ATI_Mental_Health_2022_B.docx

1. A nurse in a community health center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - Response prevention - Guided imagery * - Aversion therapy - Light therapy 2. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, “My roommate never sleeps and keeps me up too.” Which of the following actions should the nurse take? - Move the client who has bipolar disorder to a private room * - Administer sleep medication to the client who has bipolar disorder - Move the client who has severe depression to a private room - Administer sleep medication to the client who has severe depression 3. A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine. A. WBC 2500/mm3 * B. Hbg 11.5 mg/dL C. Platelets 150,000/mm3 D. RBC 3.5 million/mm3 4. A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? - 17 yr old who lives with friends - 50 yr old who has a blood alcohol level of 80 mg/dL - 65 yr old who just received a dose of morphine - 35 yr old who has major depressive disorder* 5. A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and using the majority of the group’s time. Which of the following interventions should the nurse implement? - Tell the client to talk less or risk being removed from the meeting - Ask the group members to discuss their feelings about the client’s monopolizing behavior * - End the group meeting and take the client aside to discuss the disruptive behavior - Focus on other group members and ignore the client who is doing all the talking 6. A nurse in a community health center is teaching families of clients who has post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? - Repeatedly talks about the traumatic event - Sleeps excessively - Experiences feelings of isolation * - Uses repetitive speech 7. A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? 1.5 mL 8. A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? - Provide teaching about the use of positive coping mechanisms - Establish screening programs to identify at risk clients * - Refer survivors of intimate partner abuse to a legal advocacy program - Organize rehab therapy for clients who have experiences intimate partner abuse 9. A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased risk for depression? - The client is married - Recent promotion at work - COPD * - Male 10. A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives alone and has difficulty performing ADL’s. Which of the following referrals should the nurse initiate? Select all that apply - Occupational therapy * - Meal delivery services * - Speech language pathologist - Physical therapy * - Home health services * 11. A nurse is receiving change of shift report for four clients. Which of the following clients should the nurse plan to see first? - A avoidant personality disorder - Bipolar disorder and reports being kidnapped by aliens over night - Taking bupropion and reports having insomnia the past two nights - Taking clozapine and reports a sore throat and chills * 12. A nurse in a mental health clinic is planning care for four clients. Which of the following tasks should the nurse delegate to the AP? - Discuss outpatient resources with a client who has PTSD - Create a plan of care for a client who is experiencing alcohol withdrawal - Explain sleep hygiene to a client who has insomnia - Stay with a client who has anorexia nervosa for 1 hr after mealtimes * 13. A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first? - Call the provider to obtain an immediate prescription for restraint - Prepare to administer benzodiazepine IM - Call for a team of staff members to help with the situation * - Check the client who was hit for injuries 14. A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of the following information should the nurse include in the teaching? - Complete documentation about the clients states Q1H while they are in restraints - Maintain the client in restraints for a minimum of 4 hr - Apply restraints when other means of managing the client’s behavior have failed - Request that the provider assess the client within 8H of the application of restraints 15. A nurse is teaching the guardians of a client about their adolescent child’s diagnosis of bulimia nervosa. Which of the following statements made by the guardians indicates an understanding of their child’s illness? - The disease will increase our child’s risk for high blood pressure - It is important for our child to have regular dental check ups * - We need to weigh our child daily for several weeks, then once per week