(NGN) ATI MENTAL HEALTH PROCTORED EXAM 2020
VERSION WITH 100% CORRECT SOLUTIONS/A+
GRADE
1. A nurse is planning care for a client who has borderline
... [Show More] personality disorder who selfmutilates. Which of the following treatment approaches should the nurse plan to take?
a)Restrict participation in group therapy sessions
b)Establish consequences for self-mutilation
c)Maintain close observation
d) Provide an unstructered environment
Clients who have borderline personality disorder are at risk for self-harm during times of
increased anxiety. Maintaining close observation reduces the client's risk of injury
2. A nurse is caring for a client who has Alzheimer's disease and a new prescription for
donepezil. What action should the nurse take?
Administer med at bedtime
3. A nurse is caring for a client who reports that the television set in the room is really a
two-way radio and states, "voices are coming from the TV and everything we say in this
room is being recorded." What response should the nurse make?
“That must be very frightening."
The nurse should respond to the client's delusion in a calm and empathetic manner. By
acknowledging to the client that the delusion must be frightening, the nurse promotes the
nurse-client relationship.
4. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use
disorder. What finding should the nurse expect?
Confusion
The nurse should expect the client who has Wernicke-Korsakoff syndrome to exhibit
neurological and cognitive manifestations due to thiamine deficiency. Confusion, stupor,
diplopia, and memory loss are expected findings of this disorder.
5. A nurse is providing teaching to a client who has generalized anxiety disorder and a new
prescription for buspirone. The nurse should inform the client that which manifestations
is a common adverse effect of this medication?
Dizziness
The nurse should inform the client that dizziness is a common adverse effect of
buspirone. The nurse should instruct the client to avoid driving and operating heavy
machinery until the presence of adverse effects is determined.
6. A nurse is reviewing the medical record of a client who has a new prescription for a
benzodiazepine. What finding should the nurse question the provider's prescription?
Hypotension.
The nurse should question the provider's prescription for a benzodiazepine for a client
(NGN) ATI MENTAL HEALTH PROCTORED EXAM 2020
VERSION WITH 100% CORRECT SOLUTIONS/A+
GRADE
who has hypotension. Benzodiazepines can cause severe hypotension and increase the
client's risk for cardiac arrest.
7. A nurse is assessing a client who takes phenelzine for the treatment of depression. What
finding is the priority for the nurse to report to the provider?
Elevated blood pressure.
The nurse should identify that the greatest risk to the client is an elevated blood pressure,
which increases the risk for a hypertensive crisis that can result from taking an MAOI,
such as phenelzine. The nurse should apply the safety and risk reduction priority-setting
framework when assessing this client. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there are several risks to client
safety, the one posing the greatest threat is the highest priority. The nurse should use
Maslow's hierarchy of needs, the ABC priority-setting frame-work, or nursing knowledge
to identify which risk poses the greatest risk.
8. A nurse is providing teaching to a client who has a new prescription for disulfiram for the
management of alcohol depende [Show Less]