ATI RN Capstone Mental Health Pre-Assessment, ATI
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A nurse is providing discharge b. "Let's work together to devise a time schedule that is
teaching for a client who has convenient for you on a daily basis."
multiple medication This response illustrates the therapeutic communication
prescriptions and must take the technique of formulating a plan of action. It demonstrates the
medications at specific intervals nurse's willingness to work with the client to modify the schedule
when at home. Which of the so that it meets the client's needs at this time.
following instructions should the
nurse include in the teaching?
a. "You really shouldn't change
the schedule we established
here in the facility."
b. "Let's work together to devise
a time schedule that is
convenient for you on a daily
basis."
c. "We'll have to talk to your
provider about switching to an
alternative schedule."
d. "It doesn't really matter what
time you take your medications
as long as you don't skip any
doses."
,A nurse is providing discharge a. The client runs 4 miles outdoors every afternoon.
teaching to. client who has Strenuous exercise in outdoor heat, which can lead to
bipolar disorder and will be dehydration, puts the client at risk for lithium toxicity. Mild to
discharged with a prescription moderate exercise will not lead to lithium toxicity, but if the client
for lithium. The nurse should engages in strenuous exercise during hot weather, she should
teach the client that which of the take care to replace any water that may have been lost through
following factors puts her at risk profuse sweating. this also applies to other factors that can cause
for lithium toxicity? the client to become dehydrated, such as having diarrhea or
a. The client runs 4 miles taking diuretics.
outdoors every afternoon.
b. The client drinks 2 liters of
liquids daily.
c. The client eats 2 to 3 grams of
sodium-containing foods daily.
d. The client eats foods high in
tyramine.
A nurse in a emergency b. Dilated pupils
department is assessing a client
for suspected cocaine Dilated pupils are a finding of cocaine intoxication due to the
intoxication. Which of the stimulation of the sympathetic nervous system.
following findings should the
nurse expect?
a. Nystagmus
b. Dilated pupils
c. Hypersomnia
d. Depression
A nurse enters the room of a b. Speak slowly in a low, calm voice.
client who becomes verbally
abusive. Which of the following Speaking in this manner conveys to the client that the nurse is
actions should the nurse take? controlled, nonthreatening, and caring.
a. Inform the client of
consequences.
b. Speak slowly in a low, calm
voice.
c. Forbid the client from
speaking in an abusive manner.
d. Remain a distance of 1 ft away
from the client.
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, A nurse is caring for a client who d. Maintain eye contact with the client and summarize the client's
lost all his possessions in a feelings.
house fire and states, "I have no
idea what I am going to do. I This demonstrates therapeutic communication. During the initial
cannot think right now." Which of interview, it is important for the nurse to provide an atmosphere
the following actions should the of support and safety. If a person believes that the someone is
nurse take? genuinely concerned, then he may believe that help is available.
Maintaining eye contact demonstrates support, empathy, and
a. Identify other housing options advocacy.
and sources of transportation.
b. Notify the facility chaplain to
request scheduling an
appointment.
c. Confirm that everything will
be alright because belongings
can be replaced.
d. Maintain eye contact with
client and summarize the client's
feeings.
A nurse in a mental health clinic d. Agoraphobia
is assessing a client who was Agoraphobia is an irrational fear about being in places or
brought in by her adult daughter circumstances where the client would not have help in the event
stating that her mother has not of panic or other forms of anxiety. Fear of being alone outdoor is
been able to leave her home for a common example.
weeks because she is afraid to
be outdoors alone. the nurse
should anticipate planning care
for managing which of the
following phobias?
a. Xenophobia
b. Acrophobia
c. Mysophobia
d. Agoraphobia
A nurse in a psychiatric unit is a. A client who has been taking amitriptyline for 3 months for
caring for several clients. Which depression.
of the following clients should
the nurse recommend for group Psychotherapy groups provide clients with the opportunity to
therapy? enhance their personal relationships, increase self-awareness
and try new behaviors in a safe social setting. Amitriptyline can
a. A client who has been taking take 4 to 8 weeks to become effective; therefore, this client
amitriptyline for 3 months for should be experiencing improvement in depressive
depression. manifestations and be ready to interact in a group setting.
b. A client exhibiting psychotic
behavior.
c. A client admitted 12 hr ago for
acute mania.
d. A client who is experiencing
alcohol intoxication.