ATI Mental Health Exam 2

1. A nurse is talking with a client who has anxiety disorder. The client states, I have something important to tell you, but you have to promise to keep it a secret. " which of the following responses should the nurse make? 2. The nurse may be legally obligated to share information regarding the safety risk of the client or others. - I might have to share that information with your provider 3. A nurse is caring for a client who has generalized anxiety disorder GAD. Which of the following goals that should the nurse include in the discharge plan for this client? - Make independent decisions about daily events 4. A nurse is caring for a client who has voluntarily admitted to an inpatient mental health facility for treatment of major depressive disorder. After considering to deep brain stimulation, the client tells the nurse he does not want to have the procedure. Which of the following actions should the nurse take? - Tell the client that he has a right to refuse the procedure 5. A nurse is contributing to the plan of care for a client who has borderline personality disorder and exhibits manipulative behaviors. Which of the following intervention should the nurse address limit setting? - Establish and explain consequences of the clients behavior. 6. A nurse in a mental health unit is contributing to the plan of care for a client who is receiving treatment for self inflicted injuries. Which of the following intervention is the priority for this client? - Promoting and maintaining clients safety 7. A nurse in a long-term care facility is caring for a client who has dementia and becomes increasingly agitated in the afternoon hours. Which of the following actions should the nurse take first? - Offer diversion activities for the client 8. A nurse is assisting with the planning of a staff education education session about the administration of antidepressant medication to older adult clients. Which of the following pieces of information should the nurse recommend including? - Older adult clients require a lower initial dose of antidepressant medication then adult clients. 9. A nurse in a providers office is documenting the results of a general survey of a client who is new to the practice. The client reports an inability to find pleasure in activities she previously enjoyed. Which of the following terms should the nurse use to describe the clients mood? - Anhedonia 10. A nurse is collecting data from a client who has binge eating disorder. Which of the following findings should the nurse expect.? - abdominal pain 11. A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect? - increase mental alertness 12. A nurse is collecting data from a client who has moderate cognitive decline due to stage 4 Alzheimer's disease. Which of the following findings should the nurse expect? - The client is able to identify the names of family members. 13. A nurse is assisting with the planning of recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse recommend for this client? 14. The nurse should encourage the client to participate in a non-threatening noncompetitive activity. - Walking with a staff member 15. A nurse at a long-term care facility here's an assistive personnel AP talking with an older client who has dementia with periods of confusion. Which of the following statements indicate that the AP requires further instruction? 16. Allow client to complete activities that can be performed independently. - It's almost time for your appointment. Let me do your hair and brush your teeth. 17. A nurse is caring for a client who is postoperative following an amputation to left lower leg. The client states, "I can't believe this happened to me. I don't deserve this. "Which of the following responses should the nurse make? - Tell me what you're feeling about what has happened. 18. A nurse is talking with a client who has major depressive disorder. Which of the following statements should the nurse identify as a covert statement of suicidal ideation? 19. An indirect way of planning suicide. - I won't have to deal with things much longer. 20. A nurse is discussing the benefits of group therapy with a client who has bipolar disorder. The nurse should identify which of the following as an advantage of this form of treatment? - The chance to learn from the experiences of other individuals 21. A nurse in a long term mental health facility is caring for a client who has a personality disorder. Because the client has broken and unit rule, phone privileges are being revoked. The client asked the nurse, "can't I just make another phone call? " which of the following responses should the nurse make? - No, you can't. You have broken the rules that apply to everyone. 22. A nurse is collecting data from a client who has major depressive disorder. Which of the following questions is a priority for the nurse to ask a client.? - Have you thought about hurting yourself? 23. A nurse is assisting a client who has major depressive disorder the client states, "this has been the worst day of my life." Which of the following responses should the nurse make? - Please take a seat and talk to me about it. 24. A nurse is having a conversation with a newly admitted client when the client suddenly stops talking. Which of the following statements should the nurse make? - I've noticed you have been quiet. Share with me what you are thinking when you are ready. 25. A nurse is assisting with The admission of a client who has alcohol use disorder. Which of the following statement indicates that the client is using denial as a coping mechanism? - I'm able to go to work every day, so I don't have a problem. 26. A nurse is caring for a client who returns to the unit from a day past two hours late. The client has slurred speech, and the nurse smells alcohol on the clients breath. What should the nurse say to the client in response to the situation? - We will need to discuss your actions after you have had a chance to sleep. 27. A nurse is caring for a client who has Alzheimer's disease. The clients adult son reports that the client has begun wandering away from home. Which of the following responses should the nurse make? - Place a complex lock on the top of each door that leads outside. 28. A nurse is caring for a client who has obsessive compulsive disorder and feels that pacing the floor a specific number of times is necessary or else "something bad will happen. "Which of the following responses should the nurse provide? - It may help if we talked about why you find it necessary to pace the floor. 29. A nurse is contributing to the plan of care for a client who has alcohol use disorder. Which of the following medications and to administer - Diazepam (Valium) 30. A nurse is caring for a client who was just admitted for treatment of anorexia nervosa. Which of the following actions should the nurse take? - Monitor the client for one hour following meals and snacks. 31. A nurse is collecting data from a client who is experiencing Opioid withdrawal. Which of the following clinical manifestations expect? 32. flu like manifestations such as Yawning sneezing and abdominal pain. - Rhinorrhea