ATI Mental Health Proctored Exam 3 2024

A school nurse is assessing a school aged child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post traumatic stress disorder (PTSD) 1. Clinging behaviors directed toward a teacher 2. Increased time spent sleeping 3. Intense focus on school work 4. Lack of interest in an upcoming holiday - Correct = 4. Lack of interest in an upcoming holiday The child who has PTSD will have negative moods and difficulty remembering aspects of the traumatic event. The child can also have a loss of interest or lack of participation in significant activities and events (e.g., Holidays) *PTSD manifestations seen in children include detachment or estrangement from others, difficulty sleeping/distressing dreams, difficulty concentrating on tasks A nurse is caring for a group of clients. Which of the following finding should the nurse report? 1. A client who is taking clozapine and has a WBC count of 7,500 2. A client who is taking lamotrigine and has developed a rash 3. A client who is taking valproate and has a platelet count of 150,000 4. A client who is taking lithium and has a lithium level of 1.2 - Correct = 2. A client who is taking lamotrigine and has developed a rash Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify that a rash is a potentially life threatening adverse effect of the medication and report the finding immediately A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as contraindication for receiving clozapine? 1. WBC count 2,500 2. Hgb 11.5 3. Platelets 150,000 4. RBC count 3.5 - Correct - 1. WBC count 2,500 Clozapine can cause agranulocytosis, which can be fatal due to overwhelming infection. The nurse should identify a WBC count of less than 3,000 as a possible manifestation of agranulocytosis and should withhold the medication and notify the provider A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? 1. "I'm relieved now that my financial affairs are in order." 2. "It is easier to talk about my feelings now." 3. "Suddenly I have enough energy to do anything I want." 4. "Thank you for always taking such good care of me." - Correct - 2. "It is easier to talk about my feelings now." When clients express their feelings, this indicates a positive treatment outcome *When clients who have depression verbalize getting their affairs in order, or suddenly have more energy are at an increased risk of suicide. Clients who have depression often show an appreciation for loved ones when they are