Mental Health 2 - ATI
A nurse in a mental fitness sanatorium is assessing a purchaser who has a history of mania
which of the subsequent findings suggests that the client is experiencing a relapse -
ANS-pressured speech***
(Chapt 22 Neurocognitive Disorders)
Pressured speech. Rapid speech that is loud, intrusive, and difficult to interrupt
A nurse is assessing a patron who has a psychotic sickness in a new prescription of haloperidol
the patron is pacing inside the hallway and states I can not seem to set still which of the
following extrapyramidal facet effects is the purchaser in all likelihood experiencing -
ANS-akathisia***
(Chapt 24 Schizophrenia and other psychotic issues)
Restlessness; an urgent need for movement. A sort of extrapyramidal side effect related to
some antipsychotic medicinal drugs.
Haloperidol (Haldol): central frightened system agent; psychotherapeutic; antipsychotic;
butyrophenone
A nurse is assessing a purchaser who has anxiety disease and is taking benzodiazepine for
which of the subsequent unfavourable influences of the nurse manager the customer -
ANS-dizziness ***
(Chapt. 27 Anxiety, Obsessive-Compulsive Disorder)
The fundamental dangers with BENZODIAZEPINE therapy are bodily dependence and
tolerance, which might also encourage abuse. Because withdrawal signs may be lifestyles
threatening, clients have to be warned towards abrupt discontinuation of the drug and have to
be tapered off the drugs at the stop of therapy.
A nurse is assessing a brand new lead minute consumer who has generalized tension sickness
and states I drink alcohol to forget the pain the client is showing a maladaptive responses to
every of the subsequent protection mechanisms - ANS-Compensation ***
(Chapt 2 Mental Health/Mental Illness)
Compensation is the overlaying up of a real or perceived weak spot by means of emphasizing a
trait one considers greater appropriate.
A nurse is being concerned for a patron who has a possessive compulsive ailment which of the
following actions ought to the nurse take first - ANS-determine the clients Anxiety stage ***
, A nurse is being concerned for a consumer who has acute delirium which of the subsequent
findings have to the nurse count on - ANS-speedy fluctuation in stage of consciousness ***
A nurse is worrying for a purchaser who has been unable to leave the residence for the past 10
years with out accompaniment when attempting to go out aloneThe purchaser becomes very
worrying and must quick return in the nurse must identify that the consumer is showing which of
the following problems - ANS-agoraphobia***
(Chapt. 27 Anxiety, Obsessive-Compulsive Disorder)
The fear of being in locations or situations from which escape is probably difficult (or
embarrassing) or in which help won't be available inside the occasion of a panic attack.
A nurse is caring for a client who has dementia which of the following findings need to the nurse
anticipate - ANS-impaired judgment***
A nurse is worrying for a client with schizophrenia the patron spends a brilliant deal of time
repeating rhyming syllable consisting of me See bee tree the nurse acknowledges that the
customer is demonstrating which of the following fine manifestations of schizophrenia -
ANS-Clang association ***
(Chapt 24 Schizophrenia and different psychotic issues)
A sample of speech wherein the choice of phrases is governed with the aid of sounds. Clang
associations frequently take the shape of rhyming.
A nurse is worrying for a newly admitted purchaser who's experiencing alcohol withdrawal which
of the following findings need to the nurse expect - ANS-headache ***
A nurse is acting an admission assessment for a client who has schizophrenia the nurse notices
that the customers appearances unkempt and he seems to be actively hallucinating which of the
following should be the nurses priority evaluation - ANS-bodily desires ***
A nurse is planning a menu for a customer who has bipolar sickness and is experiencing acute
manic episode which of the subsequent meal have to the nurse offer for this patron -
ANS-chicken nuggets crackers with cheese sticks and a cookie ***
A nurse is making plans to manage a dose of lithium carbonate to a patron who has bipolar
ailment the laboratory record indicates that the clients current lithium level is one that of the
following actions should the nurse take - ANS-administer the medicine ***
(Chapt 26 Bipolar and Related Disorders)
Normal Lithium Range
0.6 to 1.Five mEq/L
A nurse in a mental fitness sanatorium is assessing a purchaser who has a history of mania
which of the subsequent findings suggests that the client is experiencing a relapse -
ANS-pressured speech***
(Chapt 22 Neurocognitive Disorders)
Pressured speech. Rapid speech that is loud, intrusive, and difficult to interrupt
A nurse is assessing a patron who has a psychotic sickness in a new prescription of haloperidol
the patron is pacing inside the hallway and states I can not seem to set still which of the
following extrapyramidal facet effects is the purchaser in all likelihood experiencing -
ANS-akathisia***
(Chapt 24 Schizophrenia and other psychotic issues)
Restlessness; an urgent need for movement. A sort of extrapyramidal side effect related to
some antipsychotic medicinal drugs.
Haloperidol (Haldol): central frightened system agent; psychotherapeutic; antipsychotic;
butyrophenone
A nurse is assessing a purchaser who has anxiety disease and is taking benzodiazepine for
which of the subsequent unfavourable influences of the nurse manager the customer -
ANS-dizziness ***
(Chapt. 27 Anxiety, Obsessive-Compulsive Disorder)
The fundamental dangers with BENZODIAZEPINE therapy are bodily dependence and
tolerance, which might also encourage abuse. Because withdrawal signs may be lifestyles
threatening, clients have to be warned towards abrupt discontinuation of the drug and have to
be tapered off the drugs at the stop of therapy.
A nurse is assessing a brand new lead minute consumer who has generalized tension sickness
and states I drink alcohol to forget the pain the client is showing a maladaptive responses to
every of the subsequent protection mechanisms - ANS-Compensation ***
(Chapt 2 Mental Health/Mental Illness)
Compensation is the overlaying up of a real or perceived weak spot by means of emphasizing a
trait one considers greater appropriate.
A nurse is being concerned for a patron who has a possessive compulsive ailment which of the
following actions ought to the nurse take first - ANS-determine the clients Anxiety stage ***
, A nurse is being concerned for a consumer who has acute delirium which of the subsequent
findings have to the nurse count on - ANS-speedy fluctuation in stage of consciousness ***
A nurse is worrying for a purchaser who has been unable to leave the residence for the past 10
years with out accompaniment when attempting to go out aloneThe purchaser becomes very
worrying and must quick return in the nurse must identify that the consumer is showing which of
the following problems - ANS-agoraphobia***
(Chapt. 27 Anxiety, Obsessive-Compulsive Disorder)
The fear of being in locations or situations from which escape is probably difficult (or
embarrassing) or in which help won't be available inside the occasion of a panic attack.
A nurse is caring for a client who has dementia which of the following findings need to the nurse
anticipate - ANS-impaired judgment***
A nurse is worrying for a client with schizophrenia the patron spends a brilliant deal of time
repeating rhyming syllable consisting of me See bee tree the nurse acknowledges that the
customer is demonstrating which of the following fine manifestations of schizophrenia -
ANS-Clang association ***
(Chapt 24 Schizophrenia and different psychotic issues)
A sample of speech wherein the choice of phrases is governed with the aid of sounds. Clang
associations frequently take the shape of rhyming.
A nurse is worrying for a newly admitted purchaser who's experiencing alcohol withdrawal which
of the following findings need to the nurse expect - ANS-headache ***
A nurse is acting an admission assessment for a client who has schizophrenia the nurse notices
that the customers appearances unkempt and he seems to be actively hallucinating which of the
following should be the nurses priority evaluation - ANS-bodily desires ***
A nurse is planning a menu for a customer who has bipolar sickness and is experiencing acute
manic episode which of the subsequent meal have to the nurse offer for this patron -
ANS-chicken nuggets crackers with cheese sticks and a cookie ***
A nurse is making plans to manage a dose of lithium carbonate to a patron who has bipolar
ailment the laboratory record indicates that the clients current lithium level is one that of the
following actions should the nurse take - ANS-administer the medicine ***
(Chapt 26 Bipolar and Related Disorders)
Normal Lithium Range
0.6 to 1.Five mEq/L
