ATI RN Mental Health Online Practice 2019 B PSY Week 10
A nurse is reviewing the medication administration record for a client who is experiencing
... [Show More] adverse effects of chlorpromazine.
The nurse should administer benztropine to relieve which of the following adverse effects?
A. Blurred vision
B. Orthostatic hypotension
C. Dry mouth
D. Acute dystonia - The nurse should administer benztropine, an anticholinergic agent, to relieve acute dystonia, which is an
extrapyramidal adverse effect of chlorpromazine.
A nurse is planning discharge teaching with a family member of a client who has diagnosis of depression. Which of the
following information about relapse should the nurse include?
A. Additional acute episodes of depression are unlikely following inpatient care.
B. Early identification of changes, such as decreased social involvement, is important.
C. Medication compliance will prevent further need for inpatient hospitalization.
D. It is helpful to regularly reinforce to the client that things will get better.
B. Early identification of changes, such as decreased social involvement, is important.
Decreased social involvement is a manifestation of depression, and early identification of findings can lead to early
intervention.
A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse
expect?
A. Sedation
B. Rhinorrhea
C. Bradycardia
D. Hypothermia
Rhinorrhea - The nurse should expect the client who is experiencing opioid withdrawal to have rhinorrhea and flu-like
manifestations such as yawning, sneezing, and abdominal pain.
A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following
findings as an indication of a boundary issue?
A. An adolescent family member who questions parental authority
B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
C. Older children who are responsible for their younger siblings
This is an example of enmeshed boundaries in which there are no distinctions between the roles of family members.
A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following
statements by the client indicates acceptance of her illness?
A. "I am going to order a wheelchair for when I'm unable to walk."
B. "I am going to stop paying my bills since I won't be around much longer."
C. "I wish you would go take care of somebody who actually needs you."
D. "I am sure I'm going to be able to continue to care for myself without help."
A. "I am going to order a wheelchair for when I'm unable to walk."
The client is recognizing the reality of continued loss of independence and is anticipating the need for assistive devices, which
indicates the behavioral response of acceptance.
A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following
findings as an adverse effects of methylphenidate?
A. Weight gain
B. Tinnitus
C. Tachycardia
D. Increased salvation
C. Tachycardia - The nurse should monitor the child for tachycardia, which is an adverse effect of methylphenidate.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others or the unit.
Which of the following interventions should the nurse include in the plan?
A. Document the client's behavior every 8 hr.
B. Limit the client's fluid intake to 50 mL/hr.
C. Renew the prescription for the client every 4 hr.
D. Toilet the client every 4 hr.
C. Renew the prescription for the client every 4 hr.
The nurse should assess the client's behavior frequently during seclusion and should renew the prescription for seclusion for
an adult client every 4 hr, for a maximum of 24 hr.
A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should
the nurse make?
A. "It appears as though you would like to open the door."
B. "You will feel more comfortable after you've been here for a while."
C. "It is okay to not want to be here."
D. "You really shouldn't be pushing on the door."
A. "It appears as though you would like to open the door."
This statement is an example of the therapeutic technique of making observations. This technique encourages the client to
notice the behavior so that they can describe thoughts and feelings related to that behavior.
A nurse is education the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following
manifestations of this disorder should the nurse include in the teaching?
A. Fear of abandonment
B. Motor and verbal tics
C. Hostile behavior
D. Language delay - The nurse should identify that language delays are a manifestation of autism spectrum disorder.
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing
detoxification. Which of the following information should the nurse include in the teaching?
A. The program will help the client accept responsibility for the disorder.
B. The client should obtain a sponsor before discharge for an increased chance of recovery.
C. The client will need to identify individuals who have contributed to the disorder.
D. The program will need a prescription from the client's provider prior to attendance [Show Less]