ATI RN Mental Health latest exam with correct answer

ATI RN Mental Health latest exam with correct answer A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? - answer "Succinylcholine is given to reduce muscle movements during therapy." - Succinylcholine is a muscle-paralyzing agent that will decrease muscle movement during the procedure so the client is less likely to be injured. A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? - answer Respite care A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to notify the provider? - answer The client reports an inability to breathe easily. A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? - answer Shuffling gait A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? - answer Refrains from manipulating others to earn dining room privileges A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which of the following interventions should the nurse include in the plan of care? - answer Encourage the client to drink 125 mL of fluid each hour while awake. A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? - answer Interview the client in a private setting. A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression? - answer Substance use disorder A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? - answer "I am able to go to work every day, so I don't have a problem." 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, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? - answer Ask the family member if they have any thoughts or questions about the treatment plan. A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? (Select all that apply.) - answer Feelings of hopelessness Anhedonia Flat facial expression A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for flings indicating lithium toxicity? - answer A client who has a sodium level of 128 mEq/L A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? - answer Hypertension A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan? - answer Promote the use of music to compete with the client's auditory hallucinations. A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? - answer Allow the client time to formulate an answer. A nurse in an emergency department is admitting a client who reports experiencing a headache and heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression and a blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the following actions should the nurse take first? - answer Determine the client's prescribed medication regimen.- The first action the nurse should take when using the nursing process is to assess the client. By determining the client's prescribed medications, the nurse can determine the cause of the hypertension, such as the client taking an MAOI to treat depression. These medications can precipitate a hypertensive crisis if consumed with tyramine-containing foods, including wine. A charge nurse is preparing an education session for a group of newly licensed nurses to review client rights under the law. Which of the following statements should the nurse make? - answer "In the event a client threatens harm to others, medications can be administered without consent.