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ATI MENTAL HEALTH EXAM COMPILATION-UPDATED 2022, GUARANTEED HIGH SCORING GRADES(A+) 1000+ QUESTIONS
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ATI MENTAL HEALTH PROCTORED UPDATED 2022 145 QUESTIONS & ANSWERS (100% CORRECT ANSWERS) A+
1. A client who has anorexia nervosa is more likely to have _____ resulting from extreme malnutrition. - lanugo 2. a client who has bulimia nervosa is l... [Show More] ikely to have _______ caused by frequent exposure to gastric acid from vomiting. - dental caries and tooth erosion 3. extreme distractibility is a hallmark manifestation of _______. - delirium 4. criteria for hospitalization is weight loss over 30% of total body weight in _____months. - 6 5. severe hypothermia, a temperature lower than ________ due to loss of subcutaneous tissue or dehydration, requires hospitalization. - 96.8 6. fine hand tremors are an expected adverse effect of _____ and ca interfere with the client's ADLs, causing the client to stop taking the medication. - Lithium 7. the nurse should encourage the client to drink _____ of fluid each waking hour to maintain hydration. - 125 mL 8. an initial response to amitriptyline can develop in 1 week. For a client who has been severely depressed with suicidal ideation, the energy to carry out a plan is ____. - more possible after 1 week of treatment 9. clients who are taking tranylcypromine, an MAOI-antidepressent, should not take _____and other OTC medications for sinus, congestion, colds or allergies due to their actions on the sympathetic nervous system, which can results in severe hypertension. - phenylephrine 10. the nurse should identify that mild cognitive impairment, such as frequently misplacing objects, is one of the first manifestations expected to occur for a client who has ____. - Alzheimer's Disease 11. a client who is experiencing ___ is expected to have hypertension, tachycardia, and a fever greater than 38.3 (101 F) - alcohol withdrawal 12. a client who is experiencing alcohol withdrawal can experience profuse sweating and _____ pupils - dilated 13. benztropine is used to treat parkinsonism manifestations, such as _____ - shuffling gait 14. St. John's wort is an herbal preparation that decreases reuptake of serotonin. The nurse should advise the client that taking St. John's wort with another medication that also inhibits the reuptake of serotonin, such as ____, placed the client at risk for - paroxetine 15. _____ is common in clients who have depression. The nurse should allow the client extra time to comprehend and formulate an answer to the question. - slowed response time 16. The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate, and elevated blood pressure. ____ acts rapidly to prevent seizures, stabilize vital signs and decrease the intensity of withdrawal manifestations - IV Diazepam 17. it is the ____ responsibility to confront the staff member about her behavior toward the client. - charge nurse and the nurse manager 18. clients who have ____ can disrupt the therapeutic milieu for other clients. Therefore, the nurse should move this client to a private room. - bipolar disorder 19. the nurse should document the client's behavior every ____ while the client is in seclusion. - 15-30 min 20. the nurse should assess the client's behavior frequently during seclusion and should renew the prescription for seclusion for an adult client every ____ for a maximum of 24 hour. - 4 hr 21. normal levels of sodium and fluid need to be maintained to ensure adequate excretion of ____, - Lithium 22. The nurse should monitor the child for ___, which is an adverse effect of methylphenidate - tachycardia 23. a traumatic even that causes severe stress is a trigger for _____. - dissociative amnesia 24. Clients who have ____ need excessive input from others to make everyday decisions. - Dependent Personality Disorder 25. The nurse should teach the client that he is not responsible for his disorder but he is responsible for his ______. - Recovery 26. Envisioning oneself in a peaceful, calm environment enhances relaxation and is an example of using ____. - guided imagery 27. The rapid transition from on emotion to another and is a primary feature of borderline personality disorder. Clients who have borderline personality disorder react to situations with emotional responses that are out of proportion to the circumstances. - Emotional lability 28. The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Therefore, the priority intervention is to _____. - remove unnecessary equipment from the child's surroundings. 29. The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to monitor the client's ___ during ECT via an electrocardiogram. - cardiac rhythm. 30. The nurse should frequently offer the client, high-calorie foods that can be eaten while the client is on the go. Clients experiencing ____ might be unable to sit down for meals and can experience weight loss and dehydration. - mania 31. A sodium level of 128 mEq/L should alert the nurse that the client is at risk for _____ because renal excretion of lithium is decreased in the presence of low sodium level. - Lithium toxicity 32. Clozapine can cause agranulocytosis, which can be fatal due to overwhelming infection. The nurse should identify a WBC below ______ as a possible manifestation of agranulocytosis and should withhold the medication and notify the provider. - 3000/mm3 33. This is an example of secondary prevention. By _____ the nurse can identify individuals who are at risk fr intimate partner abuse in the community and can take the necessary steps to address individual client needs. - establishing screening programs. 34. positive symptoms of schizophrenia usually appear suddenly and are alterations in behavior, perception, speech and thought. ____ are examples of positive symptoms. - delusions and an inability to think abstractly. 35. a child who has autism spectrum disorder usually has a ______ - language delay 36. _______ is a manifestation of depression and early identification of findings can lead to early intervention. - decreased social involvement. 37. The client experiences a situation crisis when ____ - an unexpected event occurs. 38. The hospitalization of the mentally ill act of 1964 requires that clients admitted to an inpatient mental health facility have a right to ______ - individualized treatment 39. The nurse should expect the client who is experiencing opioid withdrawal to have _____ and flu-like manifestations such as yawning, sneezing, and abdominal pain - rhinnorhea 40. Fluoxetine is a selective serotonin reuptake inhibitor that can cause ______ such as anorgasmia and impotence - sexual dysfunction 41. ECT can be used when: - 1.There is a need for rapid definitive response for a client who is suicidal 2.Bipolar disorder with rapid cycling 3.Mania and have not responded to medication therapy 42. During acute mania, the client is extremely active and _____, which can lead to relapse. - does not sleep 43. low weight, electrolyte imbalances, starvation and dehydration causes _____. - orthostatic hypotension 44. according to evidence-based practice, the nurse should first inform the client about ____ during the orientation phase of the nurse-client relationship. - confidentiality. 45. a stage IV pressure ulcer on an older adult client who is bedbound can indicate physical neglect and warrants____. - mandatory reporting 46. succinylcholine is a muscle -paralyzing agent that will ____ during the procedure so that injury is less likely to occur. - decrease muscle movement. [Show Less]
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ATI Mental Health Ch 1-15 70 QUESTIONS & ANSWERS(100% CORRECT) RATED A+
A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicate... [Show More] s a need for further teaching? A. "To assess cognitive ability; I should ask the client to count backwards by 7." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability; I should instruct the client to write a sentence." D. To assess remote memory; I should have the client repeat a list of objects." - D. To assess remote memory; I should have the client repeat a list of objects." A nurse is planning care for a client who has a mental health disorder. Which of the following is appropriate to include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy B. Teach the client appropriate coping mechanisms C. Assess the client for comorbid health conditions D. Monitor the client for adverse effects of medications - D. Monitor the client for adverse effects of medications A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following is the highest priority action? A. Respect the client's need for personal space B. Identify the client's perception of her of her own mental health status C. Include the client's family in the interview D. Teach the client about her current mental health disorder - B. Identify the client's perception of her of her own mental health status A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which of the following is an expected finding? A. The client arouses briefly in response to a sternal rub B. The client has a Glasgow Coma Scale score less than 7 C. The client exhibits decorticate rigidity D. The client is alert but disoriented to time and place - A. The client arouses briefly in response to a sternal rub A nurse is planning a peer group discussion about the DSM-5. Which of the following is appropriate to include in the discussion? (select all that apply) A. The DSM-5 is used to identify mental health disorders B. The DSM-5 establishes diagnostic criteria C. The DSM-5 indicates recommended pharmacological treatment D. The DSM-5 assists nurses in planning care E. The DSM-5 indicates expected assessment findings - A. The DSM-5 is used to identify mental health disorders B. The DSM-5 establishes diagnostic criteria D. The DSM-5 assists nurses in planning care E. The DSM-5 indicates expected assessment findings Which of the following is an example of a client who requires emergency admission to a mental health facility? - C- A client with borderline personality disorder who assaulted a homeless man with a metal rod A client tells a student nurse "don't tell, but I hid a knife under my mattress to protect myself from my room mate" which action should the nurse take? - C - Tell the client that this must be reported to health care staff because it concerns the health and safety of others A nurse puts a client who has psychosis in seclusion overnight because the unit is short-staffed and the client fights with others, example of? - B - a tort, false imprisonment A nurse is caring for a client in restraints. Which is appropriate documentation? - B,C,D - Client was offered 8 oz of water every hr, client shouted at assistive personnel, client received thorazine 15 mg by mouth at 1000 A nurse hears a newly licensed nurse discussing a clients hallucinations in the hallway with another nurse, which action should she take first? - B- tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation - D. Intonation A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating - D. Restating A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication? A. Offering advice B. Reflecting meaning C. Listening attentively D. Giving information - A. Offering advice A nurse is conducting therapy with a several clients and their families. Effective communication with clients and families is based on A. discussing in-depth topics with which the client feels comfortable. B. using silence to avoid unpleasant or difficult topics. C. attending to verbal and nonverbal behaviors. D. requiring the client and family to ask for feedback. - C. attending to verbal and nonverbal behaviors. When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response? A. "I think your son is getting better. What have you noticed?" B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically." - D. "I understand you're concerned. Let's discuss what concerns you specifically." A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." Which of the following defense mechanisms is the client using? A.Reaction formation B.Denial C.Displacement D.Sublimation - B.CORRECT: This is an example of denial, which is pretending the truth is not reality to manage the anxiety of acknowledging what is real. A nurse is obtaining informed consent for a client who has just learned she must have a breast biopsy. The client is perspiring and pale, has a respiratory rate 30/min, and says, "I don't quite understand what you're trying to tell me." The nurse should assess the client's anxiety as which of the following? A.Mild B.Moderate C.Severe D.Panic - B.CORRECT: Moderate anxiety decreases problem-solving and may hamper one's ability to understand information. Vital signs may increase somewhat, and the person is visibly anxious. A nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an appropriate nursing intervention when trying to give necessary information to the client? [Show Less]
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ATI Mental Health - Chapters 1-11 and 21 (53 QUESTIONS & ANSWERS) RATED A+
A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicati... [Show More] ons an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." - A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy B. Teach the client appropriate coping mechanisms C. Assess the client for co-morbid health conditions D. Monitor the client for adverse effects of medications - D. Monitor the client for adverse effects of medications A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services B. Identify the client's perception of her mental health status C. Include the client's family in the interview D. Teach the client about her current mental health disorder - D. Teach the client about her current mental health disorder A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A. The client arouses briefly in response to a sternal rub B. The client has a Glasgow Coma Scale score less than 7 C. The client exhibits decorticate rigidity D. The client is alert, but disoriented to time and place - A. The client arouses briefly in response to a sternal rub A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Which of the following information is appropriate to include in the discussion? (Select all that apply) A. The DSM-5 includes client education handouts for mental health disorders B. The DSM-5 establishes diagnostic criteria for individual mental health disorders C. The DSM-5 indicated recommended pharmacological treatment for mental health disorders D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders - B. The DSM-5 establishes diagnostic criteria for individual mental health disorders D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? A. A client who has schizophrenia with delusions of grandeur B. A client who has manifestations of depression and attempted suicide a year ago C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to himself - C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment C. Assault D. Battery - B. False imprisonment A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? A. Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince him to admit to hiding the knife B. Keep the client's communication confidential, but watch the client and his roommate closely C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others D. Report the incident to the health care team, but do not inform the client of the intention to do so - C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all that apply) A. "Client ate most of his breakfast." B. "Client was offered 8 oz. of water every hour." [Show Less]
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ATI mental health 2 UPDATED 2022 40 QUESTIONS & ANSWERS-RATED A+
1. A nurse is reviewing the health hx of a young adult client who has a depressive disorder. What factors should the nurse identify as increasing the clien... [Show More] t's risk for depression? a. client is an only child b. client lives in an urban setting c. client is married d. client is female - d. client is female 2. A nurse is caring for a client who has OCD. The client engages in repeated hand washing daily. What should the nurse recognize as the purpose of the client's behavior? a. relieving anxiety b. gaining attention c. avoiding daily responsibilities d. responding to auditory hallucinations - a. relieving anxiety 3. A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. What finding should the nurse expect? a. bradycardia b. increased somnolence c. slurred speech d. headache - d. headache 4. A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as me, see, bee, tree. The nurse recognizes that the client is demonstratting what positive manifestations of schizophrenia? a. clang association b. echolalia c. magical thinking d. word salad - a. clang association 5. A nurse is assessing a client who has been taking thioridazine for several days. The client reports hand tremors, drooling, rigid extremities. What actions should the nurse take? a. reassure the client that these effects are expected b. administer diazepam c. encourage deep breathing and relaxation d. administer benztropine - d. administer benztropine 6. A nurse is caring for a client who has OCD. What actions should the nurse take when dealing with the client's ritualistic behaviors? a. plan the client's schedule to allow time to perform rituals b. verbalize disapproval of ritualistic behavior c. place the client in protective isolation d. increase stimuli in client's immediate surroundings - a. plan the client's schedule to allow time to perform rituals 7. A nurse is assessing a client who has an anxiety disorder and is taking benzodiazepine. For what adverse effect should the nurse monitor the client? a. seizures b. dizziness c. polyuria d. insomnia - b. dizziness 8. A nurse in a mental health clinic is assessing a client who has a hx of mania. What finding indicates that the client is experiencing a relapse? a. weight gain b. ritualistic behavior c. anhedonia d. pressured speech - d. pressured speech 9. A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. What action should the nurse take first? a. identify the cause of anxiety b. instruct the client to take slow, deep breaths c. teach the client how to use positive self-talk d. explain the physical manifestations of anxiety to the client - b. instruct the client to take slow, deep breaths 10. A nurse is providing teaching to a client who has a new script for phelezine. The nurse should teach the client that which of the following OTC meds can cause hypertensive crisis when taken with phenelzine? a. acetaminophen b. ranitidine c. naproxen d. pseudoephedrine - d. pseudoephedrine 11. A nurse is providing teaching to a cleint who has a new script for alprazolam. What is the priority info the nurse should include in teaching? a. this med can affect yourability to drive or handle mechanical equipment b. you should avoid drinking beverages that contain caffeine with this medication c you should avoid taking antacids within 2 hrs of taking this med d. this med should be taken with/shortly after meals - a. this med can affect yourability to drive or handle mechanical equipment 12. A nurse in the ED is assessing a client who has cocaine intoxication. What finding should the nurse expect? a. pinpoint pupils b. drowsiness c. nystagmus d. hypervigilance - d. hypervigilance 13. A nurse in an outpt mental health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations. What action should the nurse take first? a. teach the client strategies to decrease hallucinations b. identify if the client is on antipsychotic meds c. distract the client from the hallucination d. explore what the voices are saying to the client - d. explore what the voices are saying to the client 14. A nurse is providing d/c teaching for a client who has a new script for doxepin. What adverse effects should the nurse inform the client is associated with this medication? a. wt loss b. diarrhea c. drowsiness d. bradycardia - c. drowsiness 15. A school nurse is caring for an adolescent client who has a hx of depressive episode 1 yr ago. He appears withdrawn from social activities and his school performance is declining. What action should the nurse take first? a. initiate a structured daily schedule of activities b. conduct a suicide-risk assessment c. encourage the client to express his feelings in a journal d. ask teacher to monitor for other signs of depression - b. conduct a suicide-risk assessment 16. A nurse is assessing a client who has schizophrenia. The client states, I need to get my gummamoshu from by my house. The nurse recognizes this statement as an example of what? a. flight of ideas b. echolalia c. perseveration d. neologism - d. neologism 17. A nurse is providing teaching to a client who has generalized anxiety disorder and a new script for buspirone. What statement by the client indicates an understanding of the teaching? a. this medication can cause dependence b. i should take a dose of my med when i start to feel anxious c. its important for me to take my med 30 min before bedtime d. i should expect to fell the full effect of my med in 2-4 weeks - d. i should expect to fell the full effect of my med in 2-4 weeks 18. A nurse is caring for a client who is taking a tricyclic antidepressant. What adverse effect should the nurse report to the provider immediately? a. dry mouth b. constipation c. drowsiness d. urinary retention - d. urinary retention 19. A nurse is caring for a client who has dementia. What finding should the nurse expect? a. altered LOC b. impaired judgment c. rapid change in personality d. disturbances in perception - b. impaired judgment 20. A nurse in a mental health facility is caring for a client who has generalized anxiety disorder. What statement should the nurse make? a. we'll assist you with making decisions b. someone will work with you when you have flashbacks c. you'll be going through aversion therapy to help you cope d. the therapy will help you control your impulses - a. we'll assist you with making decisions 21. A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompainment. What attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse should identify that the client is exhibiting what disorder? a. agoraphobia b. PTSD c. panic disorder d. OCD - a. agoraphobia 22. A nurse is providing teaching to a client who has a new script for diazepam. What instructions should the nurse include in the teaching? a. expect this med to make you feel anxious b. this med can be habit-forming c. take this med on an empty stomach d. this med takes 2-3 weeks to reach full therapeutic effect - b. this med can be habit-forming 23. A nurse is providing teaching to a client who has a new script fo chlorpromazine. What statement should the nurse make? a. this med is a tricyclic antidepressant and will improve your mood b. this med is an opioid antagonist that blocks the pleasurable effects of alcohol c. this med is an antipsychotic that controls manifestations of schizophrenia d. this med is a cholinesterase inhibitor that slows the progression of dementia - c. this med is an antipsychotic that controls manifestations of schizophrenia 24. A nurse is reviewing the lab report of a client who has been taking lithium carbonate for several months. What level should the nurse recognize as a therapeutic lithium level? a. 1.2 b. 1.6 c. 2.0 d. 2.5 - a. 1.2 25. A nurse is assessing a client who has been taking an antipsychotic med for 6 years and the provider has started tapering off the dosage. The nurse should monitor the client for what manifestation of tardive dyskinesia? a. muscular weakness b. muscle spasms c. involuntary tongue protrusion d. uncontrolled eye rolling - c. involuntary tongue protrusion 26. A nurse is caring for a client who has severe anxiety disorder and is in a state of panic in the dayroom. What action should the nurse take? a. speak to the client in a calm voice b. leave the client alone to regain control c. encourage the client to express her feelings d. place the client in restraints - a. speak to the client in a calm voice 27. A nurse is assessing a client who has a psychotic disorder and a new script for haloperidol. The client is pacing in the hallway and states, I can't seem to sit still. What extrapyramidal side effect is the client likely experiencing? a. dystonia b. parkinsonism c. tardive dyskinesia d. akathisia - d. akathisia [Show Less]
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ATI Mental Health Final UPDATED 2022 - 49 QUESTIONS & ANSWERS(100% CORRECT)
1. A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the... [Show More] nurse plan to take? a)Restrict participation in group therapy sessions b)Establish consequences for self-mutilation c)Maintain close observation d) Provide an unstructered environment - c)Maintain close observation 2. Clients who have borderline personality disorder are at risk for self-harm during times of increased anxiety. Maintaining close observation reduces the client's risk of injury 3. A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. What action should the nurse take? - Administer the medication at bedtime. 4. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." What response should the nurse make? - "That must be very frightening." 5. The nurse should respond to the client's delusion in a calm and empathetic manner. By acknowledging to the client that the delusion must be frightening, the nurse promotes the nurse-client relationship. 6. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use disorder. What finding should the nurse expect? - Confusion. 7. The nurse should expect the client who has Wernicke-Korsakoff syndrome to exhibit neurological and cognitive manifestations due to thiamine deficiency. Confusion, stupor, diplopia, and memory loss are expected findings of this disorder. 8. A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which manifestations is a common adverse effect of this medication? - Dizziness. 9. The nurse should inform the client that dizziness is a common adverse effect of buspirone. The nurse should instruct the client to avoid driving and operating heavy machinery until the presence of adverse effects is determined. 10. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. What finding should the nurse question the provider's prescription? - Hypotension. 11. The nurse should question the provider's prescription for a benzodiazepine for a client who has hypotension. Benzodiazepines can cause severe hypotension and increase the client's risk for cardiac arrest. 12. A nurse is assessing a client who takes phenelzine for the treatment of depression. What finding is the priority for the nurse to report to the provider? - Elevated blood pressure. 13. The nurse should identify that the greatest risk to the client is an elevated blood pressure, which increases the risk for a hypertensive crisis that can result from taking an MAOI, such as phenelzine. The nurse should apply the safety and risk reduction priority-setting framework when assessing this client. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow's hierarchy of needs, the ABC priority-setting frame-work, or nursing knowledge to identify which risk poses the greatest risk. 14. A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. What dietary choices should the nurse instruct the client to avoid? - Pure vanilla extract. 15. The nurse should instruct the client to avoid alcohol and alcohol-containing substances such as pure vanilla extract. The ingestion of alcohol while taking this medication causes a disulfiram-alcohol reaction, which is manifested by hyperventilation, dizziness, vomiting, and hypotension. [Show Less]
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Mental Health ATI - Assessment A 2022 60 Questions & Answers-100% CORRECT
Mental Health ATI - Assessment A 2022 60 Questions & Answers 1. A nurse in mental health facility observes a client who is experiencing panic level of ... [Show More] anxiety. Which of the following actions should the nurse take first? - Accompany the client to a quiet room. (Greatest risk for this client is injury due to severe anxiety. Therefore, first action nurse should take is to stay with client and bring him to a room with minimal stimuli.) 2. A nurse is obtaining a history and physical on a client who presents to the emergency department of a mental health facility. The nurse recognizes which of the following assessment findings as being consistent with PTSD? (Select all that apply) - Distressing dreams Difficulty concentrating Exaggerated startle response 3. A nurse is providing teaching to a client who has a new prescription for haloperidol. Which of the following side effects should the nurse instruct the client to report to the provider? - Shuffling gait. (Clinical findings of pseudoparkinsonism such as shuffling gait may occur 5hr - 30 days after beginning treatment. The client should notify the provider who might prescribe an anti parkinsonism agent.) 4. A home health nurse is assessing an older adult client who lives alone. Which of the following findings should indicate to the nurse that the client is experiencing delirium? - Sudden onset. (Clients usually develop delirium suddenly over hours to days.) 5. A nurse is caring for a client receiving imipramine for depression. For which of the following adverse effects should the nurse monitor? - Urinary retention. 6. A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. Client's morning lithium level is 1.5 mEq/L. Which of the following additional laboratory data has the highest priority? a) Serum erythrocyte sedimentation rate 18 mm/hr b) Hemoglobin 15 g/dL c) serum T4 5 mcg/dL d) Serum sodium 125 mEq/L - Serum sodium 125 mEq/L (In the presence of low sodium levels, renal excretion of lithium is reduced and client is at risk for lithium toxicity. Therefore, this finding is highest priority because it places client at greatest risk for injury.) 7. A nurse is caring for a client who has a history of substance use and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? - Do not administer the lorazepam. (Clients who are involuntarily admitted retain the right to refuse treatment.) 8. A nurse is developing a discharge plan for a client who has a history of gambling dependency and includes participation in support group. The nurse should tell the client that which of the following is the purpose of attending a support group? - Provide assurance that others have a similar problem. (Participating in a support group with other individuals who have similar problems will show the client that he is not the only one with this problem. The client can learn alternative ways to solve problems that other members of the group have also experienced.) 9. A nurse is caring for a client who is deaf and is scheduled to have electroconvulsive therapy (ECT). Provider needs to explain procedure to client in order to obtain informed consent. Which of the following actions should the nurse take? - Request a professional interpreter to translate. 10. Nurse is planning a teaching session regarding the code of ethics for registered nurses. Which of the following should the nurse include in the eaching? - Right to treatment ensures individualized care. 11. Nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed consent? - A 35-year-old who has major depressive disorder. 12. A nurse is caring for client whose child recently died in a motor vehicle crash and states, "I just want to join him." Which of the following is the nurse's priority response? - "Are you thinking about harming yourself?" (Greatest risk is self-injury; priority is therefore to ask client if she has plans for self-harm) 13. A nurse is assessing a client in the ED. Client appears agitated, his blood pressure is 152/94 mm Hg, his HR is 104/min, and his pupils are dilated. The nurse should suspect intoxication with which of the following substances? - Cocane (cocaine intoxication causes tachycardia, elevated BP, dilated pupils, and agitation. These physiological findings suggest cocaine intoxication). 14. A nurse is caring for a client who has schizophrenia and is prescribed risperidone. Which of the following laboratory tests should the nurse monitor? - Blood glucose (risperidone can cause diabetes mellitus to develop; therefore, nurse should plan to monitor client's blood glucose level when taking this medication) 15. Nurse is caring for a client receiving tranylcypromine. Which of the following is an appropriate menu choice for the nurse to suggest? - Roasted chicken. (contains little to no tyramine and is an appropriate menu choice for client who is taking tranylcypromine, an MAOI) 16. A nurse is reviewing the potential adverse effects of lithium with a client who began the medication 2 weeks ago. For which of the following should the nurse instruct the client to monitor and report to the provider? - Coarse hand tremor. (Coarse hand tremor can indicate toxicity and the client should report this finding to the provider immediately) 17. A client is experiencing a situational crisis. Which of the following findings should the nurse expect? - Client recently lost a grandparent in a motor vehicle crash. (Client experiences a situational crisis when an unexpected event occurs.) 18. A nurse is assessing a client in the ED who is brought in by a caregiver. The caregiver states the client fell recently. The nurse observes bruises on the client's abdomen, back, and legs suspects abuse. Which of the following actions should the nurse take first? - Check the client for other s/s of abuse. (First action the nurse should take using nursing process is to assess client. Therefore, first action the nurse should take is to check client for further s/s of abuse.) 19. A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the highest priority for the nurse to report to the treatment team? - Giving away possessions (indicates client is at greatest risk for suicide; therefore, priority finding). 20. A nurse is caring for a client who has schizophrenia in a mental health facility. Which of the following places the client at greatest risk for self-directed injury or injuring others? - Command hallucinations (a client who has schizophrenia and is experiencing command hallucinations may be told to hurt himself or others. Therefore, a client who is experiencing command hallucinations is at greatest risk for self-directed injury or injuring others). [Show Less]
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ATI Mental Health Practice B Latest 2022 50 Questions, Answers & Rationales(100% CORRECT)A+
A nurse is reinforcing teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that eating foods high in tyram... [Show More] ine can cause which of the following adverse reactions with this medication? A. Hypertensive crisis B. Serotonin syndrome C. Hearing loss D. Urinary incontinence - A. Hypertensive crisis RAT: Tyramine can cause severe hypertension in clients who are taking phenelzine, a monoamine oxidase inhibitor. Manifestations include palpitations, stiff neck, headache, nausea, vomiting, and elevated temperature. A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the following short-term goals should the nurse recommend be included in the plan? The client will participate in assertiveness training. The client will discuss feelings that cause hostility. The client will describe an activity they found enjoyable. The client will dress in a manner appropriate for the setting and temperature. - The client will discuss feelings that cause hostility. RAT: Clients who have antisocial personality disorder are frequently aggressive and are at risk for injuring themselves or others. A short-term goal for these clients should be to discuss feelings that precipitate aggression or hostility. The nurse is assisting with an admission have a client who has eating disorder. During data collection, which is the following to the nurse identify as manifestations of bulimia nervosa? SOA A. Tooth erosion B. Hand calluses C. Lanugo D. Amenorrhea E. Hypokalemia - A. Tooth erosion B. Hand calluses E. Hypokalemia RAT: Tooth erosion is a manifestation of bulimia nervosa that results from self-induced vomiting. Hand calluses are a manifestation of bulimia nervosa that results from self-induced vomiting. Lanugo is a manifestation of anorexia nervosa that results from starvation. Amenorrhea is a manifestation of anorexia nervosa that results from extreme weight loss. Hypokalemia is a manifestation of bulimia nervosa that results from volume depletion due to self-induced vomiting or excessive diuretic and laxative use. A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? A. Potassium 4.0 mEq/L B. Lithium 0.9 mEq/L C. BUN 12 mg/dL D. Sodium 132 mEq/L - D. Sodium 132 mEq/L RAT: The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lithium accumulation and places the client at risk for lithium toxicity. The nurse should report this finding to the provider. A nurse in a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? A. Weigh the client at night prior to bedtime. B. Offer liquid supplements to the client. C. Encourage the client to gain 2.3 kg (5 lb) per week. D. Observe the client for up to 30 min after meals. - B. Offer liquid supplements to the client. RAT: The nurse should offer liquid supplements to the client because the client might be unable to eat solid foods when they are first admitted. The nurse should observe the client for at least 1 hr after meals to prevent the client from throwing away, hiding, or purging food. A nurse is contributing to plan of care for a school-age child who has attention deficit hyperactivity disorder. Which of the following interventions should the nurse recommend? A. Avoid the use of humor when managing the child's disruptive behaviors. B. Instruct the child to apologize for behavior that negatively affects others. C. Maintain a scheduled plan of activities regardless of the child's behavior. D. Administer methylphenidate PRN when the child exhibits disruptive behavior. - B. Instruct the child to apologize for behavior that negatively affects others. RAT: The nurse should recommend performing simple techniques to manage the child's behavior, including making amends. This technique includes apologizing to others when the client's behavior has a negative effect. A nurse is reviewing laboratory values for a client who has anorexia nervosa. Which of the following results should the nurse expect? A. Potassium 3 mEq/L B. Phosphorus 3.5 mg/dL C. Magnesium 1.8 mEq/L D. Cholesterol 165 mg/dL - A. Potassium 3 mEq/L RAT: The nurse should expect a client who has anorexia nervosa to have hypokalemia, which is indicated by a decreased potassium level. This value is below the expected reference range of 3.5 to 5 mEq/L. A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect? A. Elevated blood pressure B. Decreased heart rate C. Slurred speech D. Rhinorrhea - A. Elevated blood pressure RAT: Hypertension is an expected finding of alcohol withdrawal and can occur within 4 to 12 hr of cessation of alcohol ingestion. A nurse is caring for a client who recently lost their child in a motor-vehicle crash. The client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask? A. "Are there times when you feel more upset than others?" B. "Have you had any thoughts of harming yourself?" C. "What type of support system do you currently have?" D. "During difficult times in the past, what did you do to cope?" - B. "Have you had any thoughts of harming yourself?" RAT: The greatest risk to this client is self-injury due to suicide. Asking whether or not the client has plans to hurt themselves is the most important question for the nurse to ask at this time because a positive response can alert the nurse to the need for suicide precautions and intervention. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findings should the nurse withhold the client's medications and notify the provider? A. Fasting blood glucose B. Temperature C. WBC count D. Heart rate - C. WBC count RAT: The nurse should identify that a WBC count of 3,000/mm3 is below the expected reference range of 5,000 to 10,000/mm3. The nurse should identify that clozapine can cause agranulocytosis, a decrease in white blood cells, which can be life threatening. Therefore, the nurse should withhold the client's medications and notify the provider of this finding. A nurse is collecting data from a client whose home was destroyed by a fire. Which of the following responses should the nurse make first? A. "Are you experiencing feelings of hopelessness?" B. "Is there someone I can call for you?" C. "It might be helpful for you to attend a support group." D. "Now is a good time for you to use relaxation breathing." - A. "Are you experiencing feelings of hopelessness?" RAT: When using Maslow's hierarchy of needs, the priority action for the nurse to take is to determine if the client is safe. The nurse should collect data about the client's feelings to determine if the client is having feelings of hopelessness or suicidal ideations. A nurse is collecting data from a client who is taking valproic acid for the treatment of a bipolar disorder. Which of the following findings is the priority to the provider? A. Dizziness B. Weight gain C. Constipation D. Yellow sclerae - D. Yellow sclerae RAT: When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is yellow sclerae because of the risk for hepatotoxicity. A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for phenelzine. Which of the following foods should the nurse instruct the client to void? [Show Less]
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ATI proctored Mental Health🎉❤️🎂🎂2021
ATI proctored Mental Health🎉❤️🎂🎂2022 What are cognitive symptoms of psychotic disorders - -disordered thinking -inability to make decisi... [Show More] ons -poor problem solving ability -difficult concentrating to perform tasks -Memory deficits Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about them - ideas of reference Feels singled out for harm by others (being hunted down by FBI) - Persecution Believes that she is all powerful and important like a god - grandeur believes that his body is changing in an unusual way, scubas growing a third arm - somatic delusions May feel that her spouse is sexually involved with another individual - Jealousy Believes that a force outside his body is controlling him - being controlled believes that her thoughts are heard by others - thought broacasting believes that others thoughts are being inserted into his mind - thought insertion Believe that her thoughts have been removed form her mind by an outside agency - thought withdrawal is obsessed with religious beliefs - religiosity The client may say sentence after sentence but each sentence may relate to another topic and the listeniner is bale to follow the clients thoughts - flight of ideas Made up words that have meaning only to the client such as i tranged and flitted. - neologisms What are the standardized screen tools for psychotic disorders - -Global assessment of functioning scale -scale for assessment of negative symptoms -Brief psychiatric rating scale -abnormal involuntary movement scale (AIMS) What antidepressants are prescribed for psychotic disorders - Paxil -monitor for SI -Notify for deepened depression -Do not stop abruptly What are the anxiolytics/ bento's used for psychotic disorders? - -Ativan -Klonopin -sedative effects -need to get blood tests for ANC -use caution in older adults What are the personality disorders in cluster A - (Odd and eccentric traits) -Paranoid -Schizoid -Schizotypal Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations - schizotypal Dealing with anxiety by reaching out to others. Ex: a nurse who lost a family member in a fire is a volunteer firefighter - Altruism Dealing with unacceptable feelings or impulses by unconsciously substitute acceptable forms of expression. Ex: a person who has feelings of anger and hostility toward his work supervisor sublimates those feelings by working out vigorously a the gym during his lunch period - Sublimation Voluntarily denying unpleasant thoughts and feelings. Ex: A person who has lost his job states he will worry about paying his bills next week - Suppression Putting unacceptable ideas, thoughts, and emotions out of conscious awareness. Ex: a person who has a fear of the dentist's drill continually "forgets" his dental appointments. - Repression What are healthy defense mechanisms? - alturism and sublimation what are intermediate defenses - repression reaction formation displacement rationalization undoing What are immature defenses - projection dissociation splitting denial Shifting feelings related to an object, person, or situation to another less threatening object, person, or situation Ex: A person who is angry about losing his job destroys his child's favorite toy - displacement Overcompensating or demonstrating the opposite behavior of what is felt. Ex: a person who dislikes her sisters daughter offers to babysit so that her sister can go out of town - reaction formation Performing an act to make up for prior behavior. Ex; An adolescent completes his chores without being prompted to after having an argument with his parents. - undoing creating reasonable and acceptable explanations for unacceptable behavior Ex: A young adult explains he had to drive home from a party after drinking alcohol because he had to feed his dog. - rationalization temporarily blocking memories and perceptions from consciousness Ex: an adolescent witnesses a shooting and is unable to recall any details of the vent - dissociation demonstrating an inability to reconcile negative and positive attributes of self or others Ex:a client tells a nurse that she is the only one who cares about her, yet the following day the same client refuses to talk to the nurse - splitting Blaming others for unacceptable thoughts and feelings Ex: a young adult planes his substance use disorder on his parents refusal to buy him a new car - projection pretending the truth is no reality to manage the anxiety of acknowledging what is real. Ex: A parent who is informed that his son was killed in combat tells everyone he is coming home for the holidays. - denial [Show Less]
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ATI Mental Health 2 Quiz 2022 40 Questions & Answers(100% correct) Download to score A+
1. A nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam. Which of the following ins... [Show More] tructions should the nurse include in the teaching? - "this med must be discontinued gradually" 2. A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following levels should the nurse recognize as a therapeutic lithium level? - 1.2mEq/L range: 1.0-1.5 3. A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? - impaired judgement 4. A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the client's risk for depression? - being female 5. A nurse is caring for a client who has obsessive-compulsive disorder. The client engages in repeated handwashing daily. Which of the following should the nurse recognize as the purpose of the client's behavior? - relieving anxiety 6. A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompaniment. When attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse should identify that the client is exhibiting which of the following disorders? - agoraphobia; fear and avoidance of places where escape might be difficult 7. A nurse is caring for a client who has posttraumatic stress disorder (PTSD). Which of the following actions by the client indicates the current treatment plan is effective? - the clients report techniques she uses to promote sleep 8. A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of the following actions should the nurse take first? - instruct the client to take slow, deep breaths 9. A nurse is providing teaching to a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions by the nurse implements modeling as a behavioral intervention strategy? - demonstrating performance of hand hygiene as designated times 10. A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings indicates that the client is experiencing a relapse? - pressured speech 11. A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicates that the client's current lithium level is 1.0 mEq/L. Which of the following actions should the nurse take? - administer the med because it is within ranges 12. A nurse is assessing< a client who has a psychotic disorder and a new prescription for haloperidol. The client is pacing in the hallway and states, "I can't seem to sit still." Which of the following extrapyramidal side effects is the client likely experiencing? - akathisia 13. A nurse is planning a menu for a client who has bipolar disorder and is experiencing an acute manic episode. Which of the following meals should the nurse provide for this client? - chicken nuggets, crackers, a cookie, cheese sticks #YUM 14. A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine The nurse should instruct the client that which of the following blood tests should be performed periodically? - glucose 15. A nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamoshu from by my house." The nurse recognizes this statement as an example of which of the following? - neologism 16. A nurse on an inpatient unit is assessing a client who has claustrophobia. The nurse determines the client's condition has improved when he can perform which of following tasks? - ride in an elevator 17. A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the client's provider immediately? - urinary retention 18. An emergency room nurse is assessing a client who has an anxiety disorder. The client is flushed, perspiring profusely, and is experiencing palpitations. The client begins to scream, "I am going to die! This is it! I am having a heart attack!" The nurse should determine the client's level of anxiety to be which of the following - panic 19. A school nurse is caring for an adolescent client who has a history of a depressive episode 1 year ago. He appears withdrawn from social activities and his school performance is declining. Which of the following actions should the nurse take first - conduct a suicide risk assessment 20. A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make ? - this medication is an anti-psychotic that controls symptoms of schizophrenia [Show Less]
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Mental Health Final ATI LATEST 2022 50 Questions & Answers(100% correct) Download to score A+
1. A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The nurse should expect a prescription for memant... [Show More] ine for a client who has which of the following diagnoses? - Alzheimer's disease 2. A nurse is collecting data from a client who takes an MAOI for treatment of depression. Which of the following findings is the priority for the nurse to report to the provider? - Elevated blood pressure 3. A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium? - Valproic acid 4. A nurse is collecting data fro, a client who has cocaine intoxication. Which of the following findings should the nurse expect? - Increased mental alertness 5. A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actions should the nurse take first? - Approach the client in a nonthreatening manner. 6. A nurse in an acute mental health facility is participating is participating in a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following information should the nurse include? - An involuntary admission is justified if the client is a danger to others. 7. A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? - Pure vanilla extract 8. A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease about donepezil. Which of the following statements should the nurse include? - "Donepezil can improve cognitive functioning during the earlier stages of the disease." 9. A nurse is reviewing the medical history of a client who has a new prescription for electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as the priority? - Cardiac arrhythmia 10. A nurse is contributing to the plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client? - Permitting the client to spend some quiet time alone after each meal 11. A nurse is reinforcing teaching with the parents of a school-age child who has attention deficit hyperactivity disorder (ADHD). Which of the following instructions should the nurse include? - "Ignore your child's attention-seeking behaviors that are not dangerous." 12. A nurse is assisting in the planning of a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse recommend to include? - Older adults clients require a lower initial dose of antidepressant medication than adult clients. 13. A nurse in an acute substance disorder unit is collecting data from a client who received treatment in the emergency department for an opioid overdose. Which of the following findings should the nurse anticipate during opioid withdrawal? - Anxiety 14. A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? - Speak to the client using simple and concrete terminology. 15. A nurse is reviewing the medical record of a client who has a new prescription for benzodiazepine. For which of the following findings should the nurse question the provider's prescription? - Hypotension 16. A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which of the following findings should the nurse expect? - Ascites 17. A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take? - Talk to the client form two arm-lengths away. 18. A nurse is collecting data from a client who has conduct disorder. Which of the following findings should the nurse expect? - Aggressive behavior towards others 19. A nurse is caring for a client who has depression. The client states, "I am too tired and depressed to attend group therapy today." Which of the following responses should the nurse make? - "Attending group therapy, even if you're tired, is an important part of your treatment." 20. A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? - Sedation 21. A nurse is an acute mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following actions is the nurse's priority? - Protect the client from impulsive behavior. 22. A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of following client goals should the nurse identify as the priority? - Maintaining adequate hydration 23. A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the ruse that he isn't going to attend any further sessions and states, " I don't have time for all that talking." Which of the following responses should the nurse make? - "It must be difficult for you to talk about family problems." 24. A nurse is assisting with the admission of a client who has antisocial personality disorder to an acute care unit. The client is admitted under court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display? - Anger with the nursing staff for hospitalizing him against his will 25. A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect administer during this phase of the client's care? - Diazepam 26. A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances? - Opiates 27. A nurse on an acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take? - Keep the client's rom well-lit at night. 28. A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of the following findings should the nurse expect? - Respiratory depression 29. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which fo the following initial reactions should the nurse expect form the client? - Denial 30. A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a sexual assault that occurred 3 months ago. Which of the following findings should the nurse expect? - Dreams about the assault [Show Less]
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ATI RN 3.0 Mental Health 1 Exam LATEST 2022 40 Questions & Answers(ALL ANSWERS ARE 100% CORRECT) A+
1. A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse.... [Show More] Which of the following actions should the nurse take? - Explain that this time is designated to focus on the client. 2. A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not responded to lessen case of interventions. Which of the following actions should the nurse plan to take? - Document the clients behavior every 15 minutes while restraints are in place. 3. Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention?Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention? - Provide a presentation at area high school's and resisting peer pressure for substance use. 4. A nurse in an emergency department is caring for an 18 month old toddler who has a fractured left femur. What is the long statement by the toddler's parent should cause the nurse to suspect child abuse? - "My child was riding a bicycle and fell off." 5. A nurse is administering an oral sedative to a client who is receiving careful and involuntary admission. The client states, " I'm not taking any more medication." Which of the following actions should the nurse take? - Document the client refusal of the medication in the medical record. 6. A nurse is caring for a school age client who begins wetting the bed after finding out her parents are getting a divorce. The nurse should identify the client is exhibiting which is a fine defense mechanisms? - Regression 7. A nurse is caring for a client who is brought to the clinic by her adult son who states that his father recently died. The client repeatedly yells at her son stating, " Quit lying about your father!" The nurse should recognize that the client is demonstrating which of the following defense mechanisms? - Denial 8. A nurse is caring for a client called mental health counseling center. The client received a failing grade in the course and spends entire counseling session blaming the teacher. The nurse should recognize this behavior as example of which of the following defense mechanisms? - Projection 9. A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The client tells the nurse, " I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? - " You are feeling helpless about changing this behavior?" 10. A nurse is preparing to administer fluphenazine decanoate 12.5 mg subcutaneous. available is fluphenazine decanoate 25 mg/mL. How many mL should the nurse administer per dose? - 0.5 11. A nurse is providing support for the parents of a child has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief? - Denial 12. A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, " I'm not worth your time. Leave me alone and go help someone else." which of the following responses should the nurse make? - " In other words, you seem to be saying that you feel unworthy of help." 13. A nurse is caring for a client has schizophrenia. The client states, " My internal organs have turned to stone." The nurse should document this finding as which of the following types of delusions? - Somatic 14. A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase? - Identify the clients perception of the reason for therapy. 15. A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display which of the following characteristics? - Possesses feelings of decreased self-worth 16. A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy? [Show Less]
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ATI Mental Health Proctored Quiz Bank 2022 403 QUESTIONS & ANSWERS-LATEST(100% CORRECT ANSWERS) A+
A nurse is assisting with the planning of a therapeutic support group for individuals who have bulimia nervosa. Which of the following tasks should the nur... [Show More] se include during the orientation phase of group development? A. determine the rules that the group will follow B. address disagreements among group members C. help clients work through the grief response D. transition from the role of leader to facilitator - determine the rules that the group will follow *during the orientation phase of group development, the nurse should determine the rules that apply to the group and ensure that all members understand these rules. Examples of rules to be discussed include confidentiality and meeting times. A nurse is providing support for a client who is grieving the loss of her mother who died from Alzeimer's disease. Which of the following statements should the nurse offer? A. "I know how you must be feeling. I recently lost my father." B. "Dealing with your mother's death must be difficult for you." C. "Knowing your mother is in a better place provides you with some comfort." D. "I want you to let me know what I can do to help you cope with your mother's death." - "Dealing with your mother's death must be difficult for you." *The nurse should use therapeutic communication when supporting a client who is grieving. This statement keeps the focus of the conversation on the client by acknowledging her grief and encourages further communication." A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of the following findings should the nurse expect? A. Seizure activity B. Respiratory depression C. Hypersensitivity to pain D. Increased mental alertness - Respiratory depression *Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to exhibit respiratory depression. A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of the following pieces of information about the client is the strongest indicator that the client might become aggressive? A. The client has marginal coping skills B. The client has a history of violence C. The client feels powerless after being hospitalized D. The client blames others for her problems - The client has a history of violence *The client's history of violence is the most important indicator that this client might become violent; therefore, this is the strongest indicator of potential aggressiveness. A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the following instructions should the nurse include in the teaching? A. Offer the client a list of activities to choose from B. Offer finger foods to the client C. Discourage naps throughout the day D. Turn on the television when the client is in the room - Offer finger foods to the client *The caregiver should offer finger foods that the client can eat without sitting down. Clients who have dementia often like to wander and walk off nervous energy, which can decrease anxiety and calm the client. A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania. Which of the following interventions should the nurse recommend including in the plan? A. Provide the client with a low-calorie, low-fat diet B. Encourage the client to have frequent rest periods C. Escort the client to daily group therapy D. Limit the client's intake of caffeinated beverages to 12 oz per day - Encourage the client to have frequent rest periods *The nurse should recommend encouraging frequent rest periods throughout the day to decrease the client's risk of exhaustion from the constant activity associated with acute mania. A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder? A. Prevents the need for mood-stabilizing medications B. Helps the client deal with distorted thought processes C. Aids in communication among family members D. Replaces the need for lifestyle interventions - Helps the client deal with distorted thought processes *CBT assists the client with recognizing distorted thought processes that are maladaptive with regards to recovery. When experiencing mania, the client tends to view the future unrealistically as highly favorable. CBT assists the client in recognizing and challenging such unrealistic or "automatic" thoughts and can help the client and the health care team recognize early trends toward mania A nurse is caring for a client in a mental health facility and overhears the client discussing plans to harm her father-in-law physically when she is discharged. Which of the following interventions should the nurse take? A. Ask the client to sign a contract agreeing not to harm others B. Notify the provider of the client's threat C. Keep the client's discussion confidential D. Place the client in individual observation - Notify the provider of the client's threat *It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's responsibility to warn the the intended victim or the police of the client's threat A nurse is preparing to meet with a client who has borderline personality disorder. Which of the following actions should the nurse plan to take during the working phase of the therapeutic relationship? A. Introduce the concept of client confidentiality B. Establish goals with the client C. Define the roles of the nurse and the client D. Facilitate change in the client's behavior - Facilitate change in the client's behavior *The nurse should facilitate change in the client's behavior during the working phase of the therapeutic relationship. A nurse is contributing to the plan of care for a client who has suicidal ideation and is being transferred to the mental health unit. Which of the following interventions should the nurse recommend? A. Search the client and his belongings upon arrival B. Assign the client to a private room near the nurse's station C. Instruct assistive personnel to check on the client every 15 m in D. Keep the door to the client's room closed - Search the client and his belongings upon arrival *The nurse should plan to search the client and all of his belongings upon arrival to the unit. This search is conducted for the client's safety so that the nurse can identify and remove any objects that increase the client's risk of injury or suicide. Potentially harmfully objects include razors, shoelaces, hygiene products, and tweezers A nurse is talking with a client about his admission to a mental health unit. The client states, "I just don't know if I should be here. What will my family think?" Which of the following responses by the nurse uses the therapeutic communication technique of reflection? A. "It sounds like you are concerned about your family's reaction." B. "What your family thinks isn't important; you need to be concerned about getting well." C. "I suspect your family doesn't seem to understand you. D. "Many clients are concerned about the reaction of their families." - "It sounds like you are concerned about your family's reaction." *In a reflective response, the nurse directs feelings and statements back to the client, allowing the client to think about personal feelings A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client? A. Bargaining B. Depression C. Denial D. Anger - Denial *The nurse should expect the client to deny the reality of the diagnosis initially. This is a protective reaction seeking to avoid psychological pain A nurse is reinforcing teaching with the parent of a child who has a new prescription for methylphenidate to treat ADHD. Which of the following instructions should the nurse include in the teaching? A. "Weigh your child 3 times per week." B. "Expect your child to experience dark-colored stools." C. "Administer this medication at bedtime." D. "You should limit your child's intake of caffeine." - "Weigh your child 3 times per week." *The nurse should instruct the parent to weigh the child 2 to 3 times per week. Weight loss is an adverse effect of this medication. If significant weight loss occurs, the parent should notify the provider. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for venlafaxine. Which of the following statements should the nurse make? A. "This medication is only for short-term use" B. "This medication can be taken on an as-needed basis." C. "This medication will effectively reduce your physical manifestations of anxiety." D. "This medication should not be stopped abruptly." - "This medication should not be stopped abruptly." *The nurse should instruct the client that stopping venlafaxine abruptly will lead to manifestations of withdrawal. A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should explain that the provider will routinely prescribe which of the following tests while the client is taking valproic acid? A. Electrocardiogram B. Chest X-ray C. Thyroid function tests D. Liver function levels - Liver function levels *The nurse should inform the client of the need to monitor liver function levels regularly due to the risk of hepatotoxicity while taking valproic acid. It is is recommended to obtain baseline levels and then repeat testing every 2 months during the first 6 months of therapy. A nurse is caring for a client who is taking carbamazepine. The nurse should monitor the client for which of the following adverse effects of carbamazepine? A. Thrombocytopenia B. Weight loss C. Polyuria D. Insomnia - Thrombocytopenia *The nurse should monitor the client for thrombocytopenia (an increased risk of bleeding). The nurse should monitor for bleeding of the gums, which can indicate thrombocytopenia, and notify the provider if this occurs. [Show Less]
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ATI Mental Health Proctored Exam Review 2022 156 QUESTIONS & ANSWERS(100% CORRECT) A+ LATEST
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an un... [Show More] derstanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." - A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I should instruct the client to write a sentence." A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy. B. Teach the client appropriate coping mechanisms C. Assess the client for comorbid health conditions. D. Monitor the client for adverse effects of the medications. - D. Monitor the client for adverse effects of the medications. A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services B. Identify the client's perception of her mental health status. C. Include the client's family in the interview. D. Teach the client about her current mental health disorder. - B. Identify the client's perception of her mental health status. A nurse is told during change of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A. The client arouses briefly in response to a sternal rub. B. The client has a glasgow coma scale score less than 7. C. The client exhibits decorticate rigidity. D. The client is alert but disoriented to time and place. - A. The client arouses briefly in response to a sternal rub. A nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? (Select all that apply) A. The DSM-5 includes client education handouts for mental health disorders. B. The DSM-5 establishes diagnostic criteria for individual mental health disorders. C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders. D. The DSM-5 assists nurses in planning care for client's who have mental health disorders. E. The DSM-5 indicates expected assessment findings of mental health disorders. - B. The DSM-5 establishes diagnostic criteria for individual mental health disorders. D. The DSM-5 assists nurses in planning care for client's who have mental health disorders. E. The DSM-5 indicates expected assessment findings of mental health disorders. A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? A. A client who has schizophrenia with delusions of grandeur B. A client who has manifestations of depression and attempted suicide a year ago C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to himself - C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment C. Assault D. Battery - B. False imprisonment A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? A. Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince him to admit to hiding the knife B. Keep the client's communication confidential, but watch the client and his roommate closely. C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others. D. Report the incident to the health care team, but do not inform the client of the intention to do so. - D. Report the incident to the health care team, but do not inform the client of the intention to do so. A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all that apply) A. "Client ate most of his breakfast." B. "Client was offered 8 oz of water every hr." C. "Client shouted obscenities at assistive personnel." D. "Client received chlorpromazine 15 mg by mouth at 1000." E. "Client acted out after lunch." - B. "Client was offered 8 oz of water every hr." C. "Client shouted obscenities at assistive personnel." D. "Client received chlorpromazine 15 mg by mouth at 1000. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? A. Notify the nurse manager. B. Tell the nurse to stop discussing the behavior. C. Provide an in-service program about confidentiality. D. Complete an incident report. - B. Tell the nurse to stop discussing the behavior A nurse is caring for the parents of a child who has demonstrated changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? A. "I think your son is getting better. What have you noticed." B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure whats wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically." - D. "I understand you're concerned. Let's discuss what concerns you specifically." A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? A. Reaction formation B. Denial C. Displacement D. Sublimation - B. Denial A nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. The client has a respiratory rate 30/min and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? A. Mild B. Moderate C. Severe D. Panic - B. Moderate A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply.) A. Reassure the client that everything will be okay. B. Discuss prior use of coping mechanisms with the client. C. Ignore the client's anxiety so that she will not be embarrassed. D. Demonstrate a calm manner while using simple and clear directions. E. Gather information from the client using closed-ended questions. - B. Discuss prior use of coping mechanisms with the client. D. Demonstrate a calm manner while using simple and clear directions. A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make? A. "I feel very sorry for the loneliness you must be experiencing." B. "Suicide is not the appropriate way to cope with loss." C. "Losing someone close to you must be very upsetting." D. "I know how difficult it is to lose a loved one." - C. "Losing someone close to you must be very upsetting." A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply) A. The needs of both participants are met. B. An emotional commitment exists between the participants. C. It is goal-directed. D. Behavioral change is encouraged. E. A termination date is established. - C. It is goal-directed. D. Behavioral change is encouraged. E. A termination date is established. A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? A. The client asks the nurse whether she will go out to dinner with him. B. The client accuses the nurses of telling him what to do just like his ex-girlfriend. C. The client reminds the nurse of a friend who died from a substance overdose. D. The client becomes angry and threatens to harm himself. - B. The client accuses the nurses of telling him what to do just like his ex-girlfriend. A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? A. Discussing ways to use new behaviors B. Practicing new problem-solving skills C. Developing goals D. Establishing boundaries - A. Discussing ways to use new behaviors A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make? A. "You and a group of other clients will meet to discuss your treatment plans. B. "Community meetings have a specific agenda that is established by staff. C. "You and the other clients will meet with staff to discuss common problems. D. "Community meetings are an excellent opportunity to explore your personal mental health issues." - C. "You and the other clients will meet with staff to discuss common problems. A nurse is caring several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first? A. A client who recently burned her arm while using a hot iron at home. B. A client who requests that her antipsychotic medication be changed due to some new adverse effects. C. A client who says he is hearing a voice that tells him he is not worth living anymore. D. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview. - C. A client who says he is hearing a voice that tells him he is not worth living anymore. A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? A. Educating clients on health promotion techniques to reduce the risk of depression B. Performing screenings for depression at community health programs C. Establishing rehabilitation programs to decrease the effects of depression D. Providing support groups for clients at risk for depression - C. Establishing rehabilitation programs to decrease the effects of depression A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply) A. Educational groups B. Medication dispensing programs C. Individual counseling programs D. Detoxification programs E. Family therapy - A. Educational groups B. Medication dispensing programs C. Individual counseling programs E. Family therapy A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care? [Show Less]
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