ATI Mental Health Final Exam | Latest 2023 / 2024 |

ATI Mental Health Final A nurse is collecting data from a client who h as post -traumatic stress disorder (PTSD) due to a sexual assault that occurred 3 months ago. Which of the following findings should the nurse expect? - Dreams about the assault Rationale: The nurse should expect the client who has PTSD to report recurring d reams about the assault. A nurse is contributing to the plan of care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse recommend? - Taper the medication gradually over several weeks. Rationale: The nurse should recommend tapering the dosage of alprazolam gradually over several weeks, possibly months. This grad ual reduction in dosage reduces the manifestations of withdrawal. A nurse is caring for a client who reports that the television set in the room is really a two -way radio and states, "Voices are coming from the TV and everything we sat in this room is being recorded." Which of the following respo nses should the nurse make? - "That must be very frightening." Rationale: The nurse should respond to the client's delusion in a calm and empathetic manner. By acknowledging to the client that the delusion must be frightening, the nurse promotes the nurse -client relationship. A nurse is collecting data from a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse? - The parent provides a history that is inconsistent with the child's injury Rationale: The nurse should suspect possible abuse when the child's injury conflicts with the history of the injury that is reported by his parent. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescr iption for buspirone. The nurse should inform the client that which of the following manifestations is an adverse effect of this medication? - Dizziness Rationale: The nurse should inform the client that dizziness is a common adverse effect of buspirone. Th e nurse should instruct the client to avoid diving and operating heavy machinery until the presence of adverse effects is determined. A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should explain that the provider will routinely prescribe which of the following test while the client is taking valproic acid? - Lover function levels Rationale: The nurse should inform the client of the need to regularly monitor liver function levels due to the risk for hepatotoxicity while taking valproic acid. It is recommended to obtain baseline levels and then repeat every 2 months during the first 6 months of therapy. A nurse is collecting admission data from a client who has anore xia nervous a. Which of the following findings should the nurse expect? - Strenuous exercise regimen Rationale: The nurse should expect the client who has anorexia nervous a to report a strenuous exercise regimen. The client might participate in excessive p hysical activity due to the perceived need to burn calories and lose weight. A nurse is assisting with the collection of admission data for a client who has anorexia nervosa. The client has lost 11.4 kg (25 lb) over the past month and currently weighs 38.6 kg (85 lb). The nurse should expect which of the following findings? - Amenorrhea Rationale: The nurse should expect the client who has anorexia nervosa to have amenorrhea due to low body weight. A nurse is collecting data from a client who has binge -eating disorder. Which of the following findings should the nurse expect? - Abdominal pain Rationale : The nurse should expect the client who has binge -eating disorder to report problems with abdominal pain. This is due to the gastrointestinal dilation that occurs as a result of eating excessive volumes of food.