Mental Health, ATI Mental health
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A charge nurse is conducting a staff education in service about depressive disorders. Which should the
nurse identify as a risk factor for depression?
Being married
Pregnancy
Male gender
Chronic illness - Correct Answers-Chronic illness;
Having a medical illness, especially one that is chronic, is a primary risk factor for depression.
A client who has a femur fracture states, "I cant stay in this bed any longer. I need to get home so I can
take care of my family." The nurse response by saying, "You have talked about your family. Can you tell
me more about your specific concerns?" Which of the following therapeutic communications techniques
is the nurse using? - Correct Answers-Focusing
The nurse's open-ended statement is a means of focusing on the problem and obtaining more
information about the client's concerns, which helps the nurse to identify issues and concerns clearly.
a home health nurse is reinforcing teaching with the family members of a client who has alzheimers
disease and is experiencing sleep disturbance. which of the following instructions should the nurse
include - Correct Answers-wake the client at the same time each morning
A n urse is reinforcing teaching with a client who is 2 days postpartum and has a history of postpartum
depression. Which of the following instructions should the nurse include? - Correct Answers-Sleep as
much as possible.
The nurse should encourage the client to sleep as much as she can during the next few weeks. Sleep
deprivation can increase the risk for postpartum depression.
A nurse enters the room of a client who becomes verbally abusive. Which of the following actions
should the nurse take?
,Inform the client of consequences.
Speak slowly in a low, calm voice.
Forbid the client from speaking in an abusive manner.
Remain a distance of 1 ft away from the client. - Correct Answers-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 in a long term care facility is caring for a client who has dementia and cannot verbalize their
wants and needs. the client refuses to drink liquids on meal trays. which of the following actions by the
nurse demonstrates advocacy - Correct Answers-ask the client's family what their favorite beverages
are
A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client states, "I
just came back from a hard day's work in my office." The nurse should identify this statement is an
example of which of the following coping mechanisms? - Correct Answers-Confabulation
Confabulation is the creation of information which is untrue to fill in gaps in memory and to protect self-
esteem in clients who have dementia.
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 because she is afraid to be outdoors
alone. The nurse should anticipate planning care for managing which of the following phobias?
Xenophobia
Acrophobia
Mysophobia
Agoraphobia - Correct Answers-Agoraphobia;
Agoraphobia is an irrational fear about being 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 outdoors is a common example.
A nurse in a mental health facility observes a client who is experiencing panic level of anxiety. Which of
the following actions should the nurse take first?
Encourage the client to discuss the events occurring before the attack.
,Teach the client relaxation techniques.
Tell the client to listen to music.
Remain with the client. - Correct Answers-Remain with the client;
The nurse should remain with the client during a panic attack. This promotes a feeling of safety and
reassurance for the client.
A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse
recommend for group therapy?
A client who has been taking amitriptyline for 3 months for depression
A client exhibiting psychotic behavior
A client admitted 12 hr ago for acute mania
A client who is experiencing alcohol intoxication - Correct Answers-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 should be experiencing improvement in depressive
manifestations and be ready to interact in a group setting.
A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer's
disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more
and more difficult to care for his wife. Which fo the following interventions is the nurse's priority?
Recommend that the partner place the client in a long-term care facility.
Suggest that the partner see a counselor to help him cope with his exhaustion.
Ask the partner to talk about his difficulties in caring for the client.
Tell the partner to call a family meeting to get help. - Correct Answers-Ask the partner to talk about
his difficulties in caring for the client;
The first action the nurse should take using the nursing process priority framework is to assess the
partner's difficulties in caring for his wife.
, A nurse in an acute care facility is assisting with the admission of an older adult client who has late stage
Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is
finding it more and more difficult to care for his partner. Which of the following actions should the nurse
take first? - Correct Answers-Ask the partner to talk about his difficulties in caring for the client.
The first action the nurse should take, using the nursing process priority framework, is to collect data
regarding the partner's ability to take care of the client.
A nurse in an emergency department is assessing a client for suspected cocaine intoxication. The nurse
should know that which of the following manifestations is consistent with cocaine intoxication?
Nystagmus
Dilated pupils
Hypersomnia
Depression - Correct Answers-Dilated pupils;
Dilated pupils are a finding of cocaine intoxication due to the stimulation of the sympathetic nervous
system.
A nurse in an outpatient mental health clinic is caring for a client who has an eating disorder.Which of
the following findings in the client's medical record indicates the client has bulimia nervosa?
1400:
BMI 20.1
Erosion of teeth, numerous dental caries
Client reports overeating with subsequent episodes of induced vomiting every weekday evening
following work; takes over-the-counter laxative and diuretic medication every morning.
Reports good relationship with family and friends.
Denies substance use.
Reports doing little exercise except on weekends.
1500:
12-lead ECG
Sinus rhythm with frequent premature ventricular contractions (PVCs), heart rate 72/min