family to take the client out of the facility for short periods of time
b. Reward the client for her change in behavior
c. Monitor the client’s whereabouts at all times
d. Ask the client why her behavior has changed
*Clients who have depression and exhibit a sudden change in behavior are at a risk
and suicide precautions should be included in the plan of care. Antidepressant
medications generally take 1 to 3 weeks before improvement is seen. A cheerful
mood with no signs of depressive state 3 days after treatment begins might
indicate that the client has made a decision to commit suicide.
II. A nurse asks a client who is suicidal to make a safety contract, but the client declines.
Which of the following actions should the nurse identify as the priority?
a. Lock the doors to the unit and secure windows so they cannot be opened
b. Provide the client with plastic eating utensils for meals
c. Remove any objects from the client’s environment that could be used for self-harm
d. Assign a staff member to stay with the client at all times
*The greatest risk to this client is self-injury during unsupervised time; therefore,
the nurse should identify the priority action is to assign a staff member to stay with
the client at all times. The staff member can monitor all of the client’s behaviors
and actions and prevent the client from harming herself.
III. A nurse is caring for a client who has major depressive disorder and attempted suicide.
The
, RNSG 2363: ATI MOOD
AND AFFECT QUIZ EXAM
TEST Q & A
client tells the nurse, “I should have died because I am totally worthless.” Which of
the following responses should the nurse make?
a. “You have a great deal to live for.”
b. “It’s not unusual for depressed people to feel this way.
c. “Why do you feel you are worthless?”
d. “You’ve been feeling that your life has no meaning.”
*This open-ended statement uses the communication tool of empathy and
addresses the client’s feeling of worthlessness. This therapeutic response
communicates to the client that the nurse was listening, and it will encourage the
client to talk further about personal feelings.
IV. A nurse is reviewing medications for a newly admitted client who has bipolar disorder
and is
experiencing mania. Which of the following client prescriptions should the nurse realize
is expected to reduce the client’s mania?
a. Fluvastatin
b. Carbamazepine
*Carbamazepine, an anti-seizure medication and a mood stabilizer, is prescribed
to treat and prevent mania in clients who have bipolar disorder.
c. Lorazepam
d. Propranolol
V. A nurse is caring for a client who has bipolar disorder and has been taking lithium
for 1 year. Before administering the medication, the nurse should check to see that
which of the following tests have been completed?
a. Thyroid hormone assay
*Thyroid testing is important because long-term use of lithium may lead to thyroid
dysfunction.
b. Liver function tests
c. Erythrocyte sedimentation rate
