Mental Health Nursing ATI Quiz 3 Questions With Well Explained Answers 2022

Mental Health Nursing ATI Quiz 3 Questions With Well Explained Answers 2022 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? A. Weight gain B. Ritualistic behavior C. Anhedonia D. Pressured speech - Correct Answer- D. Pressured speech (Pressured speech is an indication of a relapse in a client who has mania.) 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? A. Identify the cause of the anxiety. B. Instruct the client to take slow, deep breaths. C. Teach the client how to use positive self-talk. D. Explain the physical manifestations of anxiety to the client. - Correct Answer- B. Instruct the client to take slow, deep breaths. A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? A. Altered level of consciousness B. Impaired judgment C. Rapid change in personality D. Disturbances in perception - Correct Answer- B. Impaired judgment (Impaired judgment occurs in clients who have dementia because they lose their ability to reason, think abstractly, and have rational thoughts.) 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 a maladaptive response to which of the following defense mechanisms? A. Rationalization B. Conversion C. Projection D. Suppression - Correct Answer- A. Rationalization is a defense mechanism by which a person covers up a real or perceived problem or weakness. This client is attempting to justify alcohol use by explaining that it helps to relieve pain. This is done to protect the client's ego and to satisfy the nurse A nurse on an inpatient unit is assessing a client who has claustrophobia. The nurse determines the client's condition has improved when he can perform which of the following tasks? A. Ride in an elevator. B. Attend a class where several service animals are present. C. Sit in a large room with several people he does not know. D. Go for a swim in an outdoor pool. - Correct Answer- A. Ride in an elevator. (Claustrophobia is an intense anxiety or fear about being in an enclosed space, such as an elevator. Riding in a closed elevator is an indication that this client's condition is improving. A nurse is caring for a client who has acute delirium. Which of the following findings should the nurse expect? A. Progressive deterioration of cognitive function B. Rapid fluctuation in level of consciousness C. Loss of language ability D. Absence of contributing factors to pinpoint cause of delirium - Correct Answer- B. Rapid fluctuation in level of consciousness (A rapidly fluctuating level of consciousness is an expected finding for a client who has acute delirium.) A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following is the priority information the nurse should include in the teaching? A. "This medication can affect your ability to drive or handle mechanical equipment." B. "You should avoid drinking beverages that contain caffeine with this medication." C. "You should avoid taking antacids within 2 hours of taking this medication." D. "This medication should be taken with or shortly after meals." - Correct AnswerA. "This medication can affect your ability to drive or handle mechanical equipment." 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? A. Contact the provider for a dosage increase. B. Request a repeat of the lithium level. C. Administer the medication. D. Prepare the client for gastric lavage. - Correct Answer- C. Administer the medication. (The nurse should administer the medication because the lithium level is within the expected reference range.) A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the client's risk for depression. A. The client is an only child. B. The client lives in an urban setting. C. The client is married. D. The client is female. - Correct Answer- D. The client is female. (The nurse should identify female gender as a primary risk factor for depression. The incidence of depressive disorders is greater in women than in men by almost 2 to 1.) The nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client's appearance is unkempt and he appears to be actively hallucinating. Which of the following should be the nurse's priority assessment? A. Perception of reality B. Ability to follow directions C. Physical needs D. Metal status - Correct Answer- C. Physical needs (The nurse should consider Maslow's Hierarchy of Needs, which includes five levels of priority.) A nurse is caring for a client who has a severe anxiety disorder and is in a state of panic in the dayroom. Which of the following actions should the nurse take? A. Speak to the client in a calm voice. B. Leave the client alone to regain control. C. Encourage the client to express her feelings. D. Place the client in restraints. - Correct Answer- A. Speak to the client in a calm voice. (The initial goal for a client who is in a state of panic is to obtain relief. The nurse should stay with the client and speak in a calm manner.) A nurse is providing teaching for a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication can cause dependence." B. "I should take a dose of my medication when I start to feel anxious." C. "It's important for me to take my medication 30 minutes before bedtime." D. "I should expect to feel the full effect of my medication in 2 to 4 weeks." - Correct Answer- D. "I should expect to feel the full effect of my medication in 2 to 4 weeks." (The desired response from buspirone can begin within 7 to 10 days; however, it takes 2 to 4 weeks for buspirone to reach its full effect.) 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. B. Verbalize disapproval of ritualistic behavior. C. Place the client in protective isolation. D. Increase stimuli in the client's immediate surroundings. - Correct Answer- A. Plan the client's schedule to allow time to perform rituals. (The nurse should allot sufficient time for the client to perform rituals early in the treatment. This will help keep anxiety levels manageable and prevent the precipitation of panic anxiety.) 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? A. "This medication can be safely taken during pregnancy." B. "This medication must be discontinued by gradual tapering over time." C. "An extra dose of the medication can be taken at bedtime if you experience insomnia." D. "You should monitor your blood glucose levels closely while taking this medication." - Correct Answer- B. "This medication must be discontinued by gradual tapering over time." (Rapid withdrawal from lorazepam has been associated with manifestations of withdrawal, such as anxiousness, sleeplessness, and irritability. It is discontinued by gradually tapering it off over time to avoid an adverse responses.) A school nurse is caring for an adolescent client who has a history of a depressive episode 1 year ago. He appears withdrawn from social activities and his school performance is declining. Which of the following actions should the nurse take first? A. Initiate a structured daily schedule of activities. B. Conduct a suicide-risk assessment. C. Encourage the client to express his feelings in a journal. D. Ask teachers to monitor for other signs of depression. - Correct Answer- B. Conduct a suicide-risk assessment. A nurse in a mental health facility is caring for a client who has generalized anxiety disorder. Which of the following statements should the nurse make? A. "We'll assist you with making decisions." B. "Someone will work with you when you have flashbacks." C. "You'll be going through aversion therapy to help you cope." D. "The therapy will help you control your impulses." - Correct Answer- A. "We'll assist you with making decisions." (Clients who have generalized anxiety disorder are often indecisive and dread making decision. Therefore, the nurse should reassure the client that they will receive help with making decisions.) 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? A. Reassure the client that these effects are expected. B. Administer diazepam. C. Encourage deep breathing and relaxation. D. Administer benztropine. - Correct Answer- D. Administer benztropine. (The client is experiencing extrapyramidal effects of thioridazine, which includes pseudoparkinsonism. Benztropine is a medication that counteracts these adverse effects. The nurse should notify the provider if extrapyramidal effects occur and obtain a prescription to alleviate the manifestations.) CONTINUES....