Mental Health ATI PDF

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Mental Health 1. A nurse is teaching the family of a client who has Alzheimer’s disease about safety interventions for nighttime wandering. Which of the following interventions should the nurse include? A. Place the client’s mattress on the floor B. Encourage the client to take naps during the day C. Place rubber-backed throw rugs on tile floors D. Install locks at the bottom of the exit doors 2. A nurse in the emergency department is admitting a client who has a history of alcohol use disorder. The client has blood alcohol level of 0.26 mg/dL the nurse should anticipate a prescription for which of the following medication? a. Chlordiazepoxide b. Naltrexone c. Acamprosate d. Disulfiram 3. A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take? a. Caution the client against feeling angry at the sibling b. Recommend that the client participate in more solitary activities c. Explain to the client that the duration of grief is highly variable and can last for years d. Encourage the client to avoid discussion the events surrounding the sibling’s death 4. A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of alcohol use disorder. The nurse should identify that which of the following is a therapeutic effect of his medication? a. Reduces substances craving b. Prevents the anxiety of abstinence c. Decreases the likelihood of seizures d. Blocks aldehyde dehydrogenase 5. A nurse in a mental health facility is interviewing a newly admitted client who is related the nurse’s neighbor. The nurse should identify that which of the following must occur when establishing a therapeutic nurse-client relationship? a. The nurse seeks to spend extra time specifically with the client each day b. The nurse maintains confidentiality unless the client’s safety is compromised c. The client regards the nurse as a friend d. The client sees the nurse as an authority figure 6. A nurse is caring for a client who recently experienced the unexpected death of his child. Which of the following actions should the nurse take first? a. Identify the clients support system

Mental Health b. Request a prescription for alprazolam for the client c. Initiate a referral for the client to receive individual counseling d. Ask the client if he is thinking about self-care 7. A nurse in a mental health facility is interviewing a newly admitted client. Which of the following actions should the nurse take when conducting the interview? a. Insist the client use direct eye contact during the interview b. Seat the client at least 3.7 m from the nurse c. Position the client’s chair between the nurse’s chair and the door d. Lean in slightly when speaking to the client 8. A nurse is providing teaching to a client who has a substance use disorder and a new prescription for methadone. Which of the following information should the nurse include in the teaching? a. Monitor yourself for weight gain while taking this medication b. You should expect the medication to cause insomnia c. You might experience constipation while taking this medication d. Discontinue this medication if you develop a productive cough 9. A nurse is assessing a client who is taking chlorpromazine. The client’s dosage was decreased 3 months ago to reduce adverse effects. Which of the following findings should the nurse identify as an indication that the reduced dosage of chlorpromazine id effective? a. Decreased ringing in the ears b. Increased heart rate c. Decreased salivation d. Improved gait 10. A nurse is speaking with a client. Which of the following responses by the nurse demonstrate technique of reflections? a. I would like to sit with you for a while b. Let’s work together to try to solve your problem c. Can you tell me what is happening now d. You feel upset when this happens 11. A nurse is providing teaching about disulfiram to a client who has a history of alcohol disorder. Which of the following instructions should the nurse include in the teaching? (Select all that apply) a. You will need to take the medication once daily b. You can expect to develop a physical dependence to the medication c. You should avoid using mouthwash that contains alcohol d. You will receive treatment in an impatient setting e. You should avoid drinking carbonated beverages while taking this medication 12. a nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?

Mental Health a. b. c. d.

The client increases participation in social activities The client develops an inability to concentrate The client begins to sleep more than usual The client exhibits an inflated sense of self

13. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempt to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating? a. Compensation b. Displacement c. Rationalization d. Denial 14. A nurse is teaching a client who has a new prescription for phenelzine to treat depression. The nurse instructs the client to avoid foods with tyramine to prevent which of the following? a. Urinary retention b. Hypertensive crisis c. Cardiac toxicity d. Serotonin syndrome 15. A nurse is developing a plan of care for a school-age child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan? a. Use a reward system for appropriate behavior b. Assign the child to a room with another child of the same age c. Discourage the child making eye contact with caregivers d. Allow flexibility in the child's daily schedule 16. A nurse is caring for a school-age child who has conduct disorder and is in physical restraint after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take? a. Ask the provider to renew the prescription for the restraint every 24hr. b. Arrange an on-person evaluation by the child's provider within 2 hr of initiating restraint c. Monitor the child's vital signs every 15 min. d. Keep the restraint on for a minimum of 1hr. 17. A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendation should the nurse include in the plan? a. Contact a close relative of the client to discuss the discharge plan b. Refer the client to a self-help group c. Teach the client to practice systematic desensitization d. Request a discharge prescription for buprenorphine for the client 18. A nurse is caring for client who is recently experiencing the unexpected death of his child. Which of the following actions should the nurse take first?

Mental Health a. Initiate a referral for the client to receive individual counselling b. Ask the client if he is thinking about self-harm c. Identify the client's support system d. Request a prescription for alprazolam for the client 19. 19 A nurse is assessing a client who is withdrawing from heroin. Which of the following manifestations should the nurse expect? a. Hypotension b. Bradycardia c. Shared speech (slurred speech) MAYBE d. Hyperthermia 20. A nurse is creating a plan for a client who has anorexia. Which of the following should the nurse include in the plan? a. Weigh the client twice per week b. Set a weight gain goal of 2.2 kg(4.9 ib) per week c. Prepare the client for electroconvulsive therapy d. Encourage the client to participate in family therapy 21. 21 A nurse is assessing a client who has bipolar disorder and is transitioning from hypomania to mania. Which of the following findings should the nurse expect? a. Anhedonia b. Withdrawal c. Anger d. Flat affect 22. A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take? a. Encourage the client to avoid discussing the events surrounding the sibling's death b. Recommend that the client participate in more solitary activities c. Caution the client against feeling angry at the sibling d. Explain the client that the duration of grief is highly carriable and can last for years 23. A nurse is reviewing the medical records of a client who has anorexia nervous. Which of the following findings should the nurse report to the provider? a. Intake b. Temperature c. Edema d. Heart rhythm 24. A nurse in an emergency department is caring for a client following a domestic dispute. The client states, "Nothing seems to go right for me and probably never will." Which of the following statements should the nurse make? a. A. You should remove yourself from this situation now b. B. What have you done to change your situation c. C. We will help you through this. You'll be fine d. D. Are you thinking about harming yourself

Mental Health 25. A nurse is obtaining medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider? a. A. Hepatitis B infection b. B. Knee arthroplasty 1 month ago c. C. Recent head injury d. D. Hypothyroidism 26. A nurse is speaking to a former high school friend. friend states. “I heard one of our high school teachers were admitted to your hospital. Is everything okay? Which of the following response should the nurse make? a. I recommend you contact the hospital to see if she has been admitted b. I think that you should contact the high school for information about her c. I can only discus the status of a client with the client's family d. I cannot discuss the care of anyone who might be hospitalized in our facility 27. A nurse is providing teaching for a newly licensed nurse about the constructive use of defense mechanism. Which of the following examples should the nurse include in the teaching? a. A student who is upset about her teacher writes a story about an excellent student b. A school-age child whose mother died 2 years ago talks about her present tense c. An adult who was sexually abused as a child in unable to remember incident d. A woman who has a health concern postpones a medical appointment until after a vacation 28. A nurse in a mental health facility is interviewing a newly admitted client who is related to the nurse's neighbor. The nurse should identify that which of the following must occur when establishing a therapeutic nurse-client relationship? a. The nurse seeks to spend extra time specifically with the client each day b. The client regards the nurse as a friend (chegg had this one) c. The nurse maintain confidentiality unless the client safety is compromised (I think this one) d. The client sees the nurse as an authority figure 29. A nurse is caring for a patient who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Encourage the client to join group activities b. Administer methylphenidate to the client c. Provide detailed explanations to the client d. Dim the lights in the client's room 30. After assessing a client in a crisis situation, a nurse determines the client is safe. Which of the following actions should the nurse take first?

Mental Health a. b. c. d.

Help the client identify social support Involve the client in planning interventions Assist the client to lower his anxiety level Teach the client specific coping skills to handle stressful situations...