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Bundle for ATI MENTAL HEALTH PROCTORED exam 2023
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ATI MENTAL HEALTH PROCTORED QUESTIONS ANSWERED 100% CORRECT
primary prevention preventing mental problems. teaching stress reduction techinques secondary prevention early detection - screening the community... [Show More] tertiary prevention rehab and prevention of further problems - support groups partial hospitalization an approach in which patients receive treatment at a hospital during the day but return home at night. includes detox programs assertive community treatment aimed at helping severely mentally ill wherever they are in the community, each assigned a team member available any time of the day, visited twice a week by that member. interprofessional team to reduce rehospitializations and relapses community mental health centers. education groups medication dispensing prgrams individual and family counseling psychosocial rehabilitation programs Residential services, day programs for older adults classical psychoanalysis therapeutic process of assessing unconscious thoughts and feelings and resolving conflict by talking to a psychoanalyst - focuse on eawrly life psychodynamic psychotherapy therapy aimed at uncovering the unconscious motives that underlie psychological problems - emphasis on current state interpersonal psychotherapy focuses on helping clients improve current relationships and specific problems CBT focusing on individual thoughts and behaviors cognitive reframing replacing negative thoughts priority restructuring ID what requires priority, such as pleasurable activities journaling ID stressors assertive training helps clients express feelings in a socially acceptable manner behavioral therapy decreasing anxiety and avoidant behavior DBT dialectical behavior therapy for personality disorders systematic desensitization planned, progressive exposure to an anxiety provoking stimuli examples of CBT DBT systematic desensitization aversion therapy meditation guided imagery diaphragmatic breathing muscle relaxation biofeedback biofeedback increasing awareness and gaining control of reactiosn to a trigger response prevention preventing a client from performing a compulsive behavior with the intent that anxiety will diminish thought stopping use of aversive stimuli to interrupt or prevent upsetting thoughts prolonged exposure therapy combines relaxation techniques with exposure to the traumatic situation through repeated discussion or in real world situations - results in decreased anxiety EDMR eye movement desensitization and reprocessing - a therapy using rapid eye movement during desensitization techniques for PTSD contraindications of EDMR active SI psychosis severe dissociative disorders detached retina glaucoma severe substance abuse disorder crisis intervention emergency counseling for crime victims somatic therapy used for dissociative disorders - increasing awareness of the present, decreases dissociative episodes hypnotherapy used for dissociative disorders risk with TMS seizures transcranial magnetic stimulation a treatment that involves placing a powerful pulsed magnet over a person's scalp, which alters neuronal activity in the brain risk for ECT confusion retrograde amnesia short term memory loss SADPERSONS sex age depression past attempts excessive drug use rational thinking loss social supports lacking organized plan no spouse sickness bleuler's As for psychosis affect disturbance autism associative looseness ambivalence SIGECAPS - for depression sleep - lack of quality of sleep interests - apathy and loss guilt - hopelessness energy - anergia concentration - indecision, inability, alterations appetite - decreases psychomotor retardation [Show Less]
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ATI Mental Health Proctored Exam Review Questions and Answers 2023
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). -To assess cognitive ability, I should ask the client to count backward by sevens." -To assess affect, I should observe the client's facial expression. -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? 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? 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? 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) The DSM-5 establishes diagnostic criteria for individual mental health disorders. -The DSM-5 assists nurses in planning care for client's who have mental health disorders. -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 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? 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? 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) -Client was offered 8 oz of water every hr." -Client shouted obscenities at assistive personnel." -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? 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? 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? 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? 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.) -Discuss prior use of coping mechanisms with the client. -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? -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) -It is goal-directed. -Behavioral change is encouraged. -A termination date is established. [Show Less]
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ATI - Mental Health Proctored Exam Study Guide Questions and Answers 2023
The client is responsive and able to fully respond by opening their eyes and attending to a normal tone of voice and speech. What is the level of conscious... [Show More] ness? Alert The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is the level of consciousness? Lethargic The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief response. They might not be able to respond verbally. What is the level of consciousness? Stuporous The client is unconscious and does not respond to painful stimuli. What is the level of consciousness? Comatose How to test a client's immediate memory Ask the client to repeat a series of numbers or a list of objects How to test a client's recent memory Ask the client to recall recent events, such as visitors from the current day, or the purpose of the current mental health appointment or admission How to test a client's remote memory Ask the client to state a fact from his past that is verifiable, such as his birth date or his mother's maiden name How to assess a client's ability to calculate Ask the client to count backward from 100 in sevens How to assess a client's ability to think abstractly Ask the client to interpret something complex such as, "A bird in the hand is worth two in the bush." Glasgow coma scale Used to obtain a baseline assessment of a client's level of consciousness; highest score is 15 and indicates that the client is awake and responding appropriately; a score of 7 or less indicates that the client is in a coma Serious mental illness Includes disorders classified as severe and persistent mental illnesses; clients often have difficulty with ADLs; can be chronic or recurrent 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 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. Counting backward by sevens is an appropriate technique to assess a client's cognitive ability. B. Observing a client's facial expression is appropriate when assessing affect. C. Writing a sentence is an indication of language ability. Remote language is tested by asking the client to state a fact from his past that his verifiable (date of birth). Abstract thinking is tested by asking the client to interpret something. 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. Monitoring for adverse effects of medications is an example of a psychobiological intervention. Systematic desensitization is cognitive and behavioral. Teaching coping mechanisms is a counseling or health teaching. Assessing for comorbid conditions is health promotion and maintenance. 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. Assessment is the priority action. Identifying the client's perception of her mental health status provides important information about the client's psychosocial history. 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. A client who is stuporous requires vigorous or painful stimuli to elicit a response. B & C occur with comatose patients. 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, D, & E. The DSM-5 establishes diagnostic criteria, assists nurses in planning care, and identifies expected findings for mental health disorders. The DSM-5 does not contain client education handouts or recommended pharmacological treatment. Beneficence The quality of doing good, can be described as charity Autonomy The client's right to make their own decisions Justice Fair and equal treatment for all Fidelity Loyalty and faithfulness to the client and to one's duty Veracity Honesty when dealing with a client Requirements for restraining a patient Provider must prescribe the restraint in writing; time limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for age 8 and younger; must be reviewed every 24 hr; documentation must be done every 15-30 min False imprisonment Confining a client to a specific area if the reason for such confinement is for the convenience of the staff Assault Making a threat to a client's person Battery Touching a client in a harmful or offensive way 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 is a current danger to self or others is a candidate for a temporary emergency admission. [Show Less]
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Mental Health Proctored ATI, ATI MENTAL HEALTH PROCTORED,
Wernicke-Korsakoff Expected Finding Confusion Heroin Intoxication Expected Finding Respiratory Depression Reaction of Terminal Cancer Diagn... [Show More] osis Denial Valproic Acid Teaching Teach the need to regularly monitor liver function levels due to the risk of hepatotoxicity When should Donapezil be taken? Bedtime to reduce the risks for injury due to bradycardia and syncope Methadone is indicated for TX of.... Opiate use disorder Phenelzine---Finding to report Elevated BP: increases risk for hypertensive crisis This is an MAOI! Acute Main---Priority Goal Maintain adequate hydration Binge-eating expected finding Abdominal pain Stage 4 Alzheimers expected finding Client is able to identify the names of family members Restricting type anorexia expected finding Decreased caloric intake due to excessive fear of weight gain ECT Potential Complications Cardiac arryhthmia Cocaine intoxication expected finding Dilated pupils Benzo---finding that would indicate questioning the provider Hypotension Alcohol Withdrawal Medication Disulfram Can give____________with lithium Valproic Acid Both treat bipolar Common adverse effect of Buspirone Dizziness Confusion develops...... SLOWLY with alzheimers What food type to avoid with Disulfram Pure vanilla extract Conduct Disorder expected finding Aggressive behavior toward others Heroin withdrawal expected findings Muscle aches Alcohol withdrawal expected findings Insomnia and restlessness Mematine is used to treat Severe alzheimers ADHD teaching Ignore child's attention seeking behaviors that are not dangerous Rape-Trauma Syndrome finding Report of intense guilt Medication that is given during alcohol detox Diazepam ECT expected findings Memory loss Nausea Tachycardia ECT is given for Bipolar with rapid cycling Vagus Nerve Stimulation adverse effects Voice changes Dysphagia Neck pain Modeling Allows client to see a demonstration of appropriate behaviors in a stressful situation. The goal is that the client will imitate the behaviors Systemic Desentization Begins with mastering of relaxation techniques. Then a client is exposed to increasing levels of anxiety-producing stimulus. Flooding Exposing the client to a great deal of undesirable stimulus in an attempt to turn off anxiety response. Most useful for phobias Thought Stopping Teaches a client to say "stop" when a negative thought or compulsive behavior arises and substitute positive thought. The goal is that the client with time will use command silently Eye Movement Desentization and Reprocessing (EMDR) Therapy for clients who have PTSD. Encourages eye focus on a separate stimuli while thinking of or talking about the traumatic event PTSD expected findings Hallucinations Recurring nightmares How is seasonal depression treated? Light therapy Dysthymic Disorder Mild form of depression that usually has an early onset, such as in childhood and lasts at least 2 years in length St. John's Wort adverse effects Photosensitivity Skin rash Rapid heart rate GI distress Abdominal pain Depressive disorders are most prevalent in... Adults between ages of 15-40 Transpersonal Communication Addresses an individual's spiritual needs and providers interventions to meet those needs Empathy UNDERSTANDING of feelings Rapid Cycling 4 or more episodes of acute mania within 1 year Bipolar I Client has at least one episode of mania alternating with major depression More severe Bipolar II Client has one or more hypomanic episodes alternating with MDD Bipolar Meds Lithium=mood stabilizer Anticonvulsants such as Valproic Acid (Depakote), Clonazapam, Lamitcal, Gabapentin, and Topiramate Benzos such as Lorazepam used on a short term basis SSRIs such as Prozac A client in a true manic state will... Not stop moving, and does not eat or drink, or sleep. This can become a medical emergency Alogia Poverty of thought or speech; the client may sit with a visitor but may only mumble or respond vaguely to questions Avolition Lack of motivation in activities and hygiene Grandeur Believes that she is all powerful and important, like a god Somatic Delusionals Believes that his body is changing in an unusual way, such as growing a third arm Depersonalization Nonspecific feeling that a person has lose their identity, self is different or unreal Derealization Perception that environment has changed Global Assessment of Functioning (GAF Scale) Helps to determine a client's ability to perform ADLs and to function independently Mileu Safe, structured environment that decreases anxiety and distracts the client from constant thinking and hallucinations Atypical Antipsychotics Treat BOTH positive and negative symptoms of schizophrenia Abilify Geodon Zyprexa Seroquel Risperdal Clozaril (Clozapine) Conventional Antipsychotics Treat positive symptoms of schizo Haloperidol (Haldol) Loxapine Chlorpromazine (Thorazine) Fluphenazine Benzos Lorazepam (ativan) Clonazepam (Klonopin) Positive Symptoms of Schizo (obvious) Hallucinations Delusions Use of clang association Constantly waving arms (bizarre movements) Spitting Client tends to characterize people or things as all good or all bad at any particular moment For example, client might say, "You are the worse person in the world!" Later that day, she might say, "You are best, but the nurse from the last shift is terrible!" Seen in borderline personality disorder Cluster A Disorders Odd or eccentric traits Paranoid: characterized by distrust and suspiciousness toward others based on unfounded beliefs that others want to harm, exploit or deceive the person Schizoid: characterized by emotional detachment, disinterest in close relationships and indifference to praise or criticism; often uncooperative Schizotypal: characterized by odd beliefs lead to interpersonal difficulties, an eccentric appearance and magical thinking or perceptual distortions that are not clear delusions or hallucinations [Show Less]
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ATI proctored mental health retake 2023 Questions and Answers 100% correct
A. Place the child in seclusion 1. A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other chil... [Show More] dren in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints d. Administer risperidone A. Dependent 3. A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findings are associated with which of the following personality disorders? a. Dependent b. Paranoid c. Borderline d. Histrionic c. Offer the client the medication at the next scheduled dose time 4. A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take? a. Inform the client that he does not have the right to refuse medication b. Administer the medication to the client via IM injection c. Offer the client the medication at the next scheduled dose time d. Implement consequences until the client take the medication D. Offer prophylactic medication to prevent STIs 5. A nurse is caring for a client in the emergency department who states she was beaten and sexually assault by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next? a. Conduct a pregnancy test b. Requests mental health consultation for the client c. Provide a trained advocate to stay with the prophylactic medication client. d. offer prophylactic medication to prevent STIs B. Cancel the schedule ECT procedure 6. A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his partner, the client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take? a. Request that the client's partner sign the consent form b. Cancel the schedule ECT procedure c. Proceed with the preparation for ECT based on implied consent d. Inform the client about the risks of refusing the ECT d. Displacement 7. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating? a. Rationalization b. Denial c. Compensation d. Displacement b. It's important that the client feel safe verbalizing how she is feeling 8. A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client's depression. Which of the following statements by the nurse is appropriate? a. Please don't take what the client said seriously when she is depressed b. It's important that the client feel safe verbalizing how she is feeling c. Everybody feels that way about this client so don't worry about it d. I'll change your assignment to someone who doesn't have depressive disorder d. The child has cystic fibrosis 9. A nurse is assessing a child in the emergency department. Which of the following findings places the child at the greatest risk for physical abuse? a. The child is 10years old b. The child is homeschooled c. The has no siblings d. The child has cystic fibrosis b. Snap a rubber band on your wrist when you think about checking the locks 10. A nurse Is providing behavioral therapy for a client who has obsessive-compulsive disorder.The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? a. Keep a journal of how often you check the locks each night b. Snap a rubber band on your wrist when you think about checking the locks c. Ask a family member to check the lock for you at night d. Focus on abdominal breathing whenever you go to check the locks a. Bradycardia 11. A nurse is assessing a client who is experiencing alcohol withdrawal.For which of the following findings should the nurse anticipate administration of lorazepam/ a. Bradycardia b. Stupor c. Afebrile d. Hypertension d. Encourage the client to participate in family therapy 12. A nurse is creating a plan of care of a client who has anorexia nervosa.Which of the following intervention should the nurse include in the plan? a. Weigh the client twice per day b. Prepare the client for electroconvulsive therapy c. Set a weight gain goal of 2.2kg (5lbs) per week d. Encourage the client to participate in family therapy d. Attachment to objects that spin 13. A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following finding should the nurse expect? a. Readily initiates conversation b. Enjoys imaginative play c. Strong relationship with sibling and peers d. Attachment to objects that spin b. Limit loud noises in the client's environment 14. A nurse is planning care for a client who has bipolar disorder. The client reports not sleeping for 3 days and is exhibiting a euphoric mood. The nurse should identify which of the following as the priority intervention. a. Secure the client's valuable possessions b. Limit loud noises in the client's environment c. Encourage the client to participate in structured solitary activities d. Provide high calorie snacks to the client c. Reduce substance craving 15. A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of alcohol use disorder. The nurse should identify that which of the following is a therapeutic effect of this medication. a. Blocks aldehyde dehydrogenase b. Prevents the anxiety of abstinence c. Reduce substance craving d. Decreases the likelihood of seizures b. Rationalization 16. A nurse in an alcohol treatment facility is caring for a client who states "my job is so stressful that the only way I can come it is to drink." The nurse should recognize that the client is displaying which of the following defense mechanisms? a. Repression b. Rationalization c. Introjection d. Intellectualization c. Can you describe how you are currently feeling? 17. A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client's personal coping skills? a. How does this situation affect your life? b. Do you see your current situation affecting your future? c. Can you describe how you are currently feeling? d. How have you dealt with similar situations in the past d. Determine when the adolescent's change in behavior began 18. A school nurse is caring for an adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following intervention is the nurse's priority at this time? a. Contact the adolescent's parents b. Suggest the adolescent join support groups c. Ask the adolescent if he is considering hurting himself d. Determine when the adolescent's change in behavior began a. Slurred speech 19. A nurse is assessing a client who is withdrawing from heroin. Which of the following manifestations should the nurse expect? a. Slurred speech b. Hypotension c. Bradycardia d. Hyperthermia B. Attention seeking 20. A nurse is assessing a client who has histrionic personality disorder. Which of the following finds should the nurse expect? a. Lack of remorse b. Attention seeking c. Splitting of staff d. Identity disturbance a. I will limit my mothers clothing choices when she is getting dressed 21. A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder? a. I will limit my mothers clothing choices when she is getting dressed b. I will provide my mother with detailed instructions about how to perform self-care c. I will wake my mother up a couple of times in the night to check on her d. I will discourage my mother from talking about physical complaints a. Self-mutation 22. A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect? a. Self-mutation b. Pacing back and forth c. Preoccupation with details d. Disorganized speech d. Hgb 10 g/dL 23. a nurse is reviewing the laboratory results on adolescent who has anorexia nervosa. Which of the following findings should the nurse expect? a. Blood glucose 100 mg/dL b. T4 11 mcg/dL c. Potassium 3.7 mEq/L d. Hgb 10 g/dL a. This medication is given to help with extrapyramidal side effects 24. A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching? a. This medication is given to help with extrapyramidal side effects b. This medication is given to help with your depression c. Benztropine helps alleviate your hallucinations d. Benztropine is used to counteract your tachycardia a. Reinforce the clients orientation with the calendar 25. A nurse is planning care for a client with acute delirium. Which of the following instructions should the nurse include in the plan? a. Reinforce the clients orientation with the calendar b. Refute the clients perception of visual hallucinations c. Teach the client assertive techniques d. Assigned the client to a different caregiver each shift c. Encourage physical activity for the client during the day 26. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Discouraged client from expressing feelings of anger b. Identify and schedule alternative group activities for the client c. Encourage physical activity for the client during the day d. Keep a bright light on in the clients room at night b. Assign the same staff to care for the client each day 27. A nurse is caring for a client who has post traumatic stress disorder related to military service. Which of the following actions should the nurse take? a. Encourage the client to suppress feelings of trauma b. Assign the same staff to care for the client each day c. Address the client in an authoritative manner d. Limit the amount of time spent with the client [Show Less]
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ATI proctored mental health exam Questions and Answers 2023
A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse as... [Show More] sess the client? Respiratory depression A nurse in a mental health facility is planning to promote the development of a theraputic relationship with a newly admitted client. Which of the following actions should the nurse plan to take? Identify professional boundaries during the initial interaction Incorporating the attributes or feelings of another person into oneself Introjection A nurse is assisting with the care of a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse prepare to administer? Lorazepam; this will maintain vitals, prevent seizures, and delirium tremens A nurse on an inpatient mental health unit is planning care for a client who was admitted following a suicide attempt. Which of the following actions should the nurse include in the plan? Observe the client swallow medications 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 the following client goals should the nurse identify as the priority? Adequate hydration-this prevents physical exhaustion, maintains health, and meets nutritional and rest needs during this phase of mania. Think of Maslows hierarchy of needs. A nurse is caring for a client with alcohol use disorder. Following alcohol withdrawl, which of the following medications should the nurse expect to administer to the client during maintenence? Disulfiram (Antabuse) Medication that is given to patients who are withdrawing from opioids Methadone Medication that is administered during alcohol withdrawl Chlordiazepoxide- helps prevent seizures and delirium tremens Medication that is administered during an opioid/narcotic overdose Naloxone A home health nurse is talking with the partner of a client who has dementia. Which of the following statements by the partner indicates that the client is displaying signs of apraxia? "Yesterday my partner put a jacket on upside down" A nurse is observing a patient who has histrionic personality disorder. Which of the following behaviors should the nurse expect? The client whispers into the providers ear—acting provocatively and seductively is an expected behavior of an individual with histrionic personality disorder. Patients who manifest expressionless demeanor and exhibit social withdrawl have this personality disorder Schizoid personality disorder Patients who manifest constant reassurance due to a lack of self confidence and an excessive need to be cared for have this personality disorder Dependent personality disorder 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? LFT's— due to the risk of hepatotoxicity A nurse is collecting data from a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the following findings should the nurse expect? Blurry vision—Lithium toxicity occurs between 2-2.5; sx. Include blurry vision, ataxia, clinic twitching, severe hypotension, and polyuria. Early signs of lithium toxicity Levels between 1.0-1.5 = Fine tremors, nausea, vomiting, diarrhea, muscle weakness, lethargy Adverse effect of lithium Hypothyroidism Late signs of lithium toxicity Levels above 2.5 = seizures and Liguria; levels above 3.5 = delirium, cardiovascular collapse, coma, and death A nurse is reviewing the laboratory report of a patient who is taking risperidone. The nurse should identify that which of the following results indicates a potential adverse reaction to the medication? Elevated blood glucose A nurse is caring for a newly admitted client who is recieving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours". Which of the following findings should the nurse expect during alcohol withdrawl? Insomnia, restlessness, elevated temperature, muscle tremors, tachycardia A nurse is collecting data from a client who has bipolar disorder and is in a manic state. Which of the following findings is the highest priority? The client reports sleeping 2-3 hours per night— the greatest risk is injury from exhaustion A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect? Increased mental alertness, elevated BP, exxagerated emotional response (euphoria and possible aggression), elevated body temp [Show Less]
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ATI mental health proctored exam 2023 Questions and Answers Graded A+
.A client is fearful of driving and enters a behavioral therapy program tohelp him overcome his anxiety. Using systematic desensitization, he is ableto dri... [Show More] ve down a familiar street without experiencing a panic attack. Thenurse should recognize that to continue positive results, the client should participate in which of the following? a. Biofeedback b. Therapist modeling c. Frequent pacing d. Positive reinforcement a. Biofeedback A nurse is counseling a client following the death of the client's partner 8months ago. Which of the following client statements indicates maladaptive grieving? a. "I am so sorry for the times I was angry with my partner." b. "I like looking at his personal items in the closet." c. "I find myself thinking about my partner often." d. "I still don't feel up to returning to work. d. I still don't feel up to returning to work. A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol (anti-psychotic, 1st gen). Which of the following clinical findings is the nurse's priority? a. Headache b. Insomnia c. Urinary hesitancy d. High fever d. high fever A nurse is planning care for a client who has obsessive compulsive disorder. Which of the following recommendations should the nurse include in the client's plan of care? a. Reality Orientation therapy b. Operant Conditioning c. Thought Stopping d. Validation Therapy c. thought stopping A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the teaching? a. "I will provide my mother with detailed instructions about how to perform self-care." b. "I will limit my mother's clothing choices when she is getting dressed." c. "I will wake my mother up a couple of times in the night to check on her." d. "I will discourage my mother from talking about her physical complaints." b. "I will limit my mother's clothing choices when she is getting dressed." A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take? a. Provide in depth explanation of nursing expectations b. Encourage the client to participate in group activities c. Avoid power struggles by remaining neutral d. Allow the client to set limits for his behavior c. Avoid power struggles by remaining neutral A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? a. "Keep a journal of how often you check the locks each night." b. "Ask a family member to check the locks for you at night." c. "Focus on abdominal breathing whenever you go to check the locks." d. "Snap a rubber band on your wrist when you think about checking the locks." d. "Snap a rubber band on your wrist when you think about checking the locks." A nurse is caring for a client who has a cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal? a. Hand tremors (Intoxication) b. Fatigue c. Seizures (Intoxication) d. Rapid speech b. fatigue A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? a. WBC count b. Heart rate c. Report of photosensitivity d. Blood glucose level a. wbc count A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Keep the ring light on in the client's room at night b. Encourage physical activity for the client during the day c. Identity and schedule alternative group activities for the client d. Discourage the client from expressing feeling of anger b. Encourage physical activity for the client during the day A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Diminished reflexes b. Hypotension - increased BP c. Insomnia d. Bradycardia c. insomnia A nurse is caring for a client who has schizophrenia and displays severe symptoms of the disorder. Which of the following actions should the nurse take? a. Use medication to decrease frequency of auditory and visual hallucinations b. Assist the client to identify somatic and thought broadcast delusion (Identify symptom triggers, such as loud noises (can trigger auditory hallucinations in certain clients) and situations that seem to trigger conversations about the client's delusions. c. Manage the client's loud, rambling, and incoherent communication patterns d. Direct the client to perform her own daily hygiene and grooming tasks d. Direct the client to perform her own daily hygiene and grooming tasks A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy. The client refuses the treatment and will discuss why with the healthcare team. Which of the following actions should the nurse take? a. Document the client's refusal of the treatment in the medication record b. Tell the client he cannot refuse the treatment because he was involuntarily committed c. Inform the client the ECT does not require client consent d. Ask the client family to encourage the client to receive ECT a. Document the client's refusal of the treatment in the medication record A nurse is providing crisis intervention for a client who was involved in a violent mass casualty situation in the community. Which of the following actions should the nurse take during the initial session with the client? a. Identify the client's usual coping style. b. Encourage the client to display anger toward the cause of the crisis. (Reduce stress-related manifestations, such as using techniques to alleviate a panic attack) c. Tell the client that this life will soon return to normal (False assurance) d. Help the client focus on a wide variety of topics regarding the crisis. a. identify the client's usual coping style A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? a. Encourage the client to attend a grief support group b. Discuss the client's coping skills c. Request a mental health consult for the client d. Ask the client if she has thought about harming herself d. Ask the client if she has thought about harming herself A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care? a. Acknowledges that his delusions are not real b. Changes behavior as a result of peer pressure c. Initiate social interactions with caregiver d. Meets own needs without manipulating others. c. Initiate social interactions with caregiver A nurse is caring for a client who is experiencing active auditory hallucination. Which of the following should the nurse take? a. Avoid asking direct questions about the client's experience b. Tell the client her experience is not real c. Convey sympathy for her client's experience d. Focus the client on reality based activities d. Focus the client on reality based activities A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings the nurse reports to the provider? a. Reports eating twice in the past week b. States that he hasn't bathed in 2 days c. Speaks in rhyming sentences d. Makes inappropriate sexual comments a. Reports eating twice in the past week A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse? a. Lanugo covering the body b. Blood pH 7.40 c. +2 edema of the lower extremities d. BUN 21 mg/dL +2 edema of the lower extremities A nurse is planning care for a client who has a recent diagnosis of antisocial personality disorder. Which of the following outcomes should the nurse in the care plan? a. The client treats others with respect b. The client recognizes the importance of others c. The client reduces self-dramatization d. The client conforms to social norms regarding clothing choices a. The client treats others with respect A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I can't stand to be touched by another person". Which of the following response should the nurse make? a. Why don't you like to be touched by others? b. I will request that the massage therapist wear gloves during your treatment c. I will tell your provider know that you would like a treat other than a message d. Don't worry about it. Your anxiety will lessen once the massage begins c. I will tell your provider know that you would like a treat other than a message A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from the other clients. Which of the following techniques should the nurse use? a. Crisis intervention to decrease anxiety b. Aversion therapy to provide distraction c. Systematic desensitization to extinguish the behavior d. Positive reinforcement to increase desired behavior b. Aversion therapy to provide distraction [Show Less]
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mental health proctored ATI Questions and Answers 2023
a nurse is obtaining a medical hx from a pt. who is requesting a prescription for bupropion for smoking cessation. which of the following assessment findin... [Show More] gs in the pts. hx should the nurse report to the provider? A. Recent head injury b. hypothyroidism c. herpes infection d. knee arthroplasty 1 month ago A. Recent head injury - risk for seizures a nurse is planning care for a pt. who has narcissistic personality disorder. which of the following actions is appropriate for the nurse to include in the plan of care? A. request an anti-psychotic med from the provider b. ask the client to sign a no suicide contract c. remain neutral when communicating with the client d. provide the client with high cal. finger foods c- remain neutral when communicating with the client a nurse is preparing for an inter professional team meeting regarding client who has major depressive disorder. which of the following findings obtained during the initial assessment is a priority to report to other disciplines? A. significant weight loss b. neglected hygiene c. psychomotor retardation d. problem solving skills c. psychomotor retardation a nurse in a mental health facility is reviewing a client's medical record. which of the following actions should the nurse take first? A. initiate 0.9 sodium chloride with 40 mil equivalent potassium chloride b. encourage the client to attend group therapy sessions c. teach the client about nutritional needs d. administer acetaminophen 500 mg PO d. administer acetaminophen 500 mg PO a nurse is providing care for a client who demonstrates prolonged depression related to the loss of her significant other 6 months ago. which of the following actions should the nurse take? A. suggest that the client avoids social interactions that remind her of her partner b. discourage the client from reliving the event surrounding her loss c. explain that it could take a year or more to learn to live with the loss d. have the client maintain an unstructured daily routine c. explain that it could take a year or more to learn to live with the loss a nurse is teaching a client who has a new prescription for disulfiram. which of the following statements by the client indicates an understanding of the teaching? A. I can continue to eat age cheese and chocolate b.i can wear my cologne on special occasions c. when I bake my favorite cookies, I can use pure vanilla extract for flavoring d. if I cut myself I can clean the wound with isopropyl alcohol A. I can continue to eat age cheese and chocolate a nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations which of the following actions should the nurse take first? A. focus the client on reality based topics b. monitor the client for indications of anxiety c. ask the client what she/he is hearing d. encourage the client to listen to music c. ask the client what she/he is hearing a nurse is assessing a client who has delirium. which of the following findings requires immediate intervention by the nurse? A. rapid mood swings b. inappropriate speech patterns c. command hallucinations d. impaired memory c. command hallucinations a nurse in an ED is assessing a client who recently reported using ...... which of the following clinical manifestations should the nurse report? A. lethargy b. brady c. hypertension d. hypotension c. hypertension a nurse is teaching a client about cognitive reframing for stress management. which of the following client statements indicates understanding of the teaching A. I will practice replacing negative thoughts with positive self thoughts b. I will progressively relax each one of my muscle groups when feeling stressed c. I will focus on a mental image while concentrating on my breathing d. I will learn how to voluntarily control my b/p and HR A. I will practice replacing negative thoughts with positive self thoughts a nurse in a inpatient mental health facility is assessing a client who has Schizophrenia and is taking haloperidol. which of the following clinical findings is the nurses priority? A. high fever b. urinary hesitancy c. insomnia d. headache A. high fever a nurse is interviewing a client who was recently sexually assaulted. the client cannot recall the attack. the nurse should identify the client is using which of the following defense mechanisms? A. Suppression b. reaction formation c. sublimation d.repression d. repression a nurse is caring for a client who has Alzheimer's disease. which of the following findings should the nurse expect? A. excessive motor activity B. altered LOC c. failure to recognize familiar objects d. rapid mood swings c. failure to recognize familiar objects a nurse in a mental health facility is caring for a client who is being aggressive toward other clients. which of the following actions is a priority for the nurse to take? A. ask the client if he intends to harm others b. role model healthy ways to express anger c. assist the client to explore techniques to reduce stress d. suggest that the client make a list of things that make him angry A. ask the client if he intends to harm others a nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. which of the following actions should the nurse take? A. request of the clients guardian to sign the consent b. ask the charge nurse to obtain informed consent c. contact the social worker to obtain the consent d. explain implied consent to the clients family A. request of the clients guardian to sign the consent a nurse is developing a plan of care for school age child who has autism spectrum disorder. which of the following interventions should the nurse include In the plan? A. assigns a child to a room with another child of the same age b. discourage the child from making eye contact with caregiver c. allow flexibility in the Childs daily schedule d. use a reward system for appropriate behavior d. use a reward system for appropriate behavior a nurse in an outpatient clinic is assessing a client who has anorexia nervosa. which of the following findings indicates a need for hospitalization? A. K 3.8 b. HR 56/min c. temperature 96.1 F d. weight 10% below ideal weight c. temperature 96.1 F a nurse is caring for a client who has severe depression and is scheduled to receive ECT. the nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects? A. muscle distress b. aspiration c. elevated b/p d decrease HR A. muscle distress a nurse is developing a plan of care for a client who has paranoid personality disorder. which of the following actions should the nurse include in the plan? A. provide written information about the clients treatment plan B. monitor the client for splitting behaviors c. encourage countertransference when developing the nurse client relationship d. isolate the client from social or group interactions d. isolate the client from social or group interactions a nurse is caring for a client who has schizophrenia. the clients employer calls to discuss the clients condition. which of the following is appropriate nursing action? A. consult the clients family b. contact the facility legal department c. contact the provider d. consult the client d. consult the client a nurse in the ED is caring for a client who has serotonin syndrome. the nurse should assess the client for which of the following manifestations? A. Brady b. priapism c. paresthesia d. hyperpyrexia d. hyperpyrexia - temp < 104F a nurse is caring for a client who has bipolar disorder. the client is walking in and out of rooms speaking inappropriately, and giggling. which of the following actions should the nurse take? A. tell the client there will be negative consequences for his/her behavior b. have the client return to her room to read a book c. lead the client outside for a walk d. take the client to the day room to watch a movie with other clients c. lead the client outside for a walk - provide outlet for physical activity a nurse is admitting a client who has a new diagnosis of schizophrenia and history of aggressive behavior. which of the following actions should the nurse include in the clients initial plan of care? A. ignore the clients hallucinations b. agree with the client when he/she is upset until able to calm down c. avoid eye contact with the client for the first few days d. provide a physical exercise activity for the client d. provide a physical exercise activity for the client a nurse is caring for a client who begins yelling and pacing around the room. which of the following actions should the nurse take? SATA A. stand directly in front of the client b. speak to the client in a loud voice c. request that security guards restrain the client d. identify the clients stressors e. talk to the client using short, simple sentences d. identify the clients stressors e. talk to the client using short, simple sentences a nurse is observing a newly licensed nurse administer an IM medication to a client who is manic and refuses the medication. which of the following actions should the nurse take first? A. talk to the newly licensed nurse about the incident b. call the provider for an alternate medication route c. stop the newly licensed nurse from administering the medication d. report the occurrence to the nurse manager c. stop the newly licensed nurse from administering the medication a nurse is teaching the family of a client who has Alzheimers disease about safety interventions for night time wondering. which of the following interventions should the nurse include? A. install locks at the bottom of the exit doors b. place a clients mattress on the floor c. encourage the client to take naps during the day d. place rubber back throw rugs on the tile floors b. place a clients mattress on the floor a nurse is assessing a client who has schizophrenia. the client tells the nurse, "my heart exploded and my blood is draining out." the nurse should interpret that statement as which of the following manifestations? A. somatic delusion b. visual hallucination c. concrete thinking d. paranoia A. somatic delusion a nurse is preparing to administer methylphenidate 25 mg PO to a school age child who has ADHD available is 10mg/5mL. how many mL? round to the nearest tenth. 12.5mL a nurse is creating a plan of care for a client who has major depressive disorder. which of the following interventions should the nurse include in the plan? A. encourage physical activity for the client during the day b. discourage the client from expressing feelings of anger c. keep a bright light on in the clients room at night d. identify and schedule alternate group activities for the client A. encourage physical activity for the client during the day [Show Less]
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ATI Mental Health Proctored Exam Questions and Answers 2023
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. [Show Less]
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