ATI MENTAL HEALTH EXAM PACK MERGERED FULL LATEST TESTS

ATI MENTAL HEALTH EXAM PACK MERGERED FULL LATEST TESTS ACTUAL EXAM 2022 51. Nurse is preparing to discharge to hold an older adult client who attempted suicide. The client lives alone and passed difficulty performing ADL’s. Which of the following referrals should the nurse initiate (select all that apply) • Speech language pathologist • Physical therapy • Occupational therapy • Meal delivery services • Home health services 52. The nurse is reviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. The nurse should administer benzotropine and to relieve which of the following adverse effects? • blurred vision • orthostatic hypotension • dry mouth • acute dystonia 53. The nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit which of the following interventions should the nurse include in the plan? • Document the client’s behavior every 8 hours • Limit the client’s fluid intake to 50 mL/hr • Renew the prescription for the client every 4 hour • Toilet the client every 4 hour 54. The nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? • “I will use the same plan of care and interventions for each client who has depression.” • “Each nurse will develop a separate plan of care for each client who has depression.” • “I will update the plan of care as a client’s manifestations of depression change.” • “An assistive - personnel can use the plan of care for client teaching.” 55. The nurse is preparing to administer diazepam 7.5 IV bolus to a client for alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. • 1.5 ml 56. A nurse is providing teaching to the partner of a client who is in a rehabilitation program for alcohol use disorder. The nurse should identify that which of the following statements by the client's partner indicates an understanding of the teaching? • “I will avoid social events until my partner has completed treatment.” • “It is important for me to focus my attention on my partner's addiction.” • “I will not take charge of my partners or responsibilities.” • “I want my partner to promise to change addictive behaviors.” 57. A nurse in the emergency department is caring for four clients. Which of the following clients is the nurse required to report as a potential victim of abuse? • High school age child who has bruises on the knees • An older adult client who is bed bound and has a stage IV pressure ulcer • An adolescent who has a vaginal candida infection • A young adult who is pregnant and has a sprained ankle 58. Nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? • “You probably want to hold your baby.” • “I’ll stay with you just in case you want to talk.” • “I know how you must be feeling.” • “It hurts now but things will be better soon.” 59. A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage my behavior. Which of the following ethical principles should the nurse apply in this situation? • Nonmaleficence • Veracity • Justice • Autonomy 60. 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 • The client recently received a promotion at work • The client has COPD • The client is male