ATI Proctored Mental Health Question Bank PDF

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Best question bank for mental health RN proctored ATI. Over 100 questions on this file and will prepare you....

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This study source was downloaded by 100000786004990 from CourseHero.com on 11-21-2021 14:49:32 GMT -06:00

24. A nurse is caring for a client who has a depressive disorder and recently started taking a selective serotonin reuptake inhibitor. x Hyperpyrexia 25. A nurse is assessing a group of clients in a community health clinic. Select all that apply x A 7 yr old x A 2 yr old x An 80 yr old 26. A nurse is providing dietary teaching to a client who has a prescription for tranylcypromine. x Avocados 27. A nurse is planning care for a client who is taking benztropine to reduce extrapyramidal manifestations developed secondary to taking an antipsychotic medication. x Tachycardia 28. A nurse in a mental health clinic is assessing a client who has dependent personality disorder. x Avoids self-responsibility 29. A nurse is planning care for a client who is withdrawing from alcohol x Diazepam 30. A charge nurse is conducting an in-service for a group of newly licensed nurses about risk factor for child maltreatment. x A child who was born with a cleft lip and palate 31. A nurse in an acute mental health facility is caring for a client who has generalized anxiety disorder and suddenly begins pacing x Walk with the client while setting physical limits in her behavior 32. A nurse is caring for a client who has schizophrenia and is exhibiting violent behavior x Request that the provider see the client within 1 hr. 33. A nurse in a mental health facility is caring for a client who has frequent episodes of aggressive and violent behavior. (select all that apply) x Uses profanity x Clenches and unclenches the jaw x Maintains intense eye contact x Paces the floor 34. A nurse is assigning tasks to a licensed practical nurse and an AP. x Remain with the client who has anorexia nervosa following a meal 35. Med math x 15 ml 36. A nurse in an emergency department is preparing to discharge a client who has severe hypertension and requires detoxification for an alcohol use disorder x A residential rehabilitation programs 37. A nurse in an outpatient mental health facility is assessing a family unit that consists of grandparents, parents x Genogram 38. A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone x It does not cause physical dependence 39. A nurse is creating a plan of care for a client who has posttraumatic stress disorder (PTSD) x Assign the same staff to care for the client 40. A nurse in a mental health clinic received a phone call from a client who has a mental health and lives and home. x Case manager 41. A nurse is reviewing a laboratory report of a client who is taking olanzapine x Fasting blood glucose 140 42. A charge nurse on a mental health unit is discussing legal issue with a newly licensed nurse. x If a client threatens to seriously harm someone, the provider should notify that person of threat 43. A nurse in an acute care mental health facility is preparing a client for discharge. x Make appropriate referrals 44. A home health nurse is providing education for the family of a client who has dementia. x Limit fluid intake after the client’s evening meal 45. A nurse is assessing a client who has bipolar disorder and is experiencing mania. x The client refuses to drink fluids This study source was downloaded by 100000786004990 from CourseHero.com on 11-21-2021 14:49:32 GMT -06:00

46. A nurse is caring for a client who has bipolar disorder and is taking carbamazepine. x Ataxia 47. A nurse in an emergency department is caring for a school-age child who has lacerations and bruises inflicted by his mother x Your child will be privately interviewed about the incident 48. A nurse is counseling a client who has alcohol use disorder and has chosen to enter a treatment program. x Outpatient treatment program 49. A nurse is providing morning care for a client who has Alzheimer’s disease and has frequent outbursts of aggression. x Limit the client’s choices 50. A nurse is caring for a client who has schizophrenia and is experiencing frequent delusions x Identify the client’s feelings underlying the delusions 51. A nurse is caring for a client whose partner died 3 years ago. x Chronic grief 52. A nurse is planning care to assist a client with smoking cessation x Bupropion 53. A nurse is discussing resources with the case manager of a client who has schizophrenia and heart failure. x Patient-centered medical home 54. A nurse in an acute mental health facility is assessing a newly admitted client who has schizophrenia x Command hallucinations 55. A nurse is teaching a client about biofeedback therapy. x This therapy will help me recognize changes in my blood pressure 56. A nurse is assessing a client who is experiencing mild anxiety x Sharpened perceptions 57. A nurse is performing a mental status examination of a client x What did you have for dinner last night? 58. A nurse is creating a plan of care for a newly admitted client who has anorexia nervosa x Weigh the client daily after first voiding 59. A nurse is assessing a client for substance use disorder. Yawning, pupillary dilation x Heroin 60. A nurse in an emergency department is assessing an older adult client who was brought in by a family member. Select all that apply x Change in LOC x Decreased attention span x Hallucinations

This study source was downloaded by 100000786004990 from CourseHero.com on 11-21-2021 14:49:32 GMT -06:00

Alcohol withdrawal

A nurse is planning care for a client who is withdrawing from alcohol. Which of the following medications should the nurse plan to administer during the acute phase of alcohol withdrawal? Diazepam

Alcohol use disorder

A nurse is counseling a client who has alcohol use disorder and has chosen to enter a treatment program. The client states, "I need to >nd a program that won't interfere with my job." The nurse should identify which of the following community resources as being the least restrictive? Outpatient treatment program

Alzheimers

A nurse is providing morning care for a client who has Alzheimer's disease and has frequent outbursts of aggression. Which of the following actions should the nurse take? Limit the client's choices.

Agitated

A nurse is caring for a client who appears extremely agitated and believes that pacing the )oor a speci>c number of times is necessary or "something terrible" will happen. Which of the following responses should the nurse make? "It must be hard for you to have to pace the )oor. Let's talk about your feelings."

Aggressive & Violent behavior

A nurse in a mental health facility is caring for a client who has frequent episodes of aggressive and violent behavior. The nurse should identify which of the following >ndings as indications that the client is at risk for imminent violence? (Select all that apply.) Clenches and unclenches the jaw Maintains intense eye contact Paces the )oor Uses profanity to express emotions

Anorexia nervosa

A nurse is creating a plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include?

Weigh the client daily after >rst voiding. Anorexia Nervosa

A nurse is caring for an adolescent client who has anorexia nervosa. The client states, "Have I done any permanent damage to my body?" Which of the following responses should the nurse make? "You're afraid you have caused physical injury to yourself?"

Biofeedback therapy

A nurse is teaching a client about biofeedback therapy. Which of the following client statements indicates an understanding of the teaching? "This therapy will help me recognize changes in my blood pressure."

Benztropine

A nurse is planning care for a client who is taking benztropine to reduce extrapyramidal manifestations developed secondary to taking an antipsychotic medication. For which of the following adverse e4ects of benztropine should the nurse monitor? Tachycardia

Bipolar disorder

A nurse is checking laboratory values for a hospitalized young adult client who has bipolar disorder and is taking lithium. Which of the following values is the priority for the nurse to report to the provider? Serum creatinine 2.1 mg/dL

Bipolar disorder

A nurse is providing teaching to a client who has bipolar disorder and has been taking lithium for 4 months. The client's serum lithium levels are within the therapeutic range. Which of the following instructions should the nurse include to promote the maintenance of the therapeutic lithium level? "Limit outdoor exercise during hot weather."

Bipolar disorder

A nurse is assessing a client who has bipolar disorder and is experiencing mania. Which of the following >ndings is the priority for the nurse to report to the provider? The client refuses to drink )uids.

Bulimia nervosa

A nurse is assessing a client who has bulimia nervosa. Which of the following >ndings should the nurse expect?

Dental caries

Carbamezapine

A nurse is caring for a client who has bipolar disorder and is taking carbamazepine. The nurse should monitor the client for which of the following adverse e4ects? Ataxia

Community health clinic

A nurse is assessing a group of clients in a community health clinic. In which of the following situations should the nurse identify a requirement to report child or vulnerable adult maltreatment to an appropriate agency? (Select all that apply.) A 7-year-old child has a variety of old and new bruises on his back and posterior thighs A 2-year-old child has a spiral fracture of his arm, which the parent states happened when he fell from a swing An 80-year-old client who has dementia and lives in a group home has bruises in the perineal area

Conduct disorder

A nurse is developing a plan of care for an adolescent client who has conduct disorder. Which of the following interventions should the nurse include in the plan? Initiate a behavioral contract with the client.

Child maltreatment

A charge nurse is conducting an in-service for a group of newly licensed nurses about risk factors for child maltreatment. Which of the following examples should the nurse include in the teaching? A child who was born with a cleft lip and palate

Cancer

A hospice nurse is talking with the family of a client who recently died from cancer following a series of chemotherapy treatments. One of the adult children is angry with the provider and blames the provider for their father's death. Which of the following defense mechanisms is the family member using? Displacement

Depressive disorder

A nurse is caring for a client who has a depressive

disorder and recently started taking a selective serotonin reuptake inhibitor. For which of the following >ndings should the nurse monitor to identify serotonin syndrome? Hyperpyrexia Dependent personality disorder

A nurse in a mental health clinic is assessing a client who has dependent personality disorder. Which of the following >ndings should the nurse expect? Avoids self-responsibility

Delirium

A nurse in an emergency department is assessing an older adult client who was brought in by a family member. The family member reports that the client has had a change in behavior over the past 2 days. The nurse should identify that which of the following >ndings is an indication that the client has delirium? (Select all that apply.) Change in level of consciousness Decreased attention span Hallucinations

Demen!a

A home health nurse is providing education for the family of a client who has dementia. Which of the following interventions should the nurse recommend? Limit )uid intake after the client's evening meal.

Involuntary admi#ed

A nurse is caring for an adult client who was involuntarily admitted following a suicide attempt. The nurse receives a call from the client's spouse asking for a status report. Which of the following responses should the nurse make? "I cannot discuss your spouse's health information with you without his consent."

Informed consent

A nurse is assisting in obtaining informed consent from a client who is scheduled for vagus nerve stimulation. Which of the following actions should the nurse take to act as a client advocate? Ensure the client signs the form voluntarily.

Licensed prac!cal nurse

A nurse is assigning tasks to a licensed practical nurse and an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? Remain with a client who has anorexia nervosa following a meal.

Lacera!ons & bruises

A nurse in an emergency department is caring for a school-age child who has lacerations and bruises in)icted by his mother. The client's father states, "My wife was >red today and came home really angry. I don't think this will ever happen again." Which of the following responses should the nurse make? "Your child will be privately interviewed about the incident."

Family

A nurse in an outpatient mental health facility is assessing a family unit that consists of grandparents, parents, and several children. Which of the following tools should the nurse plan to use to assist in assessing this group of clients? Genogram

Fire

A nurse is caring for a client following a >re that destroyed her home and killed one of her children. The client is crying and does not make eye contact with the nurse. Which of the following questions should the nurse ask >rst? "Have you thought of harming yourself?"

Generalized anxiety disorder

A nurse in an acute care mental health facility is caring for a client who has generalized anxiety disorder and suddenly begins pacing, wringing her hands, and reporting numbness and tingling in her >ngers. Which of the following actions should the nurse take? Walk with the client while setting physical limits on her behavior.

Grief

A nurse is caring for a client whose partner died 3 years ago. The client has withdrawn socially and has not participated in regular activities since the funeral. The nurse should identify that the client is experiencing which of the following types of grief?

Chronic grief Generalized anxiety disorder

A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. The nurse should identify that which of the following outcomes is an advantage of buspirone? It does not cause physical dependence.

Legal issues

A charge nurse on a mental health unit is discussing legal issues with a newly licensed nurse. Which of the following statements should the charge nurse include? "If a client threatens to seriously harm someone, the provider should notify that person of the threat.

Hoarding disorder

A home health nurse is caring for a new client who has hoarding disorder that involves food. Which of the following actions should the nurse take >rst? Assist the client with completing the Hoarding Scale SelfReport.

Manic episode

A nurse is caring for a client who is experiencing a manic episode. Which of the following actions should the nurse take >rst? Encourage the client to rest each hour.

Mania

A nurse is caring for a client who is experiencing mania and is placed in seclusion due to escalating behavior. Which of the following actions should the nurse take? Check the client's physical needs every 15 min while in seclusion.

Mental status exam

A nurse is performing a mental status examination of a client. Which of the following questions should the nurse ask the client to assess their cognition? "What did you have for dinner last night?" A nurse in a mental health clinic receives a phone call from a client who has a mental health disorder and lives at home. The client reports they cannot a4ord to re>ll their prescription for an antipsychotic medication and requests assistance. Which of the following members of the client's health care team should the nurse notify? Case manager

Mental health disorder

Mild anxiety

A nurse is assessing a client who is experiencing mild anxiety. Which of the following >ndings should the nurse expect? Sharpened perceptions

Medica!on educa!on group

A nurse is leading a medication education group for several clients. A client who is sometimes violent becomes angry and begins yelling at others in the group. Which of the following actions should the nurse take? (Select all that apply.) Move others away from the client. O4er the client a PRN dose of lorazepam. Ask the client open-ended questions about the behavior.

Methylphenidate

A nurse is preparing to administer methylphenidate 30 mg PO to a school-age child who has ADHD. Available is methylphenidate oral solution 10 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 15 ml

One-one session

A nurse on a mental health unit is conducting a oneon-one session with a client who suddenly becomes silent. Which of the following responses should the nurse make? "I've noticed you have become quiet. Please share with me what you are thinking."

Olanzapine

A nurse is reviewing a laboratory report of a client who is taking olanzapine. Which of the following laboratory values should the nurse report to the provider? Fasting blood glucose 140 mg/dL

Partner violence

A nurse in a community program for clients who experience partner violence is planning secondary prevention strategies. Which of the following interventions should the nurse plan to include? Coordinating community resources for a hospitalized client.

Restraints

A charge nurse is planning an in-service for a group of newly licensed nurses about the use of restraints.

Which of the following information should the nurse include? Record the client's behavior every 15 min while in restraints.

Suicide a#empt

A nurse is planning care for a client following a suicide attempt. Which of the following interventions should the nurse include in the plan? Provide the client with plastic eating utensils.

Schizophrenia

A nurse is caring for a client who has schizophrenia and is exhibiting violent behavior. After sta4 members place the client in restraints, which of the following actions should the nurse take? Request that the provider see the client within 1 hr.

Schizophrenia

A nurse is caring for a client who has schizophrenia and is experiencing frequent delusions. Which of the following strategies should the nurse use when caring for the client? Identify the client's feelings underlying the delusions.

Schizophrenia

A nurse in an acute mental health facility is assessing a newly admitted client who has schizophrenia. Which of the following >ndings should the nurse identify as the priority to assess further? Command hallucinations

Schizophrenia & heart failure

A nurse is discussing resources with the case manager of a client who has schizophrenia and heart failure. Which of the following resources should the nurse recommend to address the client's behavioral health and medical needs? Patient-centered medical home (PCMH)

Smoking cessa!on

A nurse is planning care to assist a client with smoking cessation. Which of the following medications should the nurse expect the provider to prescribe? Bupropion

Severe hypertension

A nurse in an emergency department is preparing to discharge a client who has severe hypertension an...