ATI RN Capstone Mental Health Pre-Assessment

A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. the nurse should anticipate planning care for managing which of the following phobias? a. Xenophobia b. Acrophobia c. Mysophobia d. Agoraphobia - Answer- d. Agoraphobia Agoraphobia is an irrational fear about being in places or circumstances where the client would not have help in the event of panic or other forms of anxiety. Fear of being alone outdoor is a common example. A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching? a. "You really shouldn't change the schedule we established here in the facility." b. "Let's work together to devise a time schedule that is convenient for you on a daily basis." c. "We'll have to talk to your provider about switching to an alternative schedule." d. "It doesn't really matter what time you take your medications as long as you don't skip any doses." - Answer- b. "Let's work together to devise a time schedule that is convenient for you on a daily basis." This response illustrates the therapeutic communication technique of formulating a plan of action. It demonstrates the nurse's willingness to work with the client to modify the schedule so that it meets the client's needs at this time. A nurse is providing discharge teaching to. client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity? a. The client runs 4 miles outdoors every afternoon. b. The client drinks 2 liters of liquids daily. c. The client eats 2 to 3 grams of sodium-containing foods daily. d. The client eats foods high in tyramine. - Answer- a. The client runs 4 miles outdoors every afternoon. Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but if the client engages in strenuous exercise during hot weather, she should take care to replace any water that may have been lost through profuse sweating. this also applies to other factors that can cause the client to become dehydrated, such as having diarrhea