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Examen

ATI RN 3.0 Mental Health 1 Exam Questions And Answers Guaranteed Success|2024.

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A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse. Which of the following actions should the nurse take? - correct answer Explain that this time is designated to focus on the client. A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not responded to lessen case of interventions. Which of the following actions should the nurse plan to take? - correct answer Document the clients behavior every 15 minutes while restraints are in place. Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention?Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention? - correct answer Provide a presentation at area high school's and resisting peer pressure for substance use. A nurse in an emergency department is caring for an 18 month old toddler who has a fractured left femur. What is the long statement by the toddler's parent should cause the nurse to suspect child abuse? - correct answer "My child was riding a bicycle and fell off." A nurse is administering an oral sedative to a client who is receiving careful and involuntary admission. The client states, " I'm not taking any more medication." Which of the following actions should the nurse take? - correct answer Document the client refusal of the medication in the medical record. A nurse is caring for a school age client who begins wetting the bed after finding out her parents are getting a divorce. The nurse should identify the client is exhibiting which is a fine defense mechanisms? - correct answer Regression A nurse is caring for a client who is brought to the clinic by her adult son who states that his father recently died. The client repeatedly yells at her son stating, " Quit lying about your father!" The nurse should recognize that the client is demonstrating which of the following defense mechanisms? - correct answer Denial A nurse is caring for a client called mental health counseling center. The client received a failing grade in the course and spends entire counseling session blaming the teacher. The nurse should recognize this behavior as example of which of the following defense mechanisms? - correct answer Projection A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The client tells the nurse, " I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? - correct answer " You are feeling helpless about changing this behavior?" A nurse is preparing to administer fluphenazine decanoate 12.5 mg subcutaneous. available is fluphenazine decanoate 25 mg/mL. How many mL should the nurse administer per dose? - correct answer 0.5 A nurse is providing support for the parents of a child has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief? - correct answer Denial A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, " I'm not worth your time. Leave me alone and go help someone else." which of the following responses should the nurse make? - correct answer " In other words, you seem to be saying that you feel unworthy of help." A nurse is caring for a client has schizophrenia. The client states, " My internal organs have turned to stone." The nurse should document this finding as which of the following types of delusions? - correct answer Somatic A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase? - correct answer Identify the clients perception of the reason for therapy. A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display which of the following characteristics? - correct answer Possesses feelings of decreased self-worth A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy? - correct answer The client will gain increased self-esteem. A nurse is caring for a client who reminds her of a negative person in her past. These memories cause the nurse to unconsciously displace negative feelings towards the client. The nurse should recognize that she is demonstrating which of the following behaviors? - correct answer Countertransference A nurse is caring for a client has a new diagnosis of colon cancer. Shortly after the client received the diagnosis, the nurse enters the clients room and the client begins yelling, " I have received terrible care here and no one cares about me." The nurse should recognize that the client is demonstrating which of the following defense mechanisms? - correct answer Displacement A nurse is caring for a client who has major depressive disorder and recently started taking an antidepressant. The nurse should identify which of the following client statements as the priority? - correct answer " I have it all figured out. Everything is going to be okay now." A nurse in an emergency department is caring for a female client who has ecchymosis of the trunk and face. The client reports that her partner hit her, causing the injuries. When offered information about shelters for intimate partner violence, the client declines, stating, " I could never leave my husband because of my kids." Which of the following responses should the nurse make? - correct answer " The next time this occurs, what make you do that ensure your safety?" A nurse is performing a mental health status assessment on an older adult client who has dementia. Which of the following questions should the nurse is ask to assess the client's remote memory? - correct answer " What year did you graduate from high school?" A nurse in the pediatric emergency department is caring for four clients. The nurse should suspect possible abuse with which of the following clients? - correct answer A 9 month old infant who reportedly nearly drowned after climbing into the tub and turning on the water A nurse is assessing a client who is experiencing moderate level anxiety. Which of the following findings should the nurse expect? - correct answer The client has difficulty concentrating A nurse is caring for a client who has borderline personality disorder. The nurse enters the clients room and find the client cutting into his flash with a paper clip. After providing first aid, which of the following actions should the nurse take first? - correct answer Identify the clients feelings that lead to the south injurious behavior. A nurse is caring for a client who attempted suicide and refuses to sign a no-suicide contract.Which of the following actions should the nurse take when implementing suicide precautions? - correct answer Place the client on one-to-one observation. A nurse is caring for a client who is adolescent child died in a motor vehicle crash. The client is crying inconsolably. Which is the following actions should the nurse take? - correct answer Stay with the client and allow the client to cry. A nurse is caring for a client who has depression and started taking porosity in one week ago. The client states the nurse," My family would be better off without me." What are the following responses should the nurse make? - correct answer " You sound upset. Are you thinking of hurting yourself?" A nurse is admitting a client following care in the emergency department for an intentional overdose of opioids. The client states, " I feel so alone. No one can help me." Which of the following responses by the nurse is therapeutic? - correct answer " I would like to sit and talk with you." A nurse in a mental health facility is reviewing confidentiality requirements with a newly licensed nurse. Which of the following statements by newly licensed nurse indicates an understanding of the information? - correct answer " I said keep information private even after a client dies." A nurse at an acute mental health facility is caring for a client who has acute mania do you to bipolar disorder. At 0300, the client runs to the nurse's station and demands to see the provider immediately. Which of the following responses should the nurse make? - correct answer " you must be very upset about some thing to want to see your provider in the middle of the night." A nurse is counseling a client who seems relaxed initially, but then becomes restless and begins ringing his hands. The nurse states that the client seems tense, and the client agrees. Which of the following statements should the nurse make? - correct answer " What were we discussing when you begin to feel uncomfortable?" A nurse is planning care for a client who has thoughts of suicide. Which of the following goes to the nurse include in the clients plan of care? - correct answer The client agrees to notify staff member of thoughts of self-harm. A nurse in a mental health clinic is caring for a client who has bipolar disorder and states," I no longer take my medication because I like the feeling of being manic."Which of the following responses by the nurse is an example of therapeutic communication? - correct answer "You feel better when you don't take your medication?" A nurse is completing an admission assessment for an adolescent client who has depression. The nurse should identify which of the following findings as a priority? - correct answer The client gave his favorite possessions to his friends.

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