ATI MENTAL HEALTH

ATI MENTAL HEALTH 1. A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups? A. Co-dependents support group B. Desensitization therapy C. Dual diagnosis treatment group D. Dialectical behavior treatment group 2. A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan? A. Refer the client to a self-help group. B. Request a discharge prescription for buprenorphine for the client C. Contact a close relative of the client to discuss the discharge plan. D. Teach the client to practice systematic desensitization 3. A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer? A. The father who intervenes whenever the siblings argue B. The adolescent son who refuses to share personal feelings C. The adolescent daughter who attempts to dominate the discussion D. The mother who expresses hostility toward the spouse. 4. A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take? A. Change the subject when the client becomes upset. B. Allow the client unlimited time for the grieving process C. Discourage the client from forming new relationships D. Offer the client advice about various treatment choices 5. A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following finding indicates the client’s adherence to the treatment plan? A. The client potassium level is 3.2 mEq/L B. The client reports following various cooking blogs C. The client states that she knows she cannot be perfect D. The client’s current BMI is 14. 6. A nurse is teaching about deep-breathing exercises with a client who reports experiencing intense stress at work. Which of the following statements by the client indicates an understanding of the teaching? A. “I will focus on how the muscles in my stomach feel with each breath.” B. “I will focus on the causes of my stress during the exercises.” C. “I will hold my breath for 5 or 6 seconds each time.” D. “I will inhale through my mouth and exhale through my nose.” 7. A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first? A. Have staff members discuss their involvement in the event. B. Ask staff members to describe their most traumatic memories of the event C. Provide stress-management exercises to the staff members D. Reassure staff members that the debriefing is confidential. 8. A charge nurse is making room assignments for new client admissions. Which of the following client should the nurse place closest to the nurse’s station? A. A client who has schizotypal personality disorder B. A client who has a history of alcohol use disorder C. A client who has a history of dependent personality disorder D. A client who has moderate-stage Alzheimer’s disease. 9. A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse? A. +2 edema of the lower extremities B. BUN 21 mg/dL C. Blood pH 7.60 D. Lanugo covering the body. 10. A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity? A. WBC 6,000/mm3 B. Aspartate aminotransferase 40 units/L C. Sodium 132 mEq/L D. Calcium 10.0mg/dL 11. A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first? A. Determine the immediately safety needs of the child B. Report suspected abuse to Child Protective Services C. Ask the child how the injury occurred D. Request that the parent leave the room while interviewing the child 12. A nurse is providing discharge teaching about expected adverse effects to a client who has a new prescription for lithium. Which of the following adverse effects should the nurse include? (Select all that apply). A. Thirst B. Sedation C. Weight loss D. Decreased urination E. Dry skin 13. A nurse is assessing a client who has schizophrenia. Which of the following finding should the nurse document as positive symptoms of schizophrenia? (Select all that apply.) A. Flight of ideas B. Delusions of grandeur C. Decreased motivation D. Auditory hallucinations E. Impaired memory 14. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating? A. Compensation B. Rationalization C. Displacement D. Denial 15. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? A. Discourage the client from expressing feelings of anger B. Keep a bright light on in the client’s room at night C. Encourage physical activity for the client during the day D. Identify and schedule alternative group activities for the client Question 12- A nurse is assessing a client who recently experienced the loss of their partner. Which of the following question is the priority for for nurse to ask during situational crisis? a. What do you usually do to cope in your life. b. Are you having thoughts of harming yourself? c. Who do you talk to when you need help? d. How do you think this event is affecting your life right now? Question 13 – A nurse is caring for a client who was involuntary committed ans is scheduled to receive ECT. The client refuses treatment and will not disscuss why with the health care team. Which of the following actions should the nurse take? a. Ask the client family to encourage to talk b. Client refuses treatment will not discuss why? c. Document the refusal of the treatment in the medical record. d. Inform client the ECT doesn’t required. e. Question 12 f. Answer: Option C. Who do you talk to when you need help? g. Question 13 h. Answer: Option C. Document the refusal of the treatment in the medical record. • A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommentaions should the nruse include in the plan o Request a discharge prescription for buprieno. o Because, Suddenly stopping this medication may cause withdrawal, especially if you have used it for a long time or in high doses. To prevent withdrawal, your doctor may lower your dose slowly. Tell your doctor or pharmacist right away if you have any withdrawal symptoms such as restlessness, mental/mood changes (including anxiety, trouble sleeping, thoughts of suicide), watering eyes, runny nose, nausea, diarrhea, sweating, muscle aches, or sudden changes in behavior. • A nurse is leading a grief support group for bereaved client. Which of the following statements should the nurse report to the provider as an indication of clincal depression. o I feel like I am angry at the whole world right now • A nure is leading a critical indicdent tress debeifing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first? o Reassure staff members that the debriefing event is confidential 1. A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to assistive personnel? A. Assist the client to ambulate for the first time following the procedure B. Check the client’s condition after the procedure C. Witness the client’s signature on the consent for the procedure D. Give the client atropine 30 mins before the procedure 2. A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skills? A. “How have you deal with similar situations in the past?” B. “Do you see your current situation affecting your future?” C. “How does this situation affect your life?” D. “Can you describe how you are currently feeling?” 3. A nurse conducting an admission interview with a new client who tells the nurse. “My life is so stressful. I can’t take it anymore.” Which of the following responses should the nurse take first? A. “How have you dealt with stress in the past?” B. “Let’s talk more about what you are experiencing.” C. “Are you thinking of harming yourself?” D. “Tell me what makes you feel stressed.” 4. A nurse is caring for a client who is experiencing alcohol withdrawal and notes visible tremors and an elevated blood pressure and heart rate. Which of the following mediations should the nurse prepare to administer? A. Naltrexone B. Lorazepam C. Methadone D. Disulfiram 5. A nurse is caring for a school-age child who has a diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications? A. Valproate B. Methylphenidate C. Lithium D. Risperidone E. A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following findings indicates the need for hospitalization? A. Potassium 3.8mEq/L B. Heart Rate 56/min C. Temperature 35.6C (96.1F) D. Weight 10% below ideal weight F. A nurse us obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment finding in the client’s history should the nurse report to the provider? A. Hepatitis B Infection B. Hypothyroidism C. Knee arthroplasty 1 month ago D. Recent head injury G. A nurse is providing crisis intervention for a client who was involved in a violent mass causality situation in the community. Which of the following actions should the nurse take during the initial session with the client?