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Exam (elaborations)

ATI Mental Health Assessment Graded A

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Registered dietitians review a client's nutritional needs and adjust the clients diet based upon laboratory findings, medication adverse effects, and dietary intake. - a nurse is collecting data from a client who received diazepam 10mg PO 1 hr ago. which of the following findings should the nurse identify as an indication that the client is experiencing benzodiazepine toxicity? - respiratory rate 10/min a nurse is interviewing an adolescent client who reports that they were sexually assaulted. which of the following actions should the nurse take? - move the client to a private examination room to perform the interview. A nurse is reinforcing teaching with a client who has schizophrenia and new prescription for fluphenazine. which of the following adverse effects should the nurse include in the teaching - akathisia, hypotension, drowsiness a nurse is reinforcing discharge teaching with the family of a client who has mild dementia. the family plans to care for the client in their home. which of the following instructions should the nurse include? - use signs to identify different rooms in the home a nurse is reinforcing teaching with a client who is preparing for a conditional release following involuntary admission. which of the following statements by the client indicates an understanding of the teaching. - If I don't follow the instructions in my conditional release, I might be readmitted a nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT), which of the following findings should the nurse document as an unexpected response to the procedure - Irregular heart rhythm a nurse is planning an in-service about eating disorders for a group of staff nurses. which of the following conditions should the nurse include as a risk factor for anorexia nervosa? - a diagnosis of obsessive-complusive disorder a nurse is reinforcing discharge teaching with a client who has alcohol use disorder. which of the following statements by the client indicates an understanding of relapse prevention - I'm learning which situations I have difficulty handling a nurse is reinforcing teaching regarding family therapy with the parents of a client who has anorexia nervosa. the parents tell the nurse, " we don't understand why we have to have family therapy we are not sick". which of the following responses should the nurse provide - family therapy explores how the family dynamic impact your son a nurse is reinforcing discharge instructions with a client who has bipolar disorder and is taking lithium. which of the following statements by the client indicates an understanding of the teaching - I will have the level of medication in my blood checked regularly a nurse is collecting data from a client who has schizophrenia. when asked questions, the client keeps repeating what the nurse says rather than providing answers. the nurse should document this finding as which of the following alterations of speech - echolalia a nurse is contributing to the plan of care for a client who has anorexia nervosa and is 60% of their ideal body weight (IBW). which of the following interventions should the nurse include - set structured mealtimes for the client a nurse is caring for a client who is experiencing acute alcohol withdrawal. the client becomes agitated and the nurse administers lorazepam 2 mg IM. which of the following actions should the nurses take - ensure a staff member remains with the client continuously a nurse is caring for a client who is obese and states, " I need to lose weight to be attractive again." which of the following actions should the nurse take first to promote positive self-esteem. - ask the client how they feel about their weight and appearance a nurse is reinforcing teaching with the adult child of a client who is scheduled to have electroconvulsive therapy (ECT), which of the following statements should the nurse make - your father might experience short-term memory loss after the procedure a nurse is contributing to the plan of care for a client who has moderate alzheimer's disease and is neglecting personal hygiene. which of the following interventions should the nurse include in the plan - assign an assistive personnel (AP) to help the client with personal hygiene a nurse is reinforcing teaching with a client who has a prescription for a monoamine oxidase inhibitor (MAOI). which of the following lunch choices by the client indicates an understanding of the teaching - an egg salad with a sliced tomato and a yeast roll a nurse is caring for a client who takes haloperidol. the nurse should expect that the provider will prescribe which of the following laboratory tests - liver function a nurse is establishing a therapeutic relationship with a client who has generalized anxiety disorder. which of the following actions should the nurse take first - explain confidentiality guidelines to the client a nurse is caring for a client who has schizophrenia. the client is refusing to participate in the current group activity. which of the following statements the nurse make - you do not have to participate right now if you don't feel comfortable

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Uploaded on
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