ATI Mental health Assessment
a home health nurse is reinforcing teaching with the family members of a client who has
alzheimers disease and is experiencing sleep disturbance. which of the following instructions
should the nurse include - ANS-wake the client at the same time each morning
a nurse in a long term care facility is caring for a client who has dementia and cannot
verbalize their wants and needs. the client refuses to drink liquids on meal trays. which of the
following actions by the nurse demonstrates advocacy - ANS-ask the client's family what
their favorite beverages are
a nurse is admitting a client to a mental health unit. the nurse should inform the client that
they have which of the following rights - ANS-the right to retract previously provided consent.
the right to receive individualized care. the right to refuse psychotropic medications. the right
to the least restrictive environment
a nurse is assisting with planning care for a client who is in the manic phase of bipolar
disorder. which of the following actions is the priority for the nurse to include in the plan -
ANS-offer frequent high calorie fluids throughout the day
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
a nurse is caring for a client following a modified radical mastectomy. which of the following
client statements is an indication of effective coping - ANS-I am planning to attend a support
group after I leave the hospital
a nurse is caring for a client on a mental health unit and receives a call from the client's
sibling requesting information regarding the client's condition. the client has not listed anyone
on the release of information form. which of the following actions should the nurse take? -
ANS-tell the caller that information cannot be released regarding their request
a nurse is caring for a client who frequently displays manipulative behavior. which of the
following actions should the nurse take - ANS-establish consequences for the client's actions
a nurse is caring for a client who has early dementia and is prone to wandering at night.
which of the following strategies should the nurse use to help keep the client safe -
ANS-place the clients mattress on the floor
a nurse is caring for a client who has insomnia disorder. which of the following actions
should the nurse take - ANS-establish a routine that signals the end of the day
a nurse is caring for a client who has Parkinson's disease. the client states, " Everything is
looking pretty grim for me." Which of the following is priority action for the nurse to take -
ANS-ask the client if they have a specific plan of suicide
a nurse is caring for a client who has schizophrenia and reports anxiety due to hearing
voices. which of the following actions should the nurse take - ANS-encourage the client to
listen to music using headphones
a nurse is caring for a client who has schizophrenia. the client is refusing to participate in the
current group activity. which of the following statements the nurse make - ANS-you do not
have to participate right now if you don't feel comfortable
a home health nurse is reinforcing teaching with the family members of a client who has
alzheimers disease and is experiencing sleep disturbance. which of the following instructions
should the nurse include - ANS-wake the client at the same time each morning
a nurse in a long term care facility is caring for a client who has dementia and cannot
verbalize their wants and needs. the client refuses to drink liquids on meal trays. which of the
following actions by the nurse demonstrates advocacy - ANS-ask the client's family what
their favorite beverages are
a nurse is admitting a client to a mental health unit. the nurse should inform the client that
they have which of the following rights - ANS-the right to retract previously provided consent.
the right to receive individualized care. the right to refuse psychotropic medications. the right
to the least restrictive environment
a nurse is assisting with planning care for a client who is in the manic phase of bipolar
disorder. which of the following actions is the priority for the nurse to include in the plan -
ANS-offer frequent high calorie fluids throughout the day
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
a nurse is caring for a client following a modified radical mastectomy. which of the following
client statements is an indication of effective coping - ANS-I am planning to attend a support
group after I leave the hospital
a nurse is caring for a client on a mental health unit and receives a call from the client's
sibling requesting information regarding the client's condition. the client has not listed anyone
on the release of information form. which of the following actions should the nurse take? -
ANS-tell the caller that information cannot be released regarding their request
a nurse is caring for a client who frequently displays manipulative behavior. which of the
following actions should the nurse take - ANS-establish consequences for the client's actions
a nurse is caring for a client who has early dementia and is prone to wandering at night.
which of the following strategies should the nurse use to help keep the client safe -
ANS-place the clients mattress on the floor
a nurse is caring for a client who has insomnia disorder. which of the following actions
should the nurse take - ANS-establish a routine that signals the end of the day
a nurse is caring for a client who has Parkinson's disease. the client states, " Everything is
looking pretty grim for me." Which of the following is priority action for the nurse to take -
ANS-ask the client if they have a specific plan of suicide
a nurse is caring for a client who has schizophrenia and reports anxiety due to hearing
voices. which of the following actions should the nurse take - ANS-encourage the client to
listen to music using headphones
a nurse is caring for a client who has schizophrenia. the client is refusing to participate in the
current group activity. which of the following statements the nurse make - ANS-you do not
have to participate right now if you don't feel comfortable
