Mental Health ATI - Assessment A Questions with correct answers

A nurse in mental health facility observes a client who is experiencing panic level of anxiety. Which of the following actions should the nurse take first? Correct Answer - Accompany the client to a quiet room. (Greatest risk for this client is injury due to severe anxiety. Therefore, first action nurse should take is to stay with client and bring him to a room with minimal stimuli.) A nurse is obtaining a history and physical on a client who presents to the emergency department of a mental health facility. The nurse recognizes which of the following assessment findings as being consistent with PTSD? (Select all that apply) Correct Answer - Distressing dreams Difficulty concentrating Exaggerated startle response A nurse is providing teaching to a client who has a new prescription for haloperidol. Which of the following side effects should the nurse instruct the client to report to the provider? Correct Answer - Shuffling gait. (Clinical findings of pseudoparkinsonism such as shuffling gait may occur 5hr - 30 days after beginning treatment. The client should notify the provider who might prescribe an anti parkinsonism agent.) A home health nurse is assessing an older adult client who lives alone. Which of the following findings should indicate to the nurse that the client is experiencing delirium? Correct Answer - Sudden onset. (Clients usually develop delirium suddenly over hours to days.) A nurse is caring for a client receiving imipramine for depression. For which of the following adverse effects should the nurse monitor? Correct Answer - Urinary retention.