ATI RN MENTAL HEALTH ONLINE PRACTICE 2019

ATI RN MENTAL HEALTH ONLINE PRACTICE 2019 A nurse isreviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse effects? A. Blurred vision B. Orthostatic hypotension C. Dry mouth D. Acute dystonia - The nurse should administer benztropine, an anticholinergic agent, to relieve acute dystonia, which is an extrapyramidal adverse effect of chlorpromazine. A nurse is planning discharge teaching with a family member of a client who has diagnosis of depression. Which of the following information about relapse should the nurse include? A. Additional acute episodes of depression are unlikely following inpatient care. B. Early identification of changes,such as decreased social involvement, isimportant. C. Medication compliance will prevent further need for inpatient hospitalization. D. It is helpful to regularly reinforce to the client that things will get better. B. Early identification of changes,such as decreased social involvement, isimportant. Decreased social involvement is a manifestation of depression, and early identification of findings can lead to early intervention. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestationsshould the nurse expect? A. Sedation B. Rhinorrhea C. Bradycardia D. Hypothermia Rhinorrhea - The nurse should expect the client who is experiencing opioid withdrawal to have rhinorrhea and flu-like manifestations such as yawning, sneezing, and abdominal pain. A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue? A. An adolescent family member who questions parental authority B. A family with three generations in the same household C. Older children who are responsible for their younger siblings D. Two adults and their children from prior relationships in the same household C. Older children who are responsible for their younger siblings This is an example of enmeshed boundaries in which there are no distinctions between the roles of family members. A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness? A. "I am going to order a wheelchair for when I'm unable to walk." B. "I am going to stop paying my bills since I won't be around much longer." C. "I wish you would go take care of somebody who actually needs you." D. "I am sure I'm going to be able to continue to care for myself without help." A. "I am going to order a wheelchair for when I'm unable to walk." The client isrecognizing the reality of continued loss of independence and is anticipating the need for assistive devices, which indicates the behavioral response of acceptance. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effects of methylphenidate? A. Weight gain B. Tinnitus C. Tachycardia D. Increased salvation C. Tachycardia - The nurse should monitor the child for tachycardia, which is an adverse effect of methylphenidate. A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others or the unit. Which of the following interventions should the nurse include in the plan? A. Document the client's behavior every 8 hr. B. Limit the client'sfluid intake to 50 mL/hr. C. Renew the prescription for the client every 4 hr. D. Toilet the client every 4 hr. C. Renew the prescription for the client every 4 hr. The nurse should assessthe client's behavior frequently during seclusion and should renew the prescription forseclusion for an adult client every 4 hr, for a maximum of 24 hr. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make? A. "It appears asthough you would like to open the door." B. "You will feel more comfortable after you've been here for a while." C. "It is okay to not want to be here." D. "You really shouldn't be pushing on the door." A. "It appears as though you would like to open the door." This statement is an example of the therapeutic technique of making observations. Thistechnique encouragesthe client to notice the behavior so that they can describe thoughts and feelings related to that behavior. A nurse is education the parent of a child who has a new diagnosis of