ATI RN Mental Health Practice 2019 B (V2) |60 Questions and Verified Answers with Rationales ()
QUESTION
A nurse is planning discharge teaching with
... [Show More] a family member of a client who has a new diagnosis of depression. Which of the following information about relapse should the nurse include?
Answer:
Early identification of changes, such as decrease social involvement, is important.
QUESTION
A nurse is planning prevention strategies for a partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention?
Answer:
Establish screening programs to identify at risk clients.
-This is an example of secondary prevention. By establishing screening programs, the nurse can identify individuals who are at risk for partner violence in the community and can take the necessary steps to address individual client needs
QUESTION
A nurse is caring for four clients in the emergency department. The nurse should identify that which of the following clients can give informed consent?
a. 50 y/o who is intoxicated
b. 17 y/o who lives with friends
c. 35 y/o who has major depressive disorder
d. 65 y/o who just received a dose of morphine
Answer:
c. 35 y/o who has major depressive disorder
QUESTION
A nurse on a medical surgical unit is assessing a client who sustained injuries 12 hours ago following a motor vehicle crash. The clients admission blood alcohol level was 325 mg/dL . Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal?
Answer:
Blood pressure 154/96 mm hg
-Physical manifestations of alcohol withdrawal occur in addition to psychological effects. A client who is experiencing alcohol withdrawal is expected to have hypertension, tachycardia, and fever greater than 38.3° C (101° F). It will be important for the nurse to rule out infection in the client who has a fever.
QUESTION
A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a nurse client relationship, which of the following actions should the nurse take first?
Answer:
Inform the client that this admission is confidential.
QUESTION
A nurse is teaching coping strategies to a client who is experiencing depression related to partner violence. Which of the following statements by the client indicates an understanding of the teaching?
Answer:
"I will talk about my feelings with a close friend"
QUESTION
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Answer:
"I will update the plan of care as a clients manifestations of depression change."
QUESTION
A nurse is planning care for a client who has to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan?
Answer:
Monitor the clients cardiac rhythm during the procedure [Show Less]