ATI RN Mental Health Nursing 2024 questions and answers

ATI RN Mental Health Nursing 2024 questions and answers A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions are appropriate for the nurse to include in the assesment? - ANSWERS A. "What is your relationship like with your family?" C. "Would you describe your current eating habits?" E. "Can you discuss your feelings about your appearance?" Rationale: A family history of a client who has anorexia should include an assessment of family and interpersonal relationships. You should also assess for the client's current eating habits, and the client's perception of the issue. A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lbs. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? - ANSWERS A. "Life isn't worth living if I gain weight." Rationale: Catastrophizing means that the client's perception of her appearance or situation is much worse than her current condition. A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? - ANSWERS B. Hypokalemia D. Slightly elevated body weight Rationale: A client who has a bulimia nervosa disorder will be hypokalemic, will maintain a weight within a normal range or slightly higher; they will not have a period (amenorrhea), and a patchy skin (mottling of skin). A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior. The client tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate response by the nurse? - ANSWERS C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments." Rationale: A nurse should focus on the patient's accomplishments, which helps promote self-esteem and self-image. A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions is appropriate to include in the client's plan of care? - ANSWERS D. Implement one-to-one observation during meal times. Rationale: A nurse should closely monitor the client during and after meals to prevent purging. It may necessitate accompanying the patient to the restroom. A patient should also have a highly structured milieu, including meal times. The client should not eat foods high in fat and gas-producing at the start of a treatment. A positive approach should also be used which includes rewards, such as when completing meals or consuming a set number of calories. A nurse is caring for a client who is on lithium therapy. The client states that he wants to take ibuprofen for osteoarthritis pain relief. Which of the following statements by the nurse is appropriate? A. "That is a good choice. Ibuprofen does not interact with lithium." B. "Regular aspirin would be a better choice than ibuprofen." C. "Lithium decreases the effectiveness of ibuprofen." D. "The ibuprofen will make your lithium level fall too low." - ANSWERS B A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic acid (Depakote). The nurse should inform the client of the need for routine monitoring of which of the following? A. AST/ALT and LDH B. Creatinine and BUN C. WBC and granulocyte counts D. Serum sodium and potassium - ANSWERS A A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following in the teaching? (Select all that apply.) A. Constipation B. Polyuria C. Rash D. Muscle weakness E. Tinnitus - ANSWERS B, D A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L. Which of the following is an appropriate action by the nurse? A. Administer the next dose of lithium carbonate as scheduled. B. Prepare for administration of aminophylline. C. Notify the provider for a possible increase in the dosage of lithium carbonate. D. Request a stat repeat of the client's lithium blood level. - ANSWERS A A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client's adult daughter, which of the following statements is the highest priority to report to the provider? A. "My mother has diabetes that is controlled by her diet." B. "My mother recently completed a course of prednisone for acute bronchitis." C. "My mother received her flu vaccine last month." D. "My mother is currently on furosemide for her congestive heart failure." - ANSWERS D A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications? A. Chlorpromazine (Thorazine) B. Thiothixene (Navane) C. Risperidone (Risperdal) D. Haloperidol (Haldol) - ANSW