Mental Health ATI Online Practice A with NGN - Answered with Rationales A nurse is discussing the home care of a client who has advanced Alzheimer's
... [Show More] disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? A. Respite care B. Partial hospitalization C. Adult day care program D. Geropsychiatric unit Rationale: Respite care programs allow the client to stay in a nursing facility for a set number of days, allowing the caregivers to go on vacation or have some time to themselves. A nurse is assessing a school-aged child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate? A. Feelings of remorse B. Extended periods of depression C. Deficits in intellectual functioning D. Aggression toward animals Rationale: The nurse should identify that aggression toward people and animals is an expected characteristic of a child who has conduct disorder. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? A. The client is exhibiting echolalia B. The client reports command hallucinations C. The client reports loss of motivation D. The client is exhibiting blunted affect Rationale: The nurse should identify that command hallucinations can indicate a potential psychiatric emergency for a client who has schizophrenia. Command hallucinations can direct the client to harm themselves or others. A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client? A. The client will take prescribed medications as scheduled B. The client will express feelings of frustration C. The client will refrain from self-mutilation D. The client will participate in group therapy Rationale: The greatest risk to the client is injury to self and others. Therefore, the priority goal is for the client to refrain from self-mutilation. A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? A. Allow the client time to formulate an answer B. Prompt the client to give a response C. Move on to the next client D. Offer the client a suggestion for a goal Rationale: Slowed response time is common in clients who have depression. The nurse should allow the client to comprehend and formulate an answer to the question. A nurse is caring for a group of clients. Which of the following findings should the nurse report? A. A client who is taking clozapine and has a WBC count of 7,500/mm3 B. A client who is taking lamotrigine and has developed a rash C. A client who taking valproate and has a platelet count of 150,000/mm3 D. A client who taking lithium and has a lithium level of 1.2,Wq/L Rationale: Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify a rash is a potentially life-threatening adverse effect of the medication and report this finding immediately. A nurse is caring for a client in a mental health facility. The nurse overhears another staff member make derogatory comments to the client. Which of the following actions should the nurse take? A. Confront the staff member B. Encourage the client to report the incident C. Document the incident in the client's health record D. Report the occurrence to the charge nurse Rationale: It is the charge nurse and the nurse manager's responsibility to confront the staff member about the derogatory comments made to the client. A nurse is [Show Less]