ati mental health

Question 1

a nurse is teaching ab deep breathing exercises to a client responding to intense stress at work. which statement indicates understanding of the teaching

Answer 1

i will focus on how the muscles in my
stomach feel with each breath

Question 2

a nurse is caring for a patient with a terminal cancer diagnosis from his provider, which action should the nurse take

Answer 2

allow the patient unlimited time for the grieving process

Question 3

a nurse is caring for a client seeking treatment for opioid use disorder. Which of the following actions should the nurse take?

Answer 3

inform the client ab policies for dispensing methadone

Question 4

a nurse is caring for a school age child with conduct disorder and requires wrist restraints. Which of the following actions should the nurse take?

Answer 4

monitor vital signs every 15 min

Question 5

a nurse is reviewing the medical record of a client beginning to take aripiprazole. which is a contraindication for aripiprazole therapy

Answer 5

seizure disorder

Question 6

a nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is a priority for the nurse to report to the provider

Answer 6

sore throat (agranulocystosis)

Question 7

a nurse is planning to conduct a support group for adolescents who have cancer. Which is important for the nurse to do during orientation phase

Answer 7

establish rapport with the group members

Question 8

a nurse is conducting an education class for clients who have schizophrenia and have a new prescription for clozapine. which statement indicates the client understands the teaching

Answer 8

i will need to have lab tests weekly for the first 6 months

Question 9

nurse is teaching for client on MAOI, what food should the patient avoid

Answer 9

pepperoni

Question 10

nurse develops behavior contract w a client w antisocial personality disorder, what is a goal to put in the contract

Answer 10

decrease number of verbal outburst

Question 11

a nurse is caring for pt w anorexia, what should be included in the plan

Answer 11

notify client ab designated times for meals

Question 12

nurse is caring for pt w alcohol use disorder and is having withdrawals. what complication should the nurse monitor for

Answer 12

hyperthermia

Question 13

discharge teaching for a pt prescribed lithium

Answer 13

take this medication with meals

Question 14

a nurse has a patient being aggressive to other patients. what action is priority for the nurse to make

Answer 14

ask the client if he intends to harm others

Question 15

a nurse us assessing a child with a spinal fracture. the parent of the child provides different accounts for the cause of the injury. what action should the nurse take first

Answer 15

determine immediate safety needs of the child

Question 16

the nurse is caring for a client who has a new prescription for citalopram. the nurse should recognize this med can result in the adverse intxn when taken with which OTC supplement

Answer 16

St Johns Wort

Question 17

the nurse is caring for a client who has a new prescription for escitalopram. which statement by client indicates the med is having its intended effect

Answer 17

my mood improved over the last year

Question 18

a nurse is caring for a client with anorexia. which of the following findings requires immediate intervention by the nurse

Answer 18

blood pH 7.60

Question 19

a nurse is assessing a pt w delirium. which finding requires immediate intervention

Answer 19

command hallucinations

Question 20

a nurse is caring for a patient w borderline personality disorder and has been engaging in self mutilation. the nurse should encourage for the patient to participate in which group

Answer 20

dialectical behavior treatment group

Question 21

a nurse is caring for a patient with Alzheimer’s. Which of the following findings should the nurse expect?

Answer 21

failure the recognize familiar objects

Question 22

a charge nurse is discussing care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference

Answer 22

the client is just like my brother who finally overcome his habit

Question 23

a nurse is caring for a client who is undergoing electroconvulsive therapy. Which task should the nurse delegate to the AP

Answer 23

assist client to ambulate for the first time after the procedure

Question 24

a nurse is receiving shift change report of 4 patients. which one should the nurse see first.

Answer 24

a client taking clozapine and reports a sore throat

Question 25

a nurse is caring for a client who has anorexia and began treatment a month ago. which indicates clients adherence to the tx plan

Answer 25

client states she knows she cant be perfect

Question 26

a nurse is receiving lab results of a patient taking lithium carbonate.

Answer 26

sodium 132

Question 27

a nurse manager is observing a newly licensed nurse prepared to administer IM to a pt who is manic an is refusing medication. which action should the nurse manager take first

Answer 27

stop the newly licensed nurse from giving the med

Question 28

a nurse is caring for a client with a substance abuse disorder and states “people are out to get me” the client has tachycardia and hypertension. the nurse should expect a toxicity of what substance

Answer 28

cocaine

Question 29

a nurse is caring for a client who has anorexia, what findings should the nurse expect

Answer 29

bradycardia, lanugo, hypotension

Question 30

a nurse is caring for a client who is a child and has a new dx of ADHD, what med should the nurse expect the prescription med to be

Answer 30

methylphenidate

Question 31

a nurse is caring for a client taking citalopram. which of the adverse effects should the nurse monitor

Answer 31

decreased libido

Question 32

a nurse is teaching a new grad nurse
ab contributing factors that can lead to the development of conduct disorder. which of the following related factors related to family dynamics should be included in the teaching

Answer 32

the client has several siblings

Question 33

a nurse is caring for a client whos partner died 6 mo ago. what finding is the nurses priority

Answer 33

the client states that he is unable to eat more than once a day

Question 34

a nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has MDD. which of the following findings obtained during the initial assessment is the priority to report to other disciplines.

Answer 34

significant weight loss

Question 35

a nurse is providing counseling for a family that consists of 2 parents and their 2 adolescent children. which of the following family members should the nurse identify in the role of the monopolizer.

Answer 35

the adolescent daughter who attempts to dominate the discussion

Question 36

a nurse is caring for a client who states “i am too embarrassed to tell anyone what i did last night.” which of the following responses should the nurse make

Answer 36

lets discuss what you feel embarrassed about

Question 37

a nurse is performing an admission assessment for a client who was transferred from another MH facility. the nurse suspects negligence. which of the following actions should the nurse take

Answer 37

document a factual account of the findings in the clients medical record

Question 38

a nurse is leading a grief support group support group for bereaved clients. which of the following client statements should the nurse report to the provider as an indication of clinical depression

Answer 38

i don’t feel anything but numbness anymore

Question 39

a nurse is caring for a client who has bipolar disorder and is taking lamotrigine. which of the following findings is a nurses priority to report

Answer 39

skin rash

Question 40

a nurse is caring for a client who has borderline personality disorder. which of the following actions should the nurse take

Answer 40

provide consistent boundaries for the client

Question 41

a nurse is caring for a client for is prescribed methylphenidate for ADHD. which of the following statements by the client indicates an accurate understanding of this medications effects

Answer 41

i know that i will be able to think more clearly

Question 42

a nurse is caring for a client who has BPD and is refusing to take meds. which of the following ethical principles is the nurse displaying when he supports the clients refusal of medications

Answer 42

beneficence

Question 43

a nurse is caring for a client who was involuntarily admitted w MDD and refuses to take a prescribed oral antianxiety medication. which of the following actions should the nurse take

Answer 43

offer the medication to the client at the next scheduled time

Question 44

a nurse is caring for a client w schizophrenia, employer calls to discuss patients condition. which is the important nursing action

Answer 44

consult the client

Question 45

a nurse is caring for a client who has schizophrenia. what are some (+) sx

Answer 45

auditory hallucinations
flight of ideas
delusions of grandeur

Question 46

a nurse is caring for a client who recently lost her partner which of the the questions is the priority for the nurse to ask

Answer 46

are you having thoughts about harming yourself

Question 47

a nurse is caring for a client who came in the ED who stated that she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?

Answer 47

request a MH consult for the client
offer prophylactic meds to prevent the STIs

Question 48

a nurse is caring for a client after attempting suicide. which action should the nurse take first?

Answer 48

implement one to one

Question 49

charge nurse is making room assignments for new client admissions. which patient should be placed closest to the nurses station

Answer 49

pt w mod-severe alzheimers

Question 50

a nurse on a MH unit placed a client in mechanical restraints after the client assaulted another client. which action should the nurse take?

Answer 50

evaluate the client hourly while restraints are applied

Question 51

a home health nurse caring for a patient who is in the continuation phase of MDD. the client states “I feel unmotivated and i dont feel like leaving my home” which of the following recommendations should the nurse make to address the client social isolation

Answer 51

join a low impact exercise class

Question 52

A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

Answer 52

Refer the client to a self-help group.

Question 53

a charge nurse is educating a new grad about various defense mechanisms, which of the following should the nurse provide when discussing rationalization

Answer 53

a client who states she did not get a promotion because her boss doesnt like her

Question 54

A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic

Answer 54

journal

Question 55

A nurse is reviewing the medication administration record of a client who has major depressive and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

Answer 55

fluoxetine

Question 56

A nurse in a long- term care facility is caring for a client. The nurse should identify which of the following conditions places the client at an increased risk for developing delirium?

Answer 56

WBC count 13, 000/ mm3

Question 57

the nurse is caring for a client who has a personality disorder and is using transference to cope. which of the behaviors should the nurse expect

Answer 57

reacting to the nurse as if she was his mother

Question 58

a nurse is caring for a patient who receives lamotrigine daily for BPD and reports a rash on his arm. Which of the following actions should the nurse take

Answer 58

withhold the next dose of medication

Question 59

a nurse is caring for a client who was involuntarily admitted and is scheduled to receive ECT. the client refuses treatment and will not discuss why w the MH care team. which action should the nurse take

Answer 59

document the patients refusal in the medical record

Question 60

A nurse is caring for a client who has been taking valproic acid. Which of the following is an expected outcome of the medication?

Answer 60

the client has decreased euphoric mood

Question 61

a home health nurse is caring for a pt who lost their partner 2 years ago. which of the following behaviors by the client indicates a maladaptive grief response

Answer 61

the client is unable to perform basic hygiene tasks

Question 62

a nurse is assessing a client who is restless and constantly mutters to himself. which of the following findings should the nurse expect delirium.

Answer 62

the clients manifestations developed suddenly

Question 63

a nurse is receiving a lab report of a client w a panic disorder and is taking clonazepam. which lab report should the patient report to the provider

Answer 63

platelet count 100,000

Question 64

a nurse is caring for a patient who has depression after a recent job loss which of the following questions should the nurse ask to assess the pts personal coping skills

Answer 64

have you dealt with similar situations in the past

Question 65

a nurse on an acute care unit is caring for a newly admitted client who has anorexia nervosa. when the nurse prepares to obtain a morning weight the client becomes agitated. which of the following statements should the nurse make

Answer 65

you don’t have to look at your current weight if you dont want to