Mental Health ATI mastery Exam With 690 Questions and Answers Latest Graded A+.
Mental Health ATI mastery Exam With 690 Questions and Answers Latest Graded A+ Clinical finding of anorexia nervosa - ANSWER Amenorrhea- what to look for? Clinical finding of bulimia - ANSWER Tooth erosion, hand calluses, hypokalemia What causes parotid gland swelling - ANSWER Increased serum amylase levels What lab value would you expect to see in a client with alcoholic cardiomyopathy - ANSWER Increased CPK- enzyme released when tissue is damaged Common behavior associated with dependent personality disorder - ANSWER Needing excessive external input from others to make everyday decisions Characteristic of avoidant personality disorder - ANSWER Difficulty starting new relationships, unless he feels accepted. Are unwilling to get involved socially unless one feels accepted. What is part of healthy adolescent behavior - ANSWER Exhibiting a realistic self-concept What age group displays an egocentric approach to problem solving - ANSWER Pre schoolers What age group demonstrates distrust of others - ANSWER Infants What is a common characteristic of autism spectrum disorder - ANSWER Language delays What disorder is associated with fears of abandonment - ANSWER Separation anxiety disorder What places a client with schizo at greatest risk of self-directed injury or harm to others - ANSWER Command hallucinations Example of active listening - ANSWER Attention to body language (identifying verbal and nonverbal communication) Mental Health ATI mastery Exam With 690 Questions and Answers Latest Graded A+. How much percentage of weight loss must occur in order for a pt to be required hospitalization - ANSWER Over 30% within 6 months What clinical finding of a pt with anorexia nervosa requires hospitalization - ANSWER Temp of 96.1 degrees - severe hypothermia due to loss of SQ tissue or dehydration How offer should a pt in seclusion be offered food? ( Prescribed haloperidol and seclusion, what should be included in plan of care?) - ANSWER Every hour also document behavior every 15-30 min vitals every 1 to 2 hrs; keep communication w/client direct and brief; obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review Rx every 24 hr What is an early indication of depression - ANSWER Decreased social involvement Signs of cocaine intoxication - ANSWER Tachycardia, elevated BP, dilated pupils & agitation Signs of heroin intoxication - ANSWER Constricted pupils & decreased BP Adverse effects of imipramine- for depression - ANSWER Urinary retention, tinnitus, weight gain & tachycardia, Tricyclic -Anticholergic Effect Signs of PTSD & Priority action - ANSWER Distressing dreams, difficulty concentrating & exaggerated startle response, (not delusions and compulsions). safety; making the client feel safe What is a sign of lithium toxicity? Side Effects that cause patients to stop taking it? - ANSWER Coarse hand tremors- prevents them from doing ADLs. What lab does a nurse need to evaluate for a pt taking risperidine - ANSWER Blood glucose- can cause DM to develop What kind of foods should a pt on tranyclopromine avoid - ANSWER Foods high in tyramine, such as some cheeses, avocados, and bologna Clinical findings of mild anxiety - ANSWER Restlessness, irritability, nail biting & fidgeting. Feels restless & irritable before taking exam. what level of anxiety? Clinical findings of moderate anxiety - ANSWER Tension, palpitations, increased HR & diaphoresis Clinical findings of severe anxiety - ANSWER Difficulty sleeping, light headedness, nausea, tremors & sense of impending doom Clinical findings of panic anxiety - ANSWER Hyperactivity, severe tremors & uncoordinated impulsive behavior Indication of complicated grief - ANSWER Difficulty carrying on normal activities following a loss. I feel so empty without my wife, its hard to get up every morning. What med should be prescribed to a pt experiencing alcohol withdrawals - ANSWER Chlordiazepoxide What med should be prescribed to a pt to assist in alcohol abstinence - ANSWER Disulfiram Taking tranylcypromine. What is good food choice? - ANSWER Roasted chicken Hx of gambling dependence and participates in support group. What is the purpose of attending the group? - ANSWER Provide assurance that others have similar problems Haloperidol what should be reported? - ANSWER Shuffling gait Autonomy - ANSWER The right of self goverment Discharged from inpatient detoxification program and plans to attend AA. What statement indicates understanding of teaching? - ANSWER I will use peer support to maintain my abstinence Bereavement support group, one member is silent after several sessions. What should nurse do To encourage participation? - ANSWER Divide the group into pairs to discuss topic, then summarize the discussion to the group Conduct disorder is being destructive , throwing things and kicking others. What intervention is highest? - ANSWER Use a therapeutic holding technique. Exhibits anger, aggression and violent behavior, what is priority? - ANSWER Create a large personal space Borderline personality disorder. Priority care goal? - ANSWER The client will refrain form self mutilation. Situational crisis - ANSWER The client recently lost grandparent in a MVA. unexpected event, changes that results when a person faces an event or situation that causes a disruption in his or her life. Code of ethics for RN - ANSWER The right to treatment ensures individualized care Suspects abuse for an elderly client - ANSWER Check the client for other sings and symptoms of abuse Valproic acid, what should be monitored to determine effectiveness of med? - ANSWER The client has decreased episode of pressured speech. Decreased insomnia, grandiose thoughts, and hyperactivitiy. Bipolar client is bragging and dominating the conversion in group therapy. What should the nurse do? - ANSWER Tell the client to calm down or he will be dismissed form the session. What is expected with chronc stress? - ANSWER Viral infection Client wants to use herbals instead of pharmaceuticals. What classifications is the medicine practice? - ANSWER Alternative medicine Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What is first priority? - ANSWER Identify the client's nutritional status. Personality disorder and demonstrates manipulative behavior. What intervention should be included in plan of care? - ANSWER Institute consequences for manipulative behavior. Clint is being d/c to nursing home. States why do I have to go to 'that place'? What is appropriate nursing response? - ANSWER Did your doctor or anyone else talk to you about going to the nursing home? Client sits quietly and calmly after a traumatic assault. What behavior is this? - ANSWER Denial What is appropriate to include in plan of care for client with schizophrenia? - ANSWER Limit the number of questions asked during the assessment. Client becomes upset and breaks a chair. What should the nurse do first? - ANSWER Administer an antianxiety medication.
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