ATI mental health 2019 1. A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse sho
... [Show More] uld encourage the client to participate in which of the following groups? A. Co-dependents support group B. Desensitization therapy C. Dual diagnosis treatment group D. Dialectical behavior treatment group 2. A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan? A. Refer the client to a self-help group. B. Request a discharge prescription for buprenorphine for the client C. Contact a close relative of the client to discuss the discharge plan. D. Teach the client to practice systematic desensitization 3. A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer? A. The father who intervenes whenever the siblings argue B. The adolescent son who refuses to share personal feelings C. The adolescent daughter who attempts to dominate the discussion D. The mother who expresses hostility toward the spouse. 4. A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take? A. Change the subject when the client becomes upset. B. Allow the client unlimited time for the grieving process C. Discourage the client from forming new relationships D. Offer the client advice about various treatment choices 5. A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following finding indicates the client’s adherence to the treatment plan? A. The client potassium level is 3.2 mEq/L B. The client reports following various cooking blogs C. The client states that she knows she cannot be perfect D. The client’s current BMI is 14. 6. A nurse is teaching about deep-breathing exercises with a client who reports experiencing intense stress at work. Which of the following statements by the client indicates an understanding of the teaching? A. “I will focus on how the muscles in my stomach feel with each breath.” B. “I will focus on the causes of my stress during the exercises.” C. “I will hold my breath for 5 or 6 seconds each time.” D. “I will inhale through my mouth and exhale through my nose.” 7. A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first? A. Have staff members discuss their involvement in the event. B. Ask staff members to describe their most traumatic memories of the event C. Provide stress-management exercises to the staff members D. Reassure staff members that the debriefing is confidential. 8. A charge nurse is making room assignments for new client admissions. Which of the following client should the nurse place closest to the nurse’s station? A. A client who has schizotypal personality disorder B. A client who has a history of alcohol use disorder C. A client who has a history of dependent personality disorder D. A client who has moderate-stage Alzheimer’s disease. 9. A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse? A. +2 edema of the lower extremities B. BUN 21 mg/dL C. Blood pH 7.60 D. Lanugo covering the body. 10. A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity? A. WBC 6,000/mm3 B. Aspartate aminotransferase 40 units/L C. Sodium 132 mEq/L D. Calcium 10.0mg/dL 11. A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first? A. Determine the immediately safety needs of the child B. Report suspected abuse to Child Protective Services C. Ask the child how the injury occurred D. Request that the parent leave the room while interviewing the child 12. A nurse is providing discharge teaching about expected adverse effects to a client who has a new prescription for lithium. Which of the following adverse effects should the nurse include? (Select all that apply). A. Thirst B. Sedation C. Weight loss D. Decreased urination E. Dry skin 13. A nurse is assessing a client who has schizophrenia. Which of the following finding should the nurse document as positive symptoms of schizophrenia? (Select all that apply.) A. Flight of ideas B. Delusions of grandeur C. Decreased motivation D. Auditory hallucinations E. Impaired memory 14. 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. Compensation B. Rationalization C. Displacement D. Denial 15. 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. Discourage the client from expressing feelings of anger B. Keep a bright light on in the client’s room at night C. Encourage physical activity for the client during the day D. Identify and schedule alternative group activities for the client [Show Less]