ATI RN CAPSTONE MENTAL HEALTH PRE-ASSESSMENT EXAM QUESTIONS AND ANSWERS 100% CORRECT!!

A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the 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." - ANSWER b. "Let's work together to devise a time schedule that is convenient for you on a daily basis." This response illustrates the therapeutic communication technique of formulating a plan of action. It demonstrates the nurse's willingness to work with the client to modify the schedule so that it meets the client's needs at this time. A nurse is providing discharge teaching to. client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity? a. The client runs 4 miles 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. - ANSWER a. The client runs 4 miles outdoors every afternoon. Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client engages in strenuous exercise during hot weather, she should take care to replace any water that may have been lost through profuse sweating. this also applies to other factors that can cause the client to become dehydrated, such as having diarrhea or taking diuretics. A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy? a. A client who has been taking amitriptyline for 3 months for depression. b. A client exhibiting psychotic behavior. c. A client admitted 12 hr ago for acute mania. d. A client who is experiencing alcohol intoxication. - ANSWER a. A client who has been taking amitriptyline for 3 months for depression. Psychotherapy groups provide clients with the opportunity to enhance their personal relationships, increase self-awareness and try new behaviors in a safe social setting. Amitriptyline can take 4 to 8 weeks to become effective; therefore, this client should be experiencing improvement in depressive manifestations and be ready to interact in a group setting. A nurse is conducting a group therapy meeting and is sharing a humorous story. When the group laughs at the story, a client who has schizophrenia jumps up and runs out while yelling, "You are all making fun of me." Which of the following behaviors is this client displaying? a. Grandeur b. Flight of ideas c. Erotomania d. Ideas of reference - ANSWER d. Ideas of reference