ATI RN Mental Health final exam 2024/2025 questions and answers

ATI RN Mental Health final exam 2024/2025 questions and answers 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? - ANSWERS "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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS "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? - ANSWERS 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.) - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS 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? - ANSWERS "In the event a client threatens harm to others, medications can be administered without consent." A nurse is caring for a group of clients. Which of the following findings should the nurse report? - ANSWERS A client who is taking lamotrigine and has developed a rash A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which of the following information should the nurse include in the teaching? - ANSWERS Avoid looking directly at the light during treatment. A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Which of the following client statements indicates understanding of the teaching about the medication? - ANSWERS "I should eat a regular diet with normal amounts of salt and fluids."- The nurse should identify that this statement indicates that the client understands the teaching because normal levels of sodium and fluid need to be maintained to ensure adequate excretion of lithium. If sodium levels are low, the body compensates by decreasing lithium excretion, which can lead to toxicity. A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? - ANSWERS "If you do my homework for me, I won't bother you for the rest of the day." A nurse in a mental health clinic is caring f