ATI mental health 2019 C proctored Graded A+

1. A nurse is assisting with obtaining consent for a client who has been declared legally incompetent . Which of the following actions should the nurse take ? - CORRECT ANSWER Request that the client's guardian sign the consent 2. A nurse in a mental health facility is reviewing a client's medical record . Which of the following actions should the nurse take first ? ( Click on the exhibit button for additional information about the client There are re 3 tabs that contain separate categories of data ) - CORRECT ANSWER a . Teach the client about nutritional needs b . Initiate 0.9 % sodium chloride with 40 mEq potassium chloride c . Administer acetaminophen 500 mg PO d . Encourage the client to attend group therapy sessions 3. A nurse is assessing a client who has delirium . Which the following findings requires immediate intervention by the nurse ? - CORRECT ANSWER Rapid mood swings 4. A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline . The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline ? - CORRECT ANSWER Fluoxetine 5. A nurse in a long - term care facility is assessing a client who has dementia . Which of the following findings should the nurse identify as a risk for this client ? - CORRECT ANSWER The room has an area rug 6. A nurse is providing behavioral therapy for a client who has obsessive - compulsive disorder . The client repeatedly checks that the doors are locked at night . Which of the following instructions should the nurse give the client when using thought stopping technique ? - CORRECT ANSWER Snap a rubber band on your wrist when you think about checking the locks " 7. A nurse is providing teaching about relapse prevention to a client who has schizophrenia . Which of the following statements by the client indicates an understanding of the teaching ? - CORRECT ANSWER " I should let my counselor know if I am having trouble sleeping 8. A nurse is assessing a client for negative manifestations of schizophrenia . Which of the following findings should the nurse expect ? - CORRECT ANSWER Anergia 9. A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder . Which of the following findings obtained during the initial assessment is the priority to report to other disciplines ? - CORRECT ANSWER Psychomotor retardation 10. A nurse is preparing to administer methylphenidate 25 mg PO to a school age child who has ADHD . Available is methylphenidate 10mg / 5ml . liquid . How many ml . should the nurse administer ? Round to nearest tenth ) - CORRECT ANSWER 12.5 11. A nurse is caring for a school age child who has a fractured arm . The child has other injuries that cause the nurse to suspect abuse . Which of the following actions is appropriate for the nurse to take when assessing the child's situation ? - CORRECT ANSWER Ask clarifying questions as the child explains how the injuries occurred 12. A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol . Which of the following clinical findings is the nurse's priority ? - CORRECT ANSWER High fever 13. A nurse is caring for a client who has Alzheimer's disease . Which of the following findings should the nurse expect ? - CORRECT ANSWER Failure to recognize familiar objects 14. A nurse in a mental health facility is interviewing a new client . Which of the following outcomes must occur if the nurse is to establish a therapeutic nurse - client relationship ? - CORRECT ANSWER The nurse maintains confidentiality unless the client's safety is compromised 15. A nurse is teaching a client who has a new prescription for disulfiram . Which of the following statements by the client indicates an understanding of the teaching ? - CORRECT ANSWER " I can continue to eat aged cheese and chocolate " 16. A nurse is planning care for a client who has narcissistic personality disorder . Which of the following actions is appropriate for the nurse to include in the plan of care ? - CORRECT ANSWER Remain neutral when communicating with the client 17. A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder . Which of the following laboratory results should the nurse report to the provider ? - CORRECT ANSWER Platelets 90,000 / mm3 18. A nurse is developing a teach plan for the family of an older adult client who is to receive transcranial magnetic stimulation . Which of the following information should the nurse include in the teaching plan ? - CORRECT ANSWER The client might have a headache after treatment 19. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation . Which of the following assessment findings in the client's history should the nurse report to the provider ? - CORRECT ANSWER Recent head injury 20. A nurse is developing a plan of care for a client who has paranoid personality disorder . Which of the following actions should the nurse include in the plan ? - CORRECT ANSWER Isolate the client from social or group interactions 21. A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his arm . Which of the following actions should the nurse take ? - CORRECT ANSWER Withhold the next dose of the medication 22. A nurse is caring for a client who begins yelling and pacing around the room . Which of the following actions should the nurse take ? ( select all that apply ) - CORRECT ANSWER b . Identify the client's stressors d . Talk to the client using short , simple sentences 23. A nurse is developing a plan of care for a school - age child who has autism spectrum disorder . Which of the following interventions should the nurse include in the plan ? - CORRECT ANSWER Use a reward system for appropriate behavior 24. A nurse is caring for a client who has post - traumatic stress disorder . Which of the following clinical findings is associated with this disorder ? - CORRECT ANSWER Depersonalization 25. A nurse is teaching a client about the use of cognitive reframing for stress management . Which of the following statements by the client indicates an understanding of the teaching ? - CORRECT ANSWER " I will practice replacing negative thoughts with positive self - statements . " 26. A nurse is caring for a client who has schizophrenia and has been taking chlorpromazine for 5 years . Which of the following assessment tools should the nurse use to determine if the client is experiencing adverse effects of the medication ? - CORRECT ANSWER Abnormal Involuntary Movement Scale ( AIMS ) 27. A nurse in a mental health fa