ATI RN MENTAL HEALTH REVIEWED
EXAM
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of
anorexia
... [Show More] nervosa. Which of the following questions are appropriate for the nurse to
include in the assesment? - CORRECT ANSWER-A. "What is your relationship like with
your family?"
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings about your appearance?"
Rationale: A family history of a client who has anorexia should include an assessment of family and interpersonal relationships. You should also assess for the client's current eating habits, and the client's perception of the issue.
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lbs. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? - CORRECT ANSWER-A. "Life isn't worth living if I gain weight."
Rationale: Catastrophizing means that the client's perception of her appearance or
situation is much worse than her current condition.
A nurse is performing an admission assessment of a client who has bulimia nervosa
with purging behavior. Which of the following is an expected finding? - CORRECT
ANSWER-B. Hypokalemia
D. Slightly elevated body weight
Rationale: A client who has a bulimia nervosa disorder will be hypokalemic, will maintain
a weight within a normal range or slightly higher; they will not have a period
(amenorrhea), and a patchy skin (mottling of skin).
A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior. The client tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate response by the nurse? - CORRECT ANSWER-C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments."
Rationale: A nurse should focus on the patient's accomplishments, which helps promote
self-esteem and self-image.
A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions is appropriate to include in the client's plan of care? - CORRECT ANSWER-D. Implement one-to-one observation during meal times.
Rationale: A nurse should closely monitor the client during and after meals to prevent purging. It may necessitate accompanying the patient to the restroom. A patient should also have a highly structured milieu, including meal times. The client should not eat foods high in fat and gas-producing at the start of a treatment. A positive approach should also be used which includes rewards, such as when completing meals or consuming a set number of calories.
A nurse is caring for a client who is on lithium therapy. The client states that he wants to
take ibuprofen for osteoarthritis pain relief. Which of the following statements by the
nurse is appropriate? [Show Less]