ATI Mental Health Proctored Exam NEWEST VERSION With COMPLETE SOLUTION

A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? a. +2 edema of the lower extremities b. BUN 21 mg dL c. Lanugo covering the body d. Blood pH 7.60 - correct answer-d. Blood pH 7.60 A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? a. Place the client in restraints b. Administer an anti-anxiety medication to the client c. Put the client in seclusion d. Set limits on the client's behavior - correct answer-d. Set limits on the client's behavior Dosage Calculation: A nurse is preparing to administer Haloperidol 7mg IM to a client who is severely agitated. Available is Haloperidol injection 5mg/mL. How many mL should the nurse administer? - correct answer-1.4 mL 18) A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the healthcare team. Which of the following actions should the nurse take? a. Ask the clients family to encourage the client to receive ECT b. Inform the client that ECT does not require a consent. c. Document the client's refusal of the treatment in the medical record. d. Tell the client he cannot refuse the treatment because he was involuntarily committed. - correct answer-c. Document the client's refusal of the treatment in the medical record. A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? a. Request a mental health consult for the client. b. Ask the client if she has thought about harming herself. c. Encourage the client to attend a grief support group. d. Discuss the clients coping skills. - correct answer-c. Encourage the client to attend a grief support group. A nurse is caring for a client who has borderline personality disorder and has been engaging in self- mutilation. The nurse should encourage the client to participate in which of the following groups. a. Dual diagnosis treatment group b. Dialectical Behavior treatment group c. Desensitization therapy - correct answer-b. Dialectical Behavior treatment group The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.? a. Amantadine b. Diphenhydramine c. Benztropine d. Haloperidol - correct answer-d. Haloperidol