ATI 3.0 Mental Health Final Exam

A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the nurse plan to take? A. Restrict participation in group therapy sessions B. Establish consequences for self-mutilation C. Maintain close observation of the client D. Provide an unstructured environment - C. Maintain close observation of the client A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect? A. The client requires assistance with eating B. The client independently manages personal finances C. The client has bladder incontinence D. The client is able to identify the names of family members - D. The client is able to identify the names of family members A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." Which of the following responses should the nurse make? A. "What we say is not being recorded." B. "Let's ignore the voices and talk about something else."C. "That must be very frightening." D. "Why do you think the TV is a two-way radio?" - C. "That must be very frightening." A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority? A. Practicing problem-solving skills B. Understanding of medication regimen C. Identifying indications of relapse D. Maintaining adequate hydration - D. Maintaining adequate hydration A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? A. Tinnitus B. Bradycardia C. Halitosis D. Sedation - D. Sedation A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client? A. Promoting and maintaining client safety B. Discussing reasons for the client's behaviorC. Assisting the client to recognize feelings D. Teaching the client alternative coping strategies - A. Promoting and maintaining client safety A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? A. Peppermint candy B. Pure vanilla extract C. salt D. chocolate - B. Pure vanilla extract A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan? A. Taper the medication gradually over several weeks B. Encourage participation in stimulating physical activity C. Monitor the client for a return of anxiety for up to 72 hr following discontinuation of the medication D. Implement restraints and seclusions as needed - A. Taper the medication gradually over several weeks