Mental health exam ATI Questions and Answers (Updated Version).

Mental health exam ATI Questions and Answers (Updated Version). The nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? A client who has borderline personality disorder and assaulted a homeless man with a metal rod A nurse decides to put a client who has psychosis in seclusion overnight because the unit is very short‑staffed, and the client frequently fights with other clients. This is an example of false imprisonment A client tells a nurse, "don't tell anyone, but I had a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me." Which of the following action should the nurse take? Tell the client that this must be reported to the healthcare team because it concerns health and safety of the client and others. A nurses caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? "client was offered 8oz of water every hour" "client shouted obscenities at assistive personnel" "client received chlorpromazine 15 mg by mouth at 1000" A nurse hears a newly licensed nurse discussing clients hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? Tell the nurse to stop discussing this behavior. A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques.The nurse is correct in implementing this form of group leadership when demonstrating which of the following actions? Asks for group suggestions of techniques and then supports discussion A nurse if planning group therapy for clients dealing with the bereavement. Which of the following activities should the nursing include in the initial phase? Define the purpose of the group, discuss termination of the group, and establish an expectation of confidentiality within the group. A nurse on an acute mental health unit forms a group to focus on self-management of medications. At each of the meetings, two of the members conspire together to exclude the rest of the group. This is an example of which the following concepts? subgroup A nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the order sibling look bad, the nurse identify this dysfunctional behavior as which of the following? manipulation A nurses working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? a member who brags about accomplishments A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? "I will receive a muscle relaxant to protect me from injury during ECT." A charge nurse is discussing TMS with the newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I will schedule to client for TMS treatments 3 to 5 times a week for the first several weeks." A nurse is assessing a client immediately following and ECT procedure. Which of the following finding should the nurse expect? memory loss and confusion The nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion? bipolar disorder with rapid cycling A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? voice changes, cough, and neck pain A nurses caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk factor for depression? History of chronic bronchitis, recent death and client family, family history of depression, and a personal history of panic disorder. A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurses priority? Placing the client on one-to-one observation A nurse is teaching a client who has a new diagnosis of premenstrual dysphoric disorder(PMDD). Which of the following statements by the client indicate understanding of the teaching? "I am aware that my PMDD causes me to have rapid mood swings." A charge nurse is discussing the care of a client who has major depressive disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "The client is at greatest risk for suicide during the first weeks of an MDD episode." A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect? Presence of manifestations for at least 2 years. A nurse is planning care for client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? Offer concise explanations, establish consistent limits, and use a firm approach with communication. A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? "ECT is effective for clients who are experiencing severe mania." A nurse is caring for a client who has bipolar disorder. Which of the following is the priority nursing actions? Monitor the client for escalating behavior A nurses caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you you." Which of the following responses should the nurse make? "I am here to provide care in cannot accept this from you." A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? Difficulty sleeping can indicate a relapse, participating in psychotherapy can help prevent a relapse, and anhedonia Is a clinical manifestation of a depressive relapse. A nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "the voices won't leave me alone!" Which of the following statements should the nurse make? "When did you start hearing these things?" "It must be scary to hear voices." "Are the voices you hear telling you to hurt yourself?" A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? Auditory hallucination, use of clang associations, and constantly waving arms A nurse is caring for a client who has schizoaffective disorder. Which of the following statement indicates the client is experiencing depersonalization? "I am no one, and everyone is me." A nurses caring for a client on an acute mental health unit. The client reports hearing voices that are stating, "kill your doctor." Which of the following actions should the nurse take first? Initiate one-to-one observation of the client A nurse is speaking with a client who has schizophrenia when the client suddenly seem to stop focusing on the nurses questions and begins looking at the ceiling and talking to themselves. Which of the following actions should the nurse take? Ask the client, "are you seeing something on the ceiling?" A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse include in the presentation? Older adults are at an increased risk for substance use following retirement A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following finding should the nurse expect? fine tremors of both hands vomiting restlessness. a nurse is planning care for a client who is experiencing benzodiazepine withdraw. Which of the following interventions should the nurse identify as the priority? implement seizure precautions. A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? Disulfiram A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by family member indicates an understanding of the teaching? SATA "eliminating codependent behavior will promote recovery" "the primary goal of treatment is abstinence from substance abuse" "our sibling needs to discuss personal feelings about substance use to help with recovery" The nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? "I may feel drowsy for a few weeks after starting this medication." A nurse is caring for a client who is taking phenelzine. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? orthostatic hypotension and hypomania A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is a priority for the nurse to report to the provider? The client had a motor vehicle crash last year and sustained a head injury. A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. which of the following instructions should the nurse include in the teaching? Void just before taking this medication wear sunglasses when outside chew sugarless gum A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? "this medication increases the release of serotonin and norepinephrine." A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statement should the nurse make? "regular aspirin would be a better choice than ibuprofen." A nurse is discussing early indications of toxicity with the client who has a new prescription for lithium carbonate for bipolar disorder.The nurse should include which of the following manifestations into teaching? polyuria and muscle weakness A nurse is discussing routine follow-up needs with a client who has a prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following? AST/ALT and LDH A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the clients lithium blood level is 1.2 mEq/L. What action should the nurse take? Administer the next dose of lithium carbonate as scheduled. Nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the clients caregiver, which of the following statements is a priority to report to the provider? "Current medications include furosemide for congestive heart failure." A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should expect a prescription for which the following medications? Risperidone A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with the injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? Olanzapine, Aripiprazole, Clozapine, and Asenapine The charge nurse is discussing manifestations of schizophrenia with the newly licensed nurse. Which of the following manifestations should the charge nurse identified as being effectively treated by first-generation antipsychotics? Auditory hallucinations, delusions of grandeur, and severe agitation A nurse is assessing a client who is currently taking perphenazine .Which of the following finding should the nurse identify as an extrapyramidal symptoms? Drooling, involuntary arm movements, and continual pacing A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicate an understanding of the teaching? "I will be careful not to gain too much weight while taking this medication." A nurse is providing teaching to a client who has alcohol use disorder and a prescription for carbamazepine. Which of the following information should the nurse include in the teaching? "This Medication will help prevent seizures during alcohol withdrawal." A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse expect prescriptions for which of the following medications to promote long-term abstinence from alcohol? disulfiram, naltrexone, and acamprostate The nurse is evaluating a clients understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicated understanding of the teaching? "When taking this medication, I should keep a pack of sugarless gum." A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information to the nurse including the teaching? avoid eating 15 minutes prior to chewing the gum A nurse is discussing the use of methadone with the newly licensed nurse. Which of the following statements from the newly licensed nurse indicates an understanding of the teaching? "Methadone is a replacement for physical dependence to opioids." "Methadone reduces the unpleasant effects associated with abstinence syndrome." "Methadone can be used during opioid withdrawal and to maintain abstinence." "Methadone must be prescribed and dispensed by an approved treatment center." A nurse is assessing a client who has major depressive disorder. The nurse should identify which of the following client statements as an overt comment about suicide? "my family will be better off if i'm dead." "I wish my life was over." "If i kill myself then my problems will go away." A nurse is caring for a client who states, "I plan to commit suicide." Which of the following assessments should the nurse identified as the priority? Lethality of the method and availability of means A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. Which of the following intervention should the nurse include as a primary intervention. Conducting a suicide risk screening on all new clients, educating high school students about suicide prevention, and teaching middle school educators about warning indicators of suicide A nurse is caring for a client to is on suicide precautions. Which of the following intervention should the nurse include the plan of care? Ensure that the client swallows medications. A nurse is conducting a class for a group of newly licensed nurses on caring for clients who are at risk for suicide. Which of the following information should the nurse include in the teaching? A no-suicide contract decreases the clients risk for suicide.