Mental Health ATI - Assessment A with
correct quiz and answers.
, A nurse in mental health facility observes a client who is experiencing panic
level of anxiety. Which of the following actions should the nurse take first? -
correct ans:Accompany the client to a quiet room. (Greatest risk for this
client is injury due to severe anxiety. Therefore, first action nurse should take
is to stay with client and bring him to a room with minimal stimuli.)
A nurse is obtaining a history and physical on a client who presents to the
emergency department of a mental health facility. The nurse recognizes
which of the following assessment findings as being consistent with PTSD?
(Select all that apply) - correct ans:Distressing dreams
Difficulty concentrating
Exaggerated startle response
A nurse is providing teaching to a client who has a new prescription for
haloperidol. Which of the following side effects should the nurse instruct the
client to report to the provider? - correct ans:Shuffling gait. (Clinical findings
of pseudoparkinsonism such as shuffling gait may occur 5hr - 30 days after
beginning treatment. The client should notify the provider who might
prescribe an anti parkinsonism agent.)
A home health nurse is assessing an older adult client who lives alone. Which
of the following findings should indicate to the nurse that the client is
experiencing delirium? - correct ans:Sudden onset. (Clients usually develop
delirium suddenly over hours to days.)
A nurse is caring for a client receiving imipramine for depression. For which
of the following adverse effects should the nurse monitor? - correct
ans:Urinary retention.
A nurse is providing care for a client who has bipolar disorder and is
experiencing acute mania. Client's morning lithium level is 1.5 mEq/L. Which
of the following additional laboratory data has the highest priority?
a) Serum erythrocyte sedimentation rate 18 mm/hr
b) Hemoglobin 15 g/dL
correct quiz and answers.
, A nurse in mental health facility observes a client who is experiencing panic
level of anxiety. Which of the following actions should the nurse take first? -
correct ans:Accompany the client to a quiet room. (Greatest risk for this
client is injury due to severe anxiety. Therefore, first action nurse should take
is to stay with client and bring him to a room with minimal stimuli.)
A nurse is obtaining a history and physical on a client who presents to the
emergency department of a mental health facility. The nurse recognizes
which of the following assessment findings as being consistent with PTSD?
(Select all that apply) - correct ans:Distressing dreams
Difficulty concentrating
Exaggerated startle response
A nurse is providing teaching to a client who has a new prescription for
haloperidol. Which of the following side effects should the nurse instruct the
client to report to the provider? - correct ans:Shuffling gait. (Clinical findings
of pseudoparkinsonism such as shuffling gait may occur 5hr - 30 days after
beginning treatment. The client should notify the provider who might
prescribe an anti parkinsonism agent.)
A home health nurse is assessing an older adult client who lives alone. Which
of the following findings should indicate to the nurse that the client is
experiencing delirium? - correct ans:Sudden onset. (Clients usually develop
delirium suddenly over hours to days.)
A nurse is caring for a client receiving imipramine for depression. For which
of the following adverse effects should the nurse monitor? - correct
ans:Urinary retention.
A nurse is providing care for a client who has bipolar disorder and is
experiencing acute mania. Client's morning lithium level is 1.5 mEq/L. Which
of the following additional laboratory data has the highest priority?
a) Serum erythrocyte sedimentation rate 18 mm/hr
b) Hemoglobin 15 g/dL
