Questions & Verified Answers with Detailed Rationales | Latest NGN
Psychiatric Nursing Review | ATI RN Mental Health Study Guide for
Level 2 & Level 3 Success
A Nurse In A Mental Health Clinic Is Caring For A Client Who Has Bipolar Disorder And Reports
That They Stopped Taking Lithium 2 Weeks Ago. The Nurse Should Recognize Which Of The
Following As An Expected Adverse Effect That Might Have Caused The Client To Spot Taking The
Medication?
1. Sore Throat
2. Photophobia
3. Hand Tremors
4. Constipation
CORRECT ANS>> 3. Hand Tremors
- Fine Hand Tremors Are An Expected Adverse Effect Of Lithium And Can Interfere With
Performance Of Adls, Causing The Client To Stop Taking The Medication.
*Diarrhea Is An Early Manifestation Of Lithium Toxicity
A Nurse Is Updating The Plan Of Care For A Client Who Has Bulimia Nervosa And Is 5% Above
Their Ideal Body Weight. Which Of The Following Interventions Should The Nurse Include In The
Plan?
1. Include A Liquid Supplement With Meals.
2. Identify The Client's Trigger Foods.
3. Allow The Client At Least 1 Hr For Each Meal.
,4. Weigh The Client At Bedtime Each Day.
CORRECT ANS>> 2. Identify The Client's Trigger Foods.
- The Nurse Should Identify The Trigger Foods That Initiate The Client's Binge And Assist The
Client To Understanding Their Thoughts And Behavior That Relate To The Food.
The Nurse Should Limit The Client's Meal Times To About 30 Min To Prevent Putting Excessive
Focus On Food.
The Nurse Should Weigh The Client Immediately After They Wake Up And Void And Prior To Oral
Intake. The Nurse Should Weigh The Client Daily For The First Week And Then Three Times Per
Week.
*The Nurse Should Include A Liquid Supplement For A Client Who Is Below Their Ideal Body
Weight And Might Not Be Able To Eat Solid Foods At First Or Might Need The Additional
Nutrition To Gain Weight.
A Nurse Is Caring For A Client Whose Child Has A Terminal Illness. The Client Requests
Information About How To Deal With The Upcoming Loss. Which Of The Following Statements
Should The Nurse Make?
1. "It Will Be Better For You To Keep Busy To Avoid Thinking About Your Child's Death."
2. "You Will Complete The Grieving Process About A Year After Your Child's Death."
3. "The Grief Process Will Start Once Your Child Actually Dies."
4. "It Is Not Uncommon To Feel Angry Toward Yourself Or Others."
CORRECT ANS>> 4. "It Is Not Uncommon To Feel Angry Toward Yourself Or Others."
- Feelings Of Blame And Anger Toward Oneself Or Others Are An Expected Reaction When A
Client Is Experiencing A Loss.
,The Grief Process Has No Timeline. It Varies For Each Individual.
The Client Can Begin Anticipatory Grieving During The Child's Illness.
A Nurse In A Mental Health Clinic Is Planning Care For A Client Who Has A New Prescription For
Olanzapine. Which Of The Following Interventions Should The Nurse Identify As The Priority?
1. Advise The Client To Take Frequent Sips Of Water.
2. Recommend That The Client Exercise Regularly.
3. Consult A Dietitian For A Calorie-Controlled Diet Plan.
4. Instruct The Client To Avoid Driving During Initial Therapy.
CORRECT ANS>> 4. Instruct The Client To Avoid Driving During Initial Therapy.
- The Greatest Risk To This Client Is Injury Resulting From Drowsiness Or Dizziness. Therefore,
The Nurse's Priority Intervention Is To Instruct The Client To Avoid Activities That Require Mental
Alertness During Initial Medication Therapy.
The Nurse Should Advise The Client To Take Frequent Sips Of Water Due To The Adverse Effect
Of Dry Mouth. However, This Is Not The Nurse's Priority Intervention.
The Nurse Should Advise The Client To Exercise Regularly Due To The Adverse Effects Of Weight
Gain And Constipation. However, This Is Not The Nurse's Priority Intervention.
The Nurse Should Consult A Dietitian For A Calorie-Controlled Diet Plan Due To The Adverse
Effect Of Weight Gain. However, This Is Not The Nurse's Priority Intervention.
A Nurse Is Counseling An Adolescent Who Has Anorexia Nervosa And Reports Excessive Laxative
Use And Fear Of Gaining Weight. The Client States, "I'm So Fat I Can't Even Stand To Look At
, Myself.". Which Of The Following Therapeutic Responses Demonstrates The Nurse's Use Of
Summarizing?
1. "You've Discussed Several Concerns About Your Weight. Let's Go Back And Talk About Your
Belief That You Are Fat."
2. "You're Saying That You Think You Are Fat And Are Using Laxatives Because You Are Afraid Of
Gaining Weight."
3. "You Don't Want To Look At Yourself Because You Think You Are Fat."
4. "You And I Can Work Together To Overcome Your Fears Of Gaining Weight."
CORRECT ANS>> 2. "You're Saying That You Think You Are Fat And Are Using Laxatives Because
You Are Afraid Of Gaining Weight."
- The Nurse Is Using The Therapeutic Technique Of Summarizing To Review The Key Points Of
The Discussion.
A Nurse Is Admitting A Client Who Has Schizophrenia To An Acute Care Setting. When The Nurse
Questions The Client Regarding Their Admission, The Client States, "I'm Red, In The Head, And
I'm Going To Bed!". The Nurse Should Document The Client's Speech Pattern As Which Of The
Following?
1. Clang Association
2. Word Salad
3. Neologism
4. Echolalia
CORRECT ANS>> 1. Clang Association
- The Nurse Should Document That The Client's Speech Uses Clang Associations, Which Often
Rhyme Or Contain A String Of Words That Can Have A Similar Sound.