Mental Health ATI Exam 1, All Question with accurate answers, Graded A+

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Mental Health ATI Exam 1, All Question with accurate answers, Graded A+ A nurse is caring for several clients who are attending community-based mental health programs. Which of the following clie... nts should the nurse plan to visit first? A. A client who recently burned her arm while using a hot iron at home. B. A client who requests that her antipsychotic medication be changed due to some new side effects. C. A client who says he is hearing a voice that tells him he is not worthy of living anymore. D. A client who tells the nurse he experienced symptoms of severe anxiety before and during a job interview. - ✔✔C 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. Educating clients on health promotion techniques to reduce the risk of depression B. Performing screenings for depression at community health program C. Establishing rehabilitation programs to decrease effects of depression D. Providing support groups for clients at risk for depression - ✔✔C A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (SAL) A. Educational groups B. Medication dispensing programs C. Individual counseling programs D. Detoxification programs E. Family therapy - ✔✔ABCE A nurse in an acute mental health facility is caring for a client who has a severe mental illness and soon will be ready for discharge but still requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following should the nurse suggest as appropriate follow-up care? A. Receiving daily care from a home health aid B. Having a weekly visit from a nurse case worker C. Attending a partial hospitalization program D. Visiting a community mental health center on a daily basis. - ✔✔C 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. A client in an acute care mental health facility who has fallen several times while running down the hallway B. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia C. A client in a day treatment program who says he is becoming more anxious during group therapy D. A client in a weekly grief support group who says she still misses her deceased husband who has been dead for 3 months - ✔✔B A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as, "Me, see, bee, tree,." The nurse recognizes that the client is demonstrating which of the following positive manifestations of schizophrenia? - ✔✔A) Clang association A nurse is assessing a client who has been taking thioridazine for several days. The client reports hand tremors, drooling, and rigid extremities. Which of the following actions should the nurse take? - ✔✔D) administer benztropine A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following actions should the nurse take when dealing with the client's ritualistic behaviors? - ✔✔A) Plan the client's schedule to allow time to perform rituals. A nurse is assessing a client who has an anxiety disorder and is taking a benzodiazepine. For which of the following adverse effects should the nurse monitor the client? - ✔✔Dizziness A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings indicates that the client is experiencing a relapse? - ✔✔Pressured speech A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of the following actions should the nurse take first? - ✔✔Instruct the client to take slow, deep breaths. A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse should teach the client that which of the following over-the-counter medications can cause a hypertensive crisis when taken concurrently with phenelzine? - ✔✔pseudoephedrine A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following is the priority information that nurse should include in the teaching? - ✔✔This medication can affect your ability to drive or handle mechanical equipment. A nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamoshu from by my house." The nurse recognizes this statement as an example of which of the following? - ✔✔Neologism A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the client's provider immediately? - ✔✔Urinary retention A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? - ✔✔Impaired judgement A nurse is providing teaching to a client who has a new prescription for diazapam. Which of the following instructions should the nurse include in the teaching? - ✔✔This medication can be habit-forming A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make? - ✔✔This medication is an antipsychotic that controls manifestations of schizophrenia. A nurse is assessing a client who has been taking an antipsychotic medication for 6 years and the provider has started tapering off the dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia. - ✔✔involuntary tongue protrusion A nurse is assessing< a client who has a psychotic disorder and a new prescription for haloperidol. The client is pacing the in hallway and states, "I can't seem to sit still." Which of the following therapy extraphyramidal side effects is the client likely experiencing? - ✔✔Akathisia A nurse asks an older adult client, "Did you have any visitors yesterday?" The client responds, "Yes, several members of my church choir came to see me." The nurse knows that only the client's daughter visited the day before. Which of the following cognitive impairments is the client demonstrating? - ✔✔confabulation A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicates that the client's current lithium level is 1.0 mEq/L. Which of the following actions should the nurse take? - ✔✔Administer the medication A nurse is caring for a client who has acute delirium. Which of the following findings should the nurse expect? - ✔✔Rapid fluctuation of level of consciousness A nurse is assessing a newly admitted client who has generalized anxiety disorder and states, "I drink alcohol to forget the pain." The client is exhibiting response to which of the following defense mechanisms. - ✔✔Compensation A nurse is providing teaching to a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions by the nurse implements modeling as a behavioral intervention strategy? - ✔✔Demonstrating performance of hand hygiene at scheduled times A nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching? - ✔✔This medication must be discontinued by gradual tapering over time. 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? (SATA) A. "When did you start hearing the voices?" B. "The voices are not real, or else we would both hear them." C. "It must be scary to hear voices." D. "Are the voices telling you to hurt yourself?" E. "Why are the voices talking to only you?" - ✔✔ACD 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? (SATA) A. Auditory hallucinations B. Lack of motivation C. Use of clang associations D. Delusion of persecution E. Constantly waving arms F. Flat affect - ✔✔ACDE A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization? A. "I am a superhero and an immortal." B. "I am no one and everyone is me." C. "I feel monsters pinching me all over." D. "I know that you are stealing my thoughts." - ✔✔B [Show More]

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