ATI MENTAL FINAL EXAM REVIEW

A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, the nurse notices that the family member seems distracted. Which of the following is an appropriate action by the nurse? Ask the family member if she has any thoughts or questions about this portion of the treatment plan A nurse is admitting a client who has depression to an inpatient mental health facility. The client states that he feels so bad that he is certain he will never be discharged. Which of the following is an appropriate response? You seem concerned about getting out of the hospital A nurse is caring for a client who has schizophrenia in a mental health facility. Which of the following places the client at greatest risk for self-directed injury or injuring others? Command Hallucinations A nurse is interviewing an older adult client in an outpatient mental health clinic. Which of the following strategies should the nurse use? Conduct the interview in a quiet area A nurse working in an outpatient clinic is assessing a university student who says he feels restless and irritable before taking an exam. The nurse should assess the clinical findings as which of the following? Mild Anxiety A nurse is caring for a client with dementia. Which of the following interventions is useful for orienting a client to reality? Place a large wall calendar in the client’s room A nurse is caring for a client receiving tranylcypromine. Which of the following is an appropriate menu choice for the nurse to suggest? Roasted Chicken A nurse is developing a discharge plan for a client who has a history of gambling dependency and includes participation in a support group. The nurse should tell the client that which of the following is the purpose of attending a support group? Provide assurance that others have a similar problem A nurse is caring for a client receiving imipramine for depression. For which of the following adverse effects should the nurse monitor? Urinary Retention A nurse is assessing a client in the emergency department. The client appears agitated, his blood pressure is 152/94 mm Hg, his heart rate is 104/min, and his pupils are dilated. The nurse should suspect intoxication with which of the following substances? Cocaine A nurse is providing teaching to a client who has a new prescription for haloperidol. Which of the following side effects should the nurse instruct the client to report to the provider? Shuffling Gait A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory values should the nurse expect? CPK During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in her bed. The client reports that a bomb was placed in her room by a family member during visiting hours. Which of the following is an appropriate action by the nurse? Assess the client for evidence of a perceptual disturbance A nurse is meeting with a client being discharged from a substance use disorder treatment program. Which of the following client statements indicates the client is planning to make a lifestyle change? I will change my route going home from work so I don’t pass my favorite bar A nurse working in a clinic is assessing a client whose partner died 4 months ago. Which of the following statements indicates the client is at risk for complicated grief? I feel so empty without my wife; it’s hard to get up every morning A nurse is caring for a client who has schizophrenia. The treatment plan is for the client to increase his autonomy from his parents. Prior to discharge, the nurse should plan to Schedule a family conference A nurse is obtaining a health history during a client's admission to a mental health facility. The client begins to talk on her cell phone. When the client finishes talking, she reports to the nurse “That was the president, I leave in the morning on my new mission.” Which of the following is an appropriate response? How long have you been having conversations with the president? A nurse is providing teaching to a client who is to be discharged from an inpatient detoxification program and plans to attend Alcoholics Anonymous. Which of the following statements by the client indicates an understanding of the teaching? I will use peer support to maintain my abstinence While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition? The client needs excessive external input to make everyday decisions A nurse is leading a group therapy session when a client becomes agitated and yells, “Listening to all of you is making me worse!” Which of the following is an appropriate response? You sound angry and frustrated. Tell us more about how you are feeling. A nurse is planning to teach a group of parents about healthy adolescent behavior. Which of the following information should the nurse include? Exhibits a realistic self-concept A nurse is facilitating a bereavement support group and observes that one member remains silent, even after attending several sessions. Which of the following strategies should the nurse use to encourage the member’s participation? Divide the group into pairs to discuss a topic, then summarize the discussion to the group. When admitting a client to an inpatient mental health facility, a nurse notices that the client seems withdrawn and appears fearful. To establish a trusting nurse-client relationship, the nurse should first Inform the client that her admission will be confidential A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the highest priority? Use a therapeutic holding technique A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom of this disorder? Flat affect A nurse is caring for a client who is deaf and is scheduled to have electroconvulsive therapy (ECT). The provider needs to explain the procedure to the client in order to obtain informed consent. Which of the following actions should the nurse take? Request a professional interpreter to translate A nurse is communicating with a client in an inpatient mental health facility. Which of the following demonstrates the use of active listening? Attention to body language