ATI Course Study guides, Revision notes & Summaries

Which is not an organization that set up the provision of care for clients in a mental health care setting? 1. American Nurses Association (ANA) 2. American Psychiatric Nurses Association 3. National Mental Health Nursing Association 4. International Society of Psychiatric Mental Health Nurses Correct Answer - 3 In addition to the nursing process, which aspects of the holistic approach should nurses working in mental health settings use (select all that apply): 1. biological 2. social ...

1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. "You should continue this medication if you develop muscle rigidity". b. "You will experience weight loss while taking this medication." c. "You will notice your symptoms improve within 24 hours of taking this medication." d. "You should increase your consumption of complex carbohydrates." Correct Answer -...

A nurse enters a clients room and observes that the client is agitated and pacing rapidly. the client looks at the nurse and says back off leave me alone. which of the following statements should the nurse make? Correct Answer - I demand that you come down now your behavior is unacceptable I will close the door to provide privacy and you can tell me what is bothering you I will give you space if you calm down tell me what is causing you to feel so tense*** I will leave you alone for a...

It is important to ask this during assessment? Correct Answer - - Perception of own health/beliefs about illness and wellness - how the client passes time - use of substances/disorders - cultural beliefs and practices -spiritual bliefs Mental Status Exam (MSE) Correct Answer - used to describe LOC -alert -lethargy -stupor -coma MSE what is alert? Correct Answer - client is responsive and answers questions spontaneously and appropriately MSE what is lethargy? Correct Answer - ope...

A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse assess the client? Correct Answer - Respiratory depression A nurse in a mental health facility is planning to promote the development of a theraputic relationship with a newly admitted client. Which of the following actions should the nurse plan to take? Correct Answer - Identify professional boundaries during the initial interaction Incor...

Mental Status Exam components Correct Answer - GET POI -General: appearance, speech -Emotions -Thought Processes -Perceptions: hallucinations -Orientation -Impulse Control/Insight DSM5 Axis Correct Answer - Axis 1: Clinical syndrome, psychological disorder Axis 2: Personality disorder and mental retardation Axis 3: General Medical Condition Axis 4: Psychosocial and environmental stressors Duty to report what? Correct Answer - HIV, duty to warn third parties and report abuse Sup...

Defense Mechanisms Correct Answer - Altruism and sublimation are defense mechanisms that are always healthy. Other defense mechanisms can be used in a healthy manner. However, they can become maladaptive if used inappropriatly or repetitively. Altruism Correct Answer - Dealing with anxiety by reaching out to others Altruism adaptive use Correct Answer - A nurse who lost a family member in a fire as a volunteer Maladaptive: N/A Sublimation Correct Answer - Dealing with unacceptable f...

A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching? Correct Answer - The client should obtain a sponsor before discharge for an increased chance of recovery. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse "M...

A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia nervose and has a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client's diagnosis? A. "She works so hard at ballet. Will she still be able to perform?" B. "She won't let me take the trash from her room. I'm concerned about what she has in there." C. "She told me she was tired, so I did her chores for her today." D. "Sh...

A nurse in a community Health center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? Correct Answer - Guided imagery A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, " my roommate never sleeps and keeps me up, too."Which of the following actio...