ATI Mental health Assessment Questions with Correct Answers | Grade A

A nurse is collecting data from a client who received diazepam 10mg PO 1 hr ago. Which of the following findings should the nurse identify as an indication that the client is experiencing benzodiazepine toxicity? Ans: Respiratory rate 10/min A nurse is interviewing an adolescent client who reports that they were sexually assaulted. Which of the following actions should the nurse take? Ans: Move the client to a private examination room to perform the interview. A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for fluphenazine. Which of the following adverse effects should the nurse include in the teaching? Ans: Akathisia, hypotension, drowsiness 2 A nurse is reinforcing discharge teaching with the family of a client who has mild dementia. The family plans to care for the client in their home. Which of the following instructions should the nurse include? Ans: Use signs to identify different rooms in the home A nurse is reinforcing teaching with a client who is preparing for a conditional release following involuntary admission. Which of the following statements by the client indicates an understanding of the teaching? Ans: If I don't follow the instructions in my conditional release, I might be readmitted A nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT). Which of the following findings should the nurse document as an unexpected response to the procedure? Ans: Irregular heart rhythm