Mental Health ATI CMS - Questions with Verified Answers A nurse is beginning a therapeutic relationship with a client who has paranoid personality
... [Show More] disorder. Which of the following strategies should the nurse plan to use? Be vague when answering the client's questions about instructions. Use an overly friendly approach. Demonstrate a neutral demeanor. Ask the client why he is suspicious of others. A nurse is collecting data from a client regarding the client's sexual behavior. The client laughs and makes an inappropriate sexual comment. Which of the following is an appropriate response by the nurse? "I am concerned by your response. Can you explain your comment? I don't approve of that comment. We will discuss this later." That is very inappropriate. Why would you say that?" You shouldn't laugh about this. This is a serious topic." A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of teaching? If I drink alcohol with this medication I will experience ringing in my ears. I will not experience alcohol withdrawal If I take this medication. "Taking this medication will reduce my cravings for alcohol." The medication will allow me to gradually decrease my alcohol intake." A nurse is collecting data from a client who has borderline personality disorder. Which of the following findings should the nurse identify as a risk factor for this disorder? Anxiety disorder Recent concussion History of childhood trauma Recent job loss A nurse is assisting with screenings for child abuse at a preschool. Which of the following factors place a child at risk for abuse? Acute bronchitis Bedwetting First-born child Autism spectrum disorder A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep? You should take a nap after lunch." You should drink a glass of wine 1 hour before you go to bed." You should eat a meal just prior to bedtime." "You should limit yourself to two caffeinated beverages per day." A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.) Splitting Lack of empathy Manipulative behaviors Preoccupation with details Impulsiveness A nurse is caring for a client who has dependent personality disorder. Which of the following findings should the nurse anticipate? The client demonstrates splitting behaviors. The client is comfortable spending time alone. The client monopolizes the discussion in group therapy sessions. The client quickly replaces a lost relationship with another. A nurse is caring for a client who was voluntarily admitted to an acute mental health unit and asks. "You aren't going to make me take medication, are you?" Which of the following responses should the nurse make? You have the right to refuse to take the medication." I can make a list of the medications that you don't want to take." You agreed to take medication when you decided to be admitted." "If the provider prescribes medication, I will have to administer it." A nurse is caring for a client who is experiencing a situational crisis. Which of the following actions should the nurse take first? Reinforce teaching on the client's use of coping skills. Encourage the client to use personal support systems. Identify if the client has thoughts of self-harm. Assist with a client referral for social services. A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first? [Show Less]