ATI PN Mental Health Online Practice 2020 B with NGN

A nurse is assisting in the morning hygiene care of a client who is cognitively impaired. Which of the following statements should the nurse make? - "Let me help you get your toothbrush" A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an indication that the client is experiencing cocaine toxicity? - Seizures A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? - "Dilated pupils are a sign that my child is using amphetamines." MY ANSWER A nurse is caring for a client who was admitted with major depressive disorder (MDD) and states that they do not want to attend group therapy. Which of the following responses should the nurse make? - "What are your feelings about going to group therapy?" A nurse is reinforcing teaching with the caregiver of a client who has histrionic personality disorder. Which of the following manifestations should the nurse tell the caregiver to expect? - Attention-seeking behavior A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? - "Have you considered participating in a sport to help control your aggression?" A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the following short-term goals should the nurse recommend be included in the plan? - The client will discuss feelings that cause hostility A nurse is caring for a client who is undergoing behavioral therapy for posttraumatic stress disorder (PTSD). The nurse should identify that which of the following findings indicates an improvement in the client's condition? - The client reports about techniques they use to promote sleep. A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using a maladaptive defense mechanism? - A client who has multiple sclerosis stops taking their medication and says their diagnosis is wrong. A nurse is caring for a client who recently lost their child in a motor-vehicle crash. The client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask? - "Have you had any thoughts of harming yourself?" A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? - Sodium 132 mEq/L A nurse in a mental health unit is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following statements indicates an understanding of the teaching? - "The consent form should have the name of the provider who is performing the procedure on the form." A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid? - Smoked Sausage A nurse is collecting data from a client who has major depressive disorder and is taking phenelzine. Which of the following findings should the nurse identify as an adverse effect of this medication? - Weight gain A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findings should the nurse withhold the client's medications and notify the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) - WBC count A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions should the nurse take to demonstrate modeling as a behavioral intervention strategy? - Demonstrating performing hand hygiene at appropriate times A nurse is collecting data from a client who has agoraphobia. The nurse should identify that which of the following situations will increase the client's anxiety? - Traveling in an airplane A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder. Which of the following findings is the priority to report to the provider? - Yellow sclerae A nurse is gathering data on a client who is displaying manifestations of delirium. Which of the following information from the client's medical record is a risk factor for delirium? Select all that apply. - Hospital environment, older adult, postoperative, fever Which of the following findings should the nurse report to the provider immediately? Select the 5 findings that require immediate follow-up. - Cognitive awareness, blood pressure, sleep/wake cycle, I&O, temperature A nurse is collecting data from an older adult client who is postoperative following right knee arthroplasty. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. - apply restraints is contraindicated Urinalysis with culture and sensitivity is anticipated Melatonin is anticipated MRI of the head is nonessential IV fluids is anticipated A nurse is caring for a client who is experiencing delirium. Complete the following sentence by using the lists of options. - the nurse should first assist with initiating IV fluids, followed by administering acetaminophen. A nurse is caring for an older adult client who is postoperative and is experiencing delirium. Which of the following actions should the nurse take? Select all that apply. - offer the client warm milk at bedtime, maintain a low stimulation environment at bedtime, approach the client from the front and speak slowly The nurse is evaluating the client's response to treatments. For each client finding, click to specify if the finding indicates an improvement, no change, or a decline in the client's condition. - Sleep/wake cycle indicates no change. Vital signs indicates improvement. Daytime orientation indicates improvement. Glucose level indicates no change. I&O indicates improvement. Pain level indicates improvement. Ambulation indicates a decline in condition.. A nurse in an inpatient mental health unit is supervising a group of clients in the unit's dayroom. The nurse fails to respond to the escalating, aggressive behavior of a client who eventually becomes violent and injures another client. For which of the following is the nurse liable? - negligence A nurse is caring for a client who is scheduled for electroconvulsive therapy (ECT). Which of the following actions should the nurse take prior to the procedure? - Administer atropine sulfate IM. A nurse is participating in group therapy for clients who have major depressive disorder. Which of the following topics should the nurse include in the orientation phase of group therapy? - confidentiality A nurse is assisting with the plan of care for a client who is malnourished due to alcohol use disorder. Which of the following interventions should the nurse include in the plan? - restrict the clients sodium intake