ATI PN Mental Health Practice 2020 B with NGN Version 3| Questions and Verified Answers| 100% Correct| Grade A
QUESTION
A nurse is collecting data
... [Show More] from a client with a history of cocaine use. Which of the following
findings is an indication that the client is experiencing cocaine toxicity?
A. Hypothermia B. Piloerection C. Somnolence
D. Seizures
Answer:
D. Seizures
The nurse should expect a client who is experiencing cocaine toxicity to experi- ence seizures.
Other findings include severe anxiety, hallucinations, and paranoid thoughts.
QUESTION
A nurse on a mental health unit is caring for four clients who have schizo- phrenia. Which of the
following clients should the nurse see first?
A. A client who has anergia
B. A client who demonstrates blunted affect
C. A client who demonstrates concrete thinking
D. A client who is experiencing command hallucinations
Answer:
D. A client who is experiencing command hallucinations
Because command hallucinations are a risk factor for violence, the greatest risk to this client is
injury to self or others. Therefore, the nurse should see this client first.
QUESTION
A nurse is caring for a client who is undergoing behavioral therapy for PTSD. The nurse should
identify that which of the following findings indicates an improvement in the clients condition?
A. The client reports about techniques they use to promote sleep.
B. The client shows limited emotion when discussing witnessing a traumatic event.
C. The client states that they no longer feel like they can trust their partner.
D. The client avoids situations that might trigger memories of past trauma.
Answer:
A. The client reports about techniques they use to promote sleep.
Clients who have PTSD frequently experience disrupted sleep. Therefore, reporting about
techniques they use to promote sleep demonstrates that the client's condition has improved.
QUESTION
A nurse is reinforcing teaching with a client who has a new prescription for phenelzine. The
nurse should instruct the client that eating foods containing in tyramine can cause which of the
following adverse reactions with this medication?
A. Hypertensive crisis B. Serotonin syndrome C. Hearing loss
D. Urinary incontinence
Answer:
A. Hypertensive crisis
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.
QUESTION
A nurse is caring for a client who has dementia. Which of the following actions should the nurse
take?
A. Keep the client's room dark at night.
B. Alternate the client's caregivers on a routine basis. C. Stand in front of the client when
speaking.
D. Remove personal belongings from the client's room.
Answer:
C. Stand in front of the client when speaking.
The nurse should stand in front of the client when speaking to them to maintain eye contact and
maximize the client's understanding of the conversation.
QUESTION
A nurse is caring for a client who is scheduled for ECT. Which of the following actions should
the nurse take prior to the procedure?
A. Keep the client in a side-lying position. B. Administer morphine IV.
C. Prepare the client for intubation.
D. Administer atropine sulfate IM.
Answer:
D. Administer atropine sulfate IM.
In preparation for ECT, the nurse should administer atropine sulfate IM 30 min prior to the
procedure. This will decrease secretions in order to prevent aspiration that can be caused by the
vagal stimulation induced by ECT.
QUESTION
A nurse is collecting data from a client whose home was destroyed in 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."
Answer:
A. "Are you experiencing feelings of hopelessness?"
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.
QUESTION
A nurse is caring for a client who states, "I just lost my job. This has been the worst day of my [Show Less]