ATI Mental Health Assessment Exam With Complete Solutions

1 ATI Mental Health Assessment ATI Mental Health Assessment Exam With Complete Solutions A nurse is collecting data from a client who is seeking help regarding their sexuality. Which of the following statements by the client should the nurse identify as a finding of hypoactive sexual desire disorder [Ans: - my libido is not as strong as it use to be A nurse is caring for a client who is experiencing a severe panic attack. Which of the following actions should the nurse take during the panic attack [Ans: - stay with the client. Instruct the client to take slow, deep breaths. Set physical limits. A nurse is reinforcing teaching with a newly licensed nurse about the guidelines for use of mechanical restr aints. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching. [Ans: - I should apply mechanical restraints on a client who is attempting to harm themselves prior to obtaining a prescription A nurse is caring for a client who recently experienced a traumatic event. The nurse should identify that which of the following is an example of the client using repression as a defense mechanism [Ans: - the client reports not being able to remem ber anything about the event A nurse is contributing to the plan of care for a client who is experiencing acute alcohol withdrawal. Which of the following interventions should the nurse recommend [Ans: - initiate seizure precautions for the clien t A nurse is collecting data from a client who received diazepam 10mg PO 1 hr ago. Which of the following findings should the nurse identify as an indication that the client is experiencing benzodiazepine toxicity? [Ans: - respiratory rate 10/min A nurse is interviewing an adolesce nt client who reports that they were sexually assaulted. Which of the following actions should the nurse take? [Ans: - move the client to a private examination room to perform the interview. 2 ATI Mental Health Assessment A nurse is reinforcing teaching with a client who has s chizophrenia and new prescription for fluphenazine. Which of the following adverse effects should the nurse include in the teaching [Ans: - akathisia, hypotension, drowsiness A nurse is reinforcing discharge teaching with the family of a client w ho has mild dementia. The family plans to care for the client in their home. Which of the following instructions should the nurse include? [Ans: - use signs to identify different rooms in the home A nurse is reinforcing teaching with a client who is preparing for a conditional release following involuntary admission. Which of the following statements by the client indicates an understanding of the teaching. [Ans: - If I don't follow the instructions in my conditional release, I might be r eadmitted A nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT), which of the following findings should the nurse document as an unexpected response to the procedure [Ans: - Irregular heart rhythm A nurse is planning an in -service about eating disorders for a group of staff nurses. Which of the following conditions should the nurse include as a risk factor for anorexia nervosa? [Ans: - a diagnosis of obsessive -complusive disorder A nurse is reinforcing discharge teaching with a client who has alcohol use disorder. Which of the following statements by the client indicates an understanding of relapse prevention [Ans: - I'm learning which situations I have difficulty handling A nurse is reinforcing teaching regarding family therapy with the parents of a client who has anorexia nervosa. The parents tell the nurse, " we don't understand why we have to have family therapy we are not sick". Which of the following responses should the nurse provide [Ans: - family therapy explores how the family dynamic impact your son A nurse is reinforcing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following statements by the client indicates an understanding of the teaching