EXAM STUDY MATERI ALS July 25, 2024 1:06 PM ATI RN Capstone Mental Health Pre -
Assessment, ATI Capstone Proctored Comprehensive Assessment Form A Exam Questions And Answers. Verified And Updated . A nurse is providing discharg e 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 tim e 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 p lan 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. EXAM STUDY MATERI ALS July 25, 2024 1:06 PM Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for lithiu m 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 ot her factors that can cause the client to become dehydrated, such as having diarrhea or taking diuretics. A nurse in a emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect? a. Nystagmus b. Dilated pupils c. Hypersomnia d. Depression - answer✔✔b. Dilated pupils Dilated pupils are a finding of cocaine intoxication due to the stimulation of the sympathetic nervous system. A nurse enters the room of a client who becomes verbally abusive. Which of the following actions should the nurse take? a. Inform the client of consequences. b. Speak slowly in a low, calm voice. c. Forbid the client from speaking in an abusive manner. d. Remain a distance of 1 ft away from the client. - answer✔✔b. Speak slowly in a low, calm voice. Speaking in this manner conveys to the client that the nurse is controlled, nonthreatening, and caring. A nurse is caring for a client who lost all his possess ions in a house fire and states, "I have no idea what I am going to do. I cannot think right now." Which of the following actions should the nurse take? a. Identify other housing options and sources of transportation. b. Notify the facility chaplain to re quest scheduling an appointment. c. Confirm that everything will be alright because belongings can be replaced. EXAM STUDY MATERI ALS July 25, 2024 1:06 PM d. Maintain eye contact with client and summarize the client's feeings. - answer✔✔d. Maintain eye contact with the client and summarize the clie nt's feelings. This demonstrates therapeutic communication. During the initial interview, it is important for the nurse to provide an atmosphere of support and safety. If a person believes that the someone is genuinely concerned, then he may believe that help is available. Maintaining eye contact demonstrates support, empathy, and advocacy. 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 b ecause 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 bei ng 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 in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy? a. A client who has been taking amitriptyline for 3 months for depression. b. A client exhibiting psychotic behavior. c. A client admitted 12 hr ago for acute mania. d. A client who is experiencing alcohol in toxication. - answer✔✔a. A client who has been taking amitriptyline for 3 months for depression. Psychotherapy groups provide clients with the opportunity to enhance their personal relationships, increase self -awareness and try new behaviors in a safe social setting. Amitriptyline can take 4 to 8 weeks to become effective; therefore, this client shoul d be experiencing improvement in depressive manifestations and be ready to interact in a group setting.
Assessment, ATI Capstone Proctored Comprehensive Assessment Form A Exam Questions And Answers. Verified And Updated . A nurse is providing discharg e 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 tim e 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 p lan 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. EXAM STUDY MATERI ALS July 25, 2024 1:06 PM Strenuous exercise in outdoor heat, which can lead to dehydration, puts the client at risk for lithiu m 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 ot her factors that can cause the client to become dehydrated, such as having diarrhea or taking diuretics. A nurse in a emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect? a. Nystagmus b. Dilated pupils c. Hypersomnia d. Depression - answer✔✔b. Dilated pupils Dilated pupils are a finding of cocaine intoxication due to the stimulation of the sympathetic nervous system. A nurse enters the room of a client who becomes verbally abusive. Which of the following actions should the nurse take? a. Inform the client of consequences. b. Speak slowly in a low, calm voice. c. Forbid the client from speaking in an abusive manner. d. Remain a distance of 1 ft away from the client. - answer✔✔b. Speak slowly in a low, calm voice. Speaking in this manner conveys to the client that the nurse is controlled, nonthreatening, and caring. A nurse is caring for a client who lost all his possess ions in a house fire and states, "I have no idea what I am going to do. I cannot think right now." Which of the following actions should the nurse take? a. Identify other housing options and sources of transportation. b. Notify the facility chaplain to re quest scheduling an appointment. c. Confirm that everything will be alright because belongings can be replaced. EXAM STUDY MATERI ALS July 25, 2024 1:06 PM d. Maintain eye contact with client and summarize the client's feeings. - answer✔✔d. Maintain eye contact with the client and summarize the clie nt's feelings. This demonstrates therapeutic communication. During the initial interview, it is important for the nurse to provide an atmosphere of support and safety. If a person believes that the someone is genuinely concerned, then he may believe that help is available. Maintaining eye contact demonstrates support, empathy, and advocacy. 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 b ecause 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 bei ng 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 in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy? a. A client who has been taking amitriptyline for 3 months for depression. b. A client exhibiting psychotic behavior. c. A client admitted 12 hr ago for acute mania. d. A client who is experiencing alcohol in toxication. - answer✔✔a. A client who has been taking amitriptyline for 3 months for depression. Psychotherapy groups provide clients with the opportunity to enhance their personal relationships, increase self -awareness and try new behaviors in a safe social setting. Amitriptyline can take 4 to 8 weeks to become effective; therefore, this client shoul d be experiencing improvement in depressive manifestations and be ready to interact in a group setting.
