(NGN) ATI MENTAL HEALTH EXAM 2020 B QUESTIONS AND ANSWERS LATEST.
A nurse is caring for 4 clients who are displaying the use of defense mechanisms. Which
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the following clients should the nurse identify as using a maladaptive defense mechanism?
A. A client with multiple sclerosis stops taking their medication and says their diagnosis is
wrong.
B. An adolescent client who has difficulty with reading and becomes a star athlete.
C. A client admires a highschool principal who seperated two students who were having a
fight.
D. A client who has a gambling disorder volunteers at a head start program. - A. A client
with multiple sclerosis stops taking their medication and says their diagnosis is wrong.
Suppression is the blocking of thoughts or feelings that a client finds unacceptable. Denying
the presence of an illness is a maladaptive use of a defense mechanism.
A nurse is caring for a client who is taking lithium and reports presisant nausea and
vomiting for 2 days. Which of the following lab values should the nurse report to the
provider?
A. Potassium 4.0 mEq/L
B. Lithium 0.9 mEq/L
C. BUN 12 mg/dL
D. Sodium 132 mEq/L - D. Sodium 132 mEq/L
The nurse should identify that a sodium level of 132 mEq/L is not within the expected
reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead
to lithium accumulation and places the client at risk for lithium toxicity. The nurse should
report this finding to the provider.
A nurse is collecting data from a client who is taking valproic acid for the treatment of BPD.
Which of the following findings is priority to report to the provider?
A. Dizziness
B. Weight gain
C. Constipation
D. Yellow sclerae - D. Yellow sclerae
When using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is yellow sclerae because of the risk for hepatotoxicity.
(NGN) ATI MENTAL HEALTH EXAM 2020 B
QUESTIONS AND ANSWERS LATEST.
A nurse is reinforcing teaching about foods that contain tyramine with a client who has a
prescription for phenelzine. Which of the following foods should the nurse instruct the
client to avoid?
A. Fried chicken
B. Oranges
C. Smoked sausage
D. Lentils - C. Smoked sausage
Smoked sausages are high in tyramine. Clients who are prescribed monoamine oxidase
inhibitors (MAOIs) should avoid food that contain tyramine because consuming them can
cause a hypertensive crisis.
A nurse is caring for a client who recently lost their child in a motor-vehicle crash. The
client is expressing feelings of hopelessness. Which of the following questions is the most
important for the nurse to ask?
A. "Are there times when you feel more upset than others?"
B. "Have you had any thoughts of harming yourself?"
C. "What type of support system do you currently have?"
D. "During difficult times in the past, what did you do to cope?" - B. "Have you had any
thoughts of harming yourself?"
The greatest risk to this client is self-injury due to suicide. Asking whether or not the client
has plans to hurt themselves is the most important question for the nurse to ask at this
time because a positive response can alert the nurse to the need for suicide precautions
and intervention. [Show Less]