University of South Florida - NUR 101 Mental Health ATI Questions and answers latest update 2020

Document Content and Description Below

Mental Health ATI Qs 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? ... 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 psychological intervention? 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? A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which of the following is an expected finding? A nurse is planning a peer group discussion about the DSM-5. Which of the following is appropriate to include in the discussion? (select all that apply) 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 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? 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? A Nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? 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? 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? 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? 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 nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? 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? A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? A nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. The client, has a respiratory rate 30/min, and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply.) 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? 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? (Select all that apply.) A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? 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 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? 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? 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? A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply.) 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? 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 (ACT) group? 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? 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? A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following are appropriate to include in the plan of care? (Select all that apply.) A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for the treatment of his alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. This form of treatment is an example of which of the following? A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following is appropriate when implementing this form of therapy? 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 demonstrating which of the following actions? A nurse is planning group therapy for clients dealing with bereavement. Which of the following should the nurse include in the initial phase? (SATA) A nurse is 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 conspire together to exclude the rest of the group. This is an example of which of the following? A nurse is 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? A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways 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? 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? A nurse is preparing an educational seminar for other nursing staff. Which of the following information should the nurse include in the discussion? A nurse is discussing acute vs prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? A nurse is teaching a client about stress reduction techniques. Which of the following client statements indicates understanding of the teaching? A client says she is experiencing increased stress because her significant other is "Pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation? A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He expects me to finish his work because he's too lazy!" When discussing effective communication, which of the following statements by the client to his coworker indicates client understanding? 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? A charge nurse is discussing transcranial magnetic stimulation (TMS) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A charge nurse is discussing transcranial magnetic stimulation (TMS) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A nurse is assessing a client immediately following an electroconvulsive therapy (ECT) procedure. Which of the following are expected findings? (SATA) A nurse is leading a peer group discussion about the indications for electroconvulsive therapy (ECT). Which of the following is appropriate to include in the discussion? A nurse is planning care for a client following surgical implantation of a vagus nerve stimlation (VNS) device. The nurse should plan to monitor for which of the following adverse effects? (SATA) A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A nurse is assessing a client who has generalized anxiety disorder. Which of the following should the nurse expect? A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first? A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statements actions should the nurse make? A nurse working on an acute mental health unit is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (SATA) A nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse use to help prevent developing a trauma related disorder? (SATA) A nurse is collecting an admission hx for a client who has acute stress disorder (ASD). Which of the following information should the nurse expect to collect? A nurse is caring for a client who has derealization disorder which of the following findings should the nurse identify as an indication of derealization? A nurse in an acute mental health facility is planning care for a client who has dissociate fugue. Which of the following interventions should the nurse add to the plan of care? A nurse is caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk factor for depression? A nurse working on an acute mental health unit is admitting a client who has a major depressive disorder and comorbid anxiety disorder. which of the following actions is the nurse's priority? A nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). which of the following statements by the client indicates understanding of the teaching? A charge nurse is discussing the care of a client who has major depression disorder with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect? A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (SATA) A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? A nurse in an acute mental health facility is caring for a client who is experiencing a mixed episode of bipolar disorder. Which of the following is the priority nursing action? A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which of the following is an appropriate response by the nurse? A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following should the nurse include in the teaching? (SATA) A nurse is caring for a client who has substance‑induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make? (Select all that apply.) A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? (Select all that apply.) A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization? A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are telling her to "kill your doctor." Which of the following actions should the nurse take first? A nurse is speaking with a client who has schizophrenia when he suddenly seems to stop focusing on the nurse's questions and begins looking at the ceiling and talking to himself. Which of the following actions should the nurse take? A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.) A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (Select all that apply.) A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A nurse in a long‑term care facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building. The client states, "I have to get home." Which of the following statements should the nurse make? A home health nurse is making a visit to a client who has Alzheimer's disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury? A nurse is making a home visit to a client who is in the late stage of Alzheimer's disease. The client's partner, who is the primary caregiver, wishes to discuss concerns about the client's nutrition and the stress of providing care. Which of the following actions should the nurse take? A nurse is performing an admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? (Select all that apply.) A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse to include in the presentation? A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following is an expected finding? SATA A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following is the priority nursing intervention? A nurse is caring for client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the teaching? SATA A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates a need for further teaching? A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? SATA A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lbs. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? SATA A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions is appropriate to include in the client's plan of care? A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior. The client tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate response by the nurse? A nurse is discussing the factors for somatic symptom disorder with a newly licensed nurse. Which of the following risk factors should the nurse include? SATA A nurse is reviewing the medicalrecord of a client who hasconversion disorder. Which ofthe following findings should thenurse identify as placing the clientat risk for conversion disorder? A nurse is assessing a client whohas illness anxiety disorder. Whichof the following findings should thenurse expect? (Select all that apply.) A nurse is developing a plan ofcare for a client who has conversiondisorder. Which of the followingactions should the nurse include? A nurse is counseling a client whohas factitious disorder imposed onanother. Which of the following clientstatements should the nurse expect? A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse expect? A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority? A nurse is caring for a client who is to taking fluoxetine for treatment of generalized anxiety disorder or panic disorder. Which of the following statements indicates the client understands the use of this medication? A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome? (SATA) A nurse is caring for a client who takes paroxetine to treat post-traumatic stress disorder. The client states that he grinds his teeth during the night, which causes pain in his mouth. The nurse should identify which of the following interventions as possible measures to manage the client's bruxism? A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a client who is taking phenelzine for which of the adverse side effects should the nurse monitor (select all that apply) A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider? A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? A nurse is caring for a client who is prescribed lithium therapy. The client states that he wants to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make? A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium for bipolar disorder. The nurse should include which of the following manifestations in the teaching?(select all that apply) A nurse is discussing routine follow up needs with a client who has a new prescription for valproate. The nurse should inform the client of the needs for routine monitoring of which of the following? A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium the clients blood level is 1.2mEq/L. Which of the following actions should the nurse take? A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client’s adult daughter, which of the following statements is the priority to report to the provider? a nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and flat affect. The nurse should anticipate a prescription of which of the following medications A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? SATA A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first generation anti-psychotics? (select all that apply) A nurse is assessing a client who is currently taking perphenazine. which of the following findings should the nurse identify as EPS symptoms? A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates an understanding of the teaching? A nurse is teaching the guardians of a child who has autism spectrum disorder about indications of imipramine toxicity. Which of the following should the nurse include in the teaching? SATA A nurse is providing teaching to an adolescent client who has a new prescription for clomipramine for OCD. Which of the following information should the nurse provide? A nurse is providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. the nurse should instruct the client to monitor for which of the following adverse effects? A nurse is caring for a school age child who had conduct disorder and a new prescription for methylphenidate transdermal patches. which of the following information should the nurse provide about the medication? A nurse is teaching a client who has intermittent explosive disorder about a new prescription for fluoxetine. which of the following information should the nurse provide? A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. which of the following information should the nurse include in the teaching? A nurse is assisting in the discharge planning for a client following alcohol detoxification. the nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence from alcohol? A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. which of the following statements by the client indicates an understanding of the teaching? A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. which of the following information should the nurse include in the teaching? A nurse is discussing the use of methadone with a newly licensed nurse. which of the following statements by the newly licensed nurse indicated an understanding of the teaching? Engel’s five stages of grief. loss of a partner due to a terminal illness A charge nurse is reviewing Kubler-ross: five stages of grief with a group of newly licensed nurses. Which of the following stages should the charge nurse include in the teaching? SATA A nurse is working with a client who has recently lost his mother. The nurse recognizes that which of the following factors influence a client's grief and coping ability? (Select all that apply.) A nurse is discussing normal grief with a client who recently lost a child. Which of the following statements made by the client indicates understanding? (Select all that apply.) A nurse is caring for a client who lost his mother to cancer last month. The client states, "I'd still have my mother if the doctor would have diagnosed her sooner." Which of the following responses should the nurse make? A nurse is assisting the parents of a school-aged child who has oppositional defiant disorder in identifying strategies to promote positive behavior. which of the following is an appropriate strategy for the nurse to recommend? A nurse is performing an admission assessment on an adolescent client who has depression, which of the following manifestations should the nurse expect? A nurse is obtaining a health history from the parents of a 12-year-old client who has conduct disorder. which of the following findings should the nurse expect? A nurse is teaching a group of guardians about manifestations of conduct disorder. Which of the following findings should the nurse include? A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. when teaching the parent about this disorder which of the following statements should the nurse include in the teaching? A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. for which of the following manifestations should the nurse assess? A nurse is conducting chart review of multiple clients at a community mental health facility. which of the following events is an example of client experiencing a maturational crisis? a nurse is caring for a client who is experiencing a crisis. which of the following medication might the provider prescribe? A nurse is assessing a client who has major depressive disorder. The nurse should identify which of the following client statements as an overt comment about suicide? SATA A nurse is caring for a client who states, "I plan to commit suicide". which of the following assessments should the nurse identify as the priority? A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. which of the following interventions should the nurse include as a primary intervention (SATA) A nurse is caring for a client who is on suicide precautions. which of the following interventions should the nurse include in the plan of care? A nurse is conducting a class for a group of newly licensed nurses on caring for clients who are at risk for suicide. which of the following information should the nurse include in the teaching? A nurse is conducting group therapy with a group of clients. which of the following statements made by a client is an example of aggressive communication? A nurse is caring for a client who is speaking in a loud voice with clenched fists. which of the following actions should the nurse take? A nurse is assessing a client in an inpatient mental health unit. which of the following findings should the nurse expect if the client is in the preassultive stage of violence?(SATA) A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. which of the following is the priority nursing action A nurse is caring for a client who is screaming at staff members and other clients. which of the following is a therapeutic response by the nurse to the client A charge nurse is leading a peer group discussion about family and community violence. which of the following statements by a member of the group indicates an understanding of teaching? A nurse is preparing to assess an infant who has shaken baby syndrome. which of the following is an expected finding? A nurse working in an emergency department is assessing a preschool-age child who reports abdominal pain. when conducting a head-to-toe assessment, which of the following findings should alert the nurse to possible abuse? A nurse is preparing a community education seminar about family violence. when discussing types of violence, the nurse should include which of the following? A nurse is caring for an adult client who has injuries resulting from intimate partner abuse. the client does not wish to report the violence to law enforcement authorities. which of the following nursing actions is the highest priority? a nurse is assessing a client who experienced sexual assault. Which of the following findings indicate the client is experiencing an emotional reaction of rape-trauma syndrome? SATA A nurse is discussing the care ofa client following a sexual assault with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicatesan understanding of teaching? A nurse is caring for a client who was recently raped. The client states, "I never should have been out on the street alone at night." Which of the following responses should the nurse make? A community health nurse is leading a discussion about rape with a neighborhood task force.Whichof the following statements by a neighborhood citizen indicates an understanding of the teaching [Show More]

Last updated: 1 year ago

Preview 1 out of 21 pages