(8.2) RN Mental Health Online Practice 2019 B with NGN – ATI Questions & Answers

A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia nervose and has a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client's diagnosis? A. "She works so hard at ballet. Will she still be able to perform?" B. "She won't let me take the trash from her room. I'm concerned about what she has in there." C. "She told me she was tired, so I did her chores for her today." D. "She is happier w - ANSWERSB. "She won't let me take the trash from her room. I'm concerned about what she has in there." The client might be binge eating and attempting to hide food containers, which is a common behavior among clients who have bulimia nervosa. The parent's statement indicates awareness of the client's behavior. A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions should the nurse take first? A. Inform the client that this administration is confidential B. Introduce the client to other clients in the day room C. Assist the client in facilitation behavior change D. Determine coping strategies that the client has used in the past - ANSWERSA. Inform the client that this administration is confidential According to evidence-based practice, the nurse should first inform the client about confidentiality during the orientation phase of the nurse-client relationship. A nurse is teaching coping strategies to a client who is experiencing depression related to partner violence. Which of the following statements by the client indicates an understanding of the teaching? A. "I will spend extra time at work to keep from feeling depressed." B. "I will talk about my feelings with a close friend." C. "I will be able to learn how to prevent my partner's attacks." D. "I will use meditation instead of taking my antidepressant." - ANSWERSB. "I will talk about my feelings with a close friend." Discussing feelings, such as fear and depression, with a support person is an effective coping strategy and can provide the client with emotional support and other resources. A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? A. "you probably want to hold your baby" B. "I'll stay with you just in case you want to talk." C. "I know how you must be feeling." D. "It hurts now, but things will be better soon." - ANSWERSB. "I'll stay with you just in case you want to talk." This response demonstrates the therapeutic communication techniques of offering self and indicates the nurse's interest in the client and a desire to understand the client's feelings. A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of the following statements should the charge nurse make? A. "Clients can't refuse to take medications if they are admitted involuntarily." B. "You can notify a client's family if they are admitted involuntarily." C. "Clients who are admitted involuntarily maintain the right to give informed consent for procedures." D. "You can remove a client's privileges if they are admitted involuntarily and - ANSWERSC. "Clients who are admitted involuntarily maintain the right to give informed consent for procedures." Clients who are admitted involuntarily maintain the right to give informed consent for treatment. They also have the right to give informed consent for procedures. A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking orders. Which of the following therapeutic nursing interventions is the priority? A. Encourage expression of feelings B. Support the child's attendance at an assertiveness training group C. Assist the child to perform relaxation breathing D. Reduce environmental stimuli - ANSWERSD. Reduce environmental stimuli The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention is to reduce environmental stimuli in an attempt to de-escalate the behavior and prevent injury. A nurse in a community health center is teaching families of clients who have post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? A. Repeatedly talks about the traumatic incident B. sleeps excessively C. experiences feelings of isolation D. uses repetitive speech - ANSWERSC. experiences feelings of isolation The nurse should expect clients who have PTSD to feel estranged and detached from others. A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased risk for depression? A. The client is married B. The client recently received a promotion at work C. The client has COPD D. The client is a male - ANSWERSC. The client has COPD The nurse should identify that clients who have a chronic medical illness are at an increased risk for the development of depression. A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory findings should the nurse expect? A. Increased creatine phosphokinase (CPK) B. Increase low-density lipoproteins (LDL) C. Decreased fasting blood glucose D. Decreased aspartate aminotransferase (AST) - ANSWERSA. Increased creatine phosphokinase (CPK) An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with cardiomyopathy. A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client's plan of care? A. Offer the clients various choices for meal selection B. Assign different nursing personnel for each shift C. Permit the client to perform daily rituals to decrease anxiety D. Maintain an environment that has low lightning - ANSWERSC. Permit the client to perform daily rituals to decrease anxiety The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by permitting the client to perform daily rituals. A nurse at a providers office is interviewing an older adult client. Which of the following actions should the nurse plan to take? Nurse's Notes The client reports a history of anxiety; diagnosed with Alzheimer's disease 2 months ago. The client's partner died 6 months ago. Reports decreased appetite, low energy levels, and insomnia for several weeks; some memory loss. Graphic Results SaO2 96% on room air Respiratory rate 20/min Blood pressure 112/76 mm Hg (lying) Blood pressure 104/68 mm Hg - ANSWERSA. Use a screening tool to evaluate the client for depression Depression can be underdiagnosed among older adult clients. The nurse should identify several risk factors for depression from the client's data, including having Alzheimer's disease, anxiety, and the loss of a loved one. Manifestations of depression can also be nonspecific for older adult clients and can include weight loss, decreased energy levels, and difficulty sleeping. A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take? A. Encourage the parents to avoid discussing the death with their other children to protect their feelings. B. Recommend each parent grieve in private to avoid hindering each other's healing. C. Suggest forming a weekly support group for parents who have experienced the death of a child. D. Advise the parents to begin counseling if they are still gr - ANSWERSC. Suggest forming a weekly support group for parents who have experienced the death of a child.