ATI Custom Psych Nursing Spring 2023 Exam3
A nurse in an acute care mental health facility is caring for a client who has depression.
After 3 days of treatment, the client suddenly seems cheerful and relaxed, and there are
no longer signs of a depressive state. Which of the following interventions is appropriate
to include in the plan of care?
A. Ask the client why her behavior has changed. 0%
B. Reward the client for her change in behavior. 60% Most selected
C. Monitor the client's whereabouts at all times. 20%
D. Encourage the family to take the client out of the facility for short periods of time. 20%
Answer and Explanation
Choice A:
A sudden and dramatic shift in mood, especially after a short period of treatment for
depression, could indicate several possibilities: The treatment might be working
effectively. The client might be masking their true feelings.The client might be
experiencing a manic episode, which can occur in individuals with bipolar disorder. By
openly asking the client about the change, the nurse can gather valuable information to
assess the situation and determine the best course of action.
.
Choice B:
While positive reinforcement can be a helpful strategy, it's premature in this case. The
cause of the behavior change needs to be understood first.
Choice C:
Monitoring the client's whereabouts at all times is unnecessary and intrusive in this
situation. The sudden improvement in her mood and behavior does not automatically
warrant increased surveillance. This intervention might even lead to increased stress and
,discomfort for the client.Constant monitoring can be intrusive and unnecessary if the
client is not exhibiting suicidal or risky behaviors.
Choice D:
Encouraging the family to take the client out of the facility for short periods of time is
premature at this stage. While spending time with family can be beneficial, it's important
to first ensure that the client's improved state is stable and sustainable. Rushing this step
could disrupt her progress and overwhelm her.
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium
carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.).
Answer and Explanation
Correct Answer: 2.2 capsules
Explanation
The correct answer is choice 2. 2 capsules. The nurse should administer 2 capsules of
lithium carbonate 150 mg each to achieve the prescribed dose of 300 mg. Since each
capsule contains 150 mg, two capsules will provide the required 300 mg dose. Rounding
to the nearest whole number, the nurse should administer 2 capsules.
, A nurse is caring for a client who has depression. The client refuses to get out of bed, go
to activities, or participate in any of the unit's programs. Which of the following responses
should the nurse make?
A. "If you do not get out of bed, you will not receive your meal.". 0%
B. "I will help you get ready, and then you can rest after activities.". 100% Most selected
C. "You should rest until you feel able to join the group.". 0%
D. "You really need to follow the rules of the unit and get out of bed.". 0%
Answer and Explanation
Choice A:
Threatening the client by linking her ability to receive meals with getting out of bed is not
a therapeutic approach. It may create a negative and punitive atmosphere, which is
counterproductive when dealing with a client who is struggling with depression.
Choice B:
This response demonstrates a balanced and empathetic approach. By offering
assistance to the client in getting ready and then allowing her to rest after activities, the
nurse is acknowledging the client's current state while gently encouraging her to engage
in activities. This approach respects the client's autonomy while offering support.
Choice C:
While suggesting that the client rest until she feels able to join the group acknowledges
her need for rest, it might not provide the necessary encouragement to engage in
therapeutic activities. This response could inadvertently reinforce avoidance behavior
and hinder progress.
Choice D:
Using language that emphasizes rules and regulations might be seen as dismissive and
unhelpful. Depression is a complex mental health issue that requires understanding and
therapeutic communication rather than a strict adherence to rules.
A nurse in an acute care mental health facility is caring for a client who has depression.
After 3 days of treatment, the client suddenly seems cheerful and relaxed, and there are
no longer signs of a depressive state. Which of the following interventions is appropriate
to include in the plan of care?
A. Ask the client why her behavior has changed. 0%
B. Reward the client for her change in behavior. 60% Most selected
C. Monitor the client's whereabouts at all times. 20%
D. Encourage the family to take the client out of the facility for short periods of time. 20%
Answer and Explanation
Choice A:
A sudden and dramatic shift in mood, especially after a short period of treatment for
depression, could indicate several possibilities: The treatment might be working
effectively. The client might be masking their true feelings.The client might be
experiencing a manic episode, which can occur in individuals with bipolar disorder. By
openly asking the client about the change, the nurse can gather valuable information to
assess the situation and determine the best course of action.
.
Choice B:
While positive reinforcement can be a helpful strategy, it's premature in this case. The
cause of the behavior change needs to be understood first.
Choice C:
Monitoring the client's whereabouts at all times is unnecessary and intrusive in this
situation. The sudden improvement in her mood and behavior does not automatically
warrant increased surveillance. This intervention might even lead to increased stress and
,discomfort for the client.Constant monitoring can be intrusive and unnecessary if the
client is not exhibiting suicidal or risky behaviors.
Choice D:
Encouraging the family to take the client out of the facility for short periods of time is
premature at this stage. While spending time with family can be beneficial, it's important
to first ensure that the client's improved state is stable and sustainable. Rushing this step
could disrupt her progress and overwhelm her.
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium
carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.).
Answer and Explanation
Correct Answer: 2.2 capsules
Explanation
The correct answer is choice 2. 2 capsules. The nurse should administer 2 capsules of
lithium carbonate 150 mg each to achieve the prescribed dose of 300 mg. Since each
capsule contains 150 mg, two capsules will provide the required 300 mg dose. Rounding
to the nearest whole number, the nurse should administer 2 capsules.
, A nurse is caring for a client who has depression. The client refuses to get out of bed, go
to activities, or participate in any of the unit's programs. Which of the following responses
should the nurse make?
A. "If you do not get out of bed, you will not receive your meal.". 0%
B. "I will help you get ready, and then you can rest after activities.". 100% Most selected
C. "You should rest until you feel able to join the group.". 0%
D. "You really need to follow the rules of the unit and get out of bed.". 0%
Answer and Explanation
Choice A:
Threatening the client by linking her ability to receive meals with getting out of bed is not
a therapeutic approach. It may create a negative and punitive atmosphere, which is
counterproductive when dealing with a client who is struggling with depression.
Choice B:
This response demonstrates a balanced and empathetic approach. By offering
assistance to the client in getting ready and then allowing her to rest after activities, the
nurse is acknowledging the client's current state while gently encouraging her to engage
in activities. This approach respects the client's autonomy while offering support.
Choice C:
While suggesting that the client rest until she feels able to join the group acknowledges
her need for rest, it might not provide the necessary encouragement to engage in
therapeutic activities. This response could inadvertently reinforce avoidance behavior
and hinder progress.
Choice D:
Using language that emphasizes rules and regulations might be seen as dismissive and
unhelpful. Depression is a complex mental health issue that requires understanding and
therapeutic communication rather than a strict adherence to rules.
