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NR 509 ATI MENTAL HEALTH FINAL EXAM 1 QUESTIONS AND ANSWERS (100%)

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Mental Health Final Exam 1 ATI Questions A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the nurs... e plan to take? Maintain close observation of the client. A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect? The client is able to identify the names of family members. 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." Which of the following responses should the nurse make? "That must be very frightening." A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority? Maintaining adequate hydration A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? Sedation A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client? Promoting and maintaining client safety A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? Pure vanilla extract A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan? Taper the medication gradually over several weeks. A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings should the nurse expect during alcohol withdrawal? Insomnia Your text here 1 A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care? Diazepam A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that member of the group requires further teaching when she identifies which of the following findings as a manifestation of Alzheimer's disease? Sudden confusion 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 of the following manifestations is a common adverse effect of this medication? Dizziness A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium? Valproic acid A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse? The parent provides a history that is inconsistent with the child's injury. A nurse is evaluating the plan of care for a client who has antisocial personality disorder. Which of the following client actions indicates that he is making progress with the treatment? (Select all that apply.) Assisting another client who has depression to fill out a menu Requesting a weekend pass to go home A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include? "You should have your liver function levels monitored regularly while taking valproic acid" A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching? "You will slowly be exposed to increasing levels of public spaces." A nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse include in the teaching? Older adult clients require a lower initial dose of antidepressant medication than adult clients. A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnoses? Severe Alzheimer's disease A nurse is assessing a client who has binge-eating disorder. Which of the following findings should the nurse expect? Abdominal pain A nurse on an acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take? Request a prescription for an antianxiety medication. A nurse is assessing a client who has conduct disorder. Which of the following findings should the nurse expect? Aggressive behavior toward others A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following information should the nurse include? An involuntary admission is justified if the client is a danger to others. A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actions should the nurse take first? Approach the client in a nonthreatening manner. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider's prescription? Hypotension A nurse is providing teaching to the parents of a school-age child who has attention deficit hyperactivity disorder (ADHD). Which of the following instructions should the nurse include in the teaching? "Ignore your child's attention-seeking behaviors that are not dangerous." A nurse is interviewing a client who has anorexia nervosa. Which of the following findings should the nurse expect? Strenuous exercise regimen A nurse is caring for a client who has depression. The client states, "I am too tired and depressed to attend group therapy today." Which of the following responses should the nurse make? "Attending group therapy, even if you're tired, is an important part of your treatment." A nurse is performing an admission assessment for a client who has restricting type anorexia nervosa. The nurse should expect which of the following findings? Decreased caloric intake A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances? Opiates A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client? Denial A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take? Talk to the client from two arm-lengths away. A nurse is assessing a client who takes phenelzineu for the treatment of depression. Which of the following findings is the priority for the nurse to report to the provider? Elevated blood pressure A nurse is assessing a client who experienced a sexual assault 6 months ago. Which of the following findings should the nurse report to the provider as an indication of rape-trauma syndrome? Report of intense guilt A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use? Avoid a nonjudgemental tone. A nurse is providing teaching to the family of a client who has Alzheimer's disease about donepezil. Which of the following statements should the nurse include in the teaching? "Donepezil can improve cognitive functioning during the earlier stages of the disease." A nurse is obtaining a client's medical history prior to scheduling the client for electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as a potential complication of the procedure? Cardiac arrhythmia A nurse is planning care for a client who has bipolar disorder and is experiencing manic episode. Which of the following interventions should the nurse include in the plan? Provide the client frequently with high-calorie finger-foods. A nurse in an acute mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following actions is the nurse's priority? Protect the client from impulsive behavior. A nurse in an acute mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse include in the plan? Instruct the client to practice thought stopping. A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which of the following medications should the nurse expect to administer to the client during maintenance? Disulfiram A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the nurse that he isn't going to attend any further sessions and states, "I don't have time for all that talking." Which of the following responses should the nurse make? "It must be difficult for you to talk about family problems." A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a heroin overdose. Which of the following findings should the nurse anticipate during heroin withdrawal? Muscle aches A nurse in an emergency room is assessing a client who has cocaine intoxication. Which of the following findings should the nurse expect? Dilated pupils A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted under court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display? Anger with the nursing staff for hospitalizing him against his will A nurse is developing a plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client? Permitting the client to spend some quiet time alone after each meal A nurse in the emergency department is assessing a client who has heroin intoxication. Which of the following findings should the nurse expect? Respiratory depression A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following actions should the nurse take? Administer the medication at bedtime. A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? Speak to the client using simple and concrete terminology. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use disorder. Which of the following findings should the nurse expect? Confusion A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. To assess cognitive ability, I should ask the client to count backwards by sevens B. To assess affect, I should observe the client's facial expression C. To assess language ability, I should instruct the client to write a sentence A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? D. Monitor the client for adverse effects of medications A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? B. Identify client's perception of her mental health status A nurse is told during change of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A. The client arouses briefly in response to a sternal rub A nurse is planning a peer group discussion about the diagnostic and statistical manual of mental health disorders 5th edition. Which of the following information is appropriate to include in the discussion? B. DSM-5 establishes diagnostic criteria for individual mental health D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. The DSM-5 indicates expected assessment findings of mental health disorders A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? B. False imprisonment A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the clients and others A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? B. Client was offered 8 oz of water every hour C. Client shouted obscenities at assistive personnel D. Client received chlorpromazins 15 mg by mouth at 1000 A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? B. Tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? D. Intonation A nurse in an acute mental health facility is communicating with a client. The client states. "I can't sleep. I stay up all night." The nurse responds "you are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? D. Restating A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. Offering advice A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? C. The nurse asks the client about her body image perception A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? D. I understand you're concerned. Let's discuss what concerns you specifically A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make? C. Losing someone close to you must be very upsetting A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? C. It is goal-oriented D. Behavioral change is encouraged E. A termination date is established A nurse in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? B. The client accuses the nurse of telling him what to do just like his ex girlfriend A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? A. Discussing ways to use new behaviors A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make? C. You and the other clients will meet with staff to discuss common problems A nurse is caring for several clients who are attending community based mental health programs. Which of the following clients should the nurse plan to visit first? C. A client who says he is hearing a voice that tells him his is not worthy of living anymore A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? C. Establishing rehabilitation programs to decrease the effects of depression A nurse is working in a community mental health facility. Which of the following services does this type of program provide? A. Educational programs B. Medication dispensing programs C. Individual counseling programs E. Family therapy A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care? C. Attending a partial hospitalization program A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment group? B. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? B. The therapist will focus on my past relationships during our sessions A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? D. I should say the first thing that comes to my mind A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? A. Priority restructuring B. Monitoring thoughts D. Journal keeping A nurse is caring or a client who has a new prescription for disulfiram for treatment of alcohol abuse disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this method an example? A. Aversion Therapy A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? C. Gradually expose the client to an elevator while practicing relaxation techniques A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? C. Asks for group suggestions of techniques and then supports discussion A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? B. Define the purpose of the group C. Discuss termination of the group E. Establish an expectation of confidentiality within the group A nurse working on an acute mental health unit forms a group to focus on self management of medications. At each of the meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following concepts? D. Hidden Agenda A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans to make his sister look bad so his parents will think he's the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following? B. Manipulation A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? C. A member who brags about accomplishments A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? D. I will receive a muscle relaxant to protect me from injury during ECT A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? D. I will schedule the client for daily TMS treatments for the first several weeks A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? C. Memory loss D. Nausea E. Confusion A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion? C. Bipolar disorder with rapid cycling A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? A. Voice changes D. Dysphagia E. Neck pain A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching. (Select all that apply.) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psycho-biological intervention? Monitor the client for adverse effects of medications A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? Identify the client's perception of her mental health status A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? The client arouses briefly in response to a sternal rub A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? A client who has a borderline personality disorder and assaulted a homeless man with a rod A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? False Imprisonment A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others A nurse is caring for a client who is in mechanical restraints. Whch of the following statemnets should the nurse include in the documentation? (Select all that apply) B. "Client was offered 8 oz. of water every hr. C. "Client shouted obscenities at assistive personnel." D. "Client received chlorpromazine 15 mg by mouth at 1000." A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? Tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication Intonation [Show More]

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