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ATI Mental Health
A nurse is caring for a newly admitted client in an acute
... [Show More] care mental health facility. Which of the following activities should the nurse plan during the working phase of the therapeutic relationship?
1. Define the specific responsibilities of the client and of the nurse.
2. Assist the client to establish mutual goals.
3. Evaluate the client's progress toward meeting his goals.
4. Discuss how the client can incorporate new strategies into daily life.
3. Evaluate the client's progress toward meeting his goals.
During the working phase of the therapeutic relationship, the nurse and the client explore together the problematic areas of the client's life. It is essential to evaluate the progress the client is making toward the goals he has established.
A nurse on a mental health unit is caring for a group of clients. The nurse should recommend weekly team meetings to discuss staff splitting regarding which of the following clients?
1. A client who has a borderline personality disorder.
2. A client who has dementia.
3. A client who has separation anxiety disorder.
4. A client who has major depressive disorder.
1. A client who has a borderline personality disorder.
Splitting of staff members is a clinical finding frequently seen in clients who have borderline personality disorder. Conducting weekly team meeting allows the staff members to voice their feelings and agree upon strategies to implement when working with the client.
A nurse is caring for a client who has bipolar disorder and is in a partial hospitalization program in which a therapeutic milieu has been established. Which of the following interventions should the nurse plan as the highest priority?
1. Assisting the client with baths and personal grooming.
2. Supporting the client's self-administration of medications.
3. Promoting communication with staff and other clients.
4. Encouraging the client to remain at the facility for at least 1 month.
2. Supporting the client's self-administration of medications.
Nonadherence to the medication regimen places this client at the greatest risk for rehospitalization. Therefore, the priority intervention is to support the client in achieving self-administration of medication.
A nurse is collecting data from a client who has depression and is taking a monoamine oxidase inhibitor (MAOI). The nurse should report the use of which of the following OTC medications?
1. Docusate Sodium
2. IBU
3. Pseudoephedrine
4. Famotidine
3. Pseudoephedrine
Pseudoephedrine is an OTC medication containing ephedrine and can interact with MAOIs, causing a HTN crisis. Therefore, the nurse should report the use of this medication to the provider.
A nurse is reinforcing teaching with the family of a client who has opioid use disorder. The nurse should determine understanding of the teaching when the family identifies which of the following manifestations as an indication of opioid intoxication?
1. Impaired coordination
2. Paranoia
3. Increased alertness
4. Tachypnea
1. Impaired coordination
Opiates, due to their sedative effect on the body, can result in impaired coordination as an indication of intoxication.
A nurse is reinforcing teaching with an adolescent who has a history of aggressive behavior. Which of the following statements is appropriate?
1. If you can control you actions this week, I'll talk to you parents about extending your curfew.
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