ATI PN Mental Health Proctored Exam 2019 4. A nurse is caring for a client who is experiencing active auditory
hallucination. Which of the
... [Show More] 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 attempt to
focus conversation on reality based subjects.
5. 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 (physical exhaustion &
possible death - MEDICAL EMERGENCY)
b. States that he hasn't bathed in 2 days
c. Speaks in rhyming sentences
d. Makes inappropriate sexual comments
6. 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 Hypokalemia due to
purging/vomiting → dehydration → inc aldosterone production → Na &
water retention & K excretion
d. BUN 21 mg/dL
7. 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
Antisocial personality disorder: disregard for others w/ exploitation, lack
of empathy, repeated unlawful actions, deceit, & failure to accept personal
responsibility; sense of entitlement, manipulative, impulsive, & seductive;
nonadherence to traditional morals & values; verbally charming & engaging
lOMoARcPSD|9700590
8. 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? (don’t ask “why”
questions)
b. I will request that the massage therapist wear gloves during your
treatment (till being touched)
c. I will tell your provider know that you would like a treat other
than a message (avoid triggers)
d. Don't worry about it. Your anxiety will lessen once the massage begins
(false reassurance, minimizing feelings) [Show Less]