ATI RN Mental Health Online Practice 2019 B Exam with Rationale

ATI RN Mental Health Online Practice 2019 B Exam with Rationale A nurseis caringforanolderadult client whobeginstocryandstates, " I knew God wouldpunish meandI deservethishorriblesickness!"Whichof thefollowing responsesshouldthenurse make? "Let'stalkabout what isupsettingyou" A nurseona mentalhealthunit observesa client whohasacute maniahit another client.Whichof thefollowingactionsshould thenursetakefirst? c. call fora team of staff memberstohelp withthesituation RATIONALE Thegreatestriskis injury totheclientandothers.Therefore, thefirstactionthenurse shouldtakeis tocall forassistancetoprevent further injury tothemselvesor others.  A nurseina providersofficeis interviewinganolderadultclient. Whichof the followingactionsshouldthenurseplan totake? Usea screeningtool toevaluatetheclient fordepression RATIONALE Depressioncanbeunderdiagnosedamongolderadultclients.Thenurseshouldidentify severalriskfactorsfordepressionfrom theclient'sdata, includinghaving Alzheimer's disease,anxiety,andthelossofa lovedone. Manifestationsofdepressioncanalsobe nonspecificforolderadultclientsandcaninclude weight loss,decreasedenergy levels, and difficulty sleeping.  A nurseona mental healthunit iscaringfora groupof clients. Whichof the followingactionsby thenurseis anexampleof theethical principleof justice? Spendingadequatetime witha client whois verbally abusive.  Thenurseis assessinga client whohasbulimianervosa.Thenurseshouldexpect whichof thefollowingfindings? Tootherosion A client whohasbulimianervosais likelytohavedentalcariesandtootherosioncausedby frequentexposuretogastric acidfrom vomiting.  Nursein mental healthfacility teachingnewly licensednurseof mechanical restraints. Understands teaching? Applyrestraints whenother meanshavefailed RATIONALE According to the Patient Self-Determination Act, clients have a right to be free from restraints or seclusion unless the safety of the client or others is at risk. De-escalation methodsforcontrollingbehaviorshouldbeattemptedprior toinitiatingrestraints  Increasedriskfordepression? ed tion COPD