Mental Health ATI
f f
Afnursefisfteachingfafclientfwhofhasfschizophreniafaboutfherfnewfprescriptionfforfrisperidone.fWhichfofft
heffollowingfstatementsfshouldfthefnursefincludefinfthefteaching?
- ANS-"youfshouldfcontinuefthefmedicationfiffyoufdevelopfmusclefrigidity."
Afnursefisfadmittingfafclientfwhofhasfgeneralizedfanxietyfdisorder.fWhichfofftheffollowingfactionsfsh
ouldfthefnursefplanftoftakeffirst?
- ANS-Providefthefclientfwithfafquietfenvironment
Afnursefisfconductingfanfadmissionfinterviewfwithfafclientfwhofisfexperiencingfmania.fWhichfofftheffoll
owingfshouldfthefnursefreportftofthefprovider?
- ANS-Reportsfeatingftwicefinfthefpastftwofweeks.
Afnursefisfplanningfcarefforfafclientfwhofhasfobsessive-
compulsivefdisorder.fWhichfofftheffollowingfrecommendationfshouldfthefnursefincludefinfthefclientsfp
lanfoffcare?
- ANS-Thoughtfstopping
Afnursefisfcaringfforfafclientfwhofhasfbipolarfdisorderfandfisfexperiencingfafmanicfepisode.fWhichfoffthef
followingfactionsfshouldfthefnurseftake?
- ANS-Dimftheflightsfinfthefclientsfroomfor/andfencouragefclientftofparticipatefinfphysicalfactivity
Afnursefisfleadingfafcrisisfinterventionfgroupfforfadolescentsfwhofwitnessedfthefsuicidefoffafcla
ssmate.fWhichfofftheffollowingfactionsfshouldfthefnurseftakeffirst?
- ANS-Identifyfpriorfcopingfskills
Afnursefoverhearsfafclientfsaying,f"Ifamfafspy,fafspyfforfthefFBI.fIfamfanfI,fanfeyefforfanfeyefinfthefsky.fS
kyfisfupfhigh."fThefnursefshouldfdocumentfthefclient'sfstatementfasfwhichfofftheffollowingfspeechfal
terations?
- ANS-Clangfassociation
Anfolderfadultfclientfisfbroughtftofthefmentalfhealthfclinicfbyfherfdaughter.fThefdaughterfreportsfthatfhe
rfmotherfisfnotfeatingfandfseemsfuninterestedfinfroutinefactivities.fThefdaughterfstatesf"I'mfsofworriedft
hatfmyfmotherfisfdepressed"fwhichfofftheffollowingfresponsesfshouldfthefnursefmake?f–
ANS-Tellfmefthefreasonsfyoufthinkfyourfmotherfisfdepressed.
,Afnursefisfplanningfcarefforfanfadolescentfwhofhasfautismfspectrumfdisorder.fWhichfofftheffollowingfout
comesfshouldfthefnursefincludefinfthefplanfcare?
ANS-Initiatesfsocialfinteractionsfwithfcaregivers.
Afnursefisfprovidingfbehaviorftherapyfforfafclientfwhofhasfobsessive-
compulsivefdisorder.fThefclientfrepeatedlyfchecksfthatfthefdoorsfareflockedfatfnight.fWhichfofftheffollo
wingfinstructionsfshouldfthefnursefgivefthefclientfwhenfusingfthoughtfstoppingftechnique?
- ANS--Snapfafrubberfbandfonfyourfwristfwhenfyoufthinkfaboutfcheckingftheflocks.
-Focusfonfabdominalfbreathingfwheneverfyoufgoftofcheckftheflocks.
Afnursefisfcaringfforfafclientfwhofisfstartingftreatmentfforfsubstancefusefdisorder.fWhichfofftheffoll
owingfactionsfindicatefthefnursefisfpracticingfthefethicalfprinciplefoffnonmaleficence?
- ANS-Withholdingfthefprescribedfmedicationfthatfisfcausingfadversefeffectsfforfthefclient
Afnursefinfafgroupfhomeffacilityfisfcaringfforfafclientfwhofisfdevelopmentallyfdisabled.fThefclientfhasfbee
nfstealingfbelongingsffromfotherfclients.fWhichfofftheffollowingftechniquesfshouldfthefnursefuse?
- ANS-Positivefreinforcementftofincreasefdesiredfbehavior
Afnursefisfcaringfforfafclientfwhofisfexperiencingfafpanicfattack.fWhichfofftheffollowingfactionsfsho
uldfthefnurseftake?
- ANS-Havefthefclientfbreathefintofafpaperfbag
Thefnursefisfcaringfforfafclientffollowingfafphysicalfassault.fThefclientfstatesf"Ifdon'tfrememberfwhatfhap
penedftofme."fThefnursefshouldfrecognizefthatfthefclientfisfusingfwhichfofftheffollowingfdefensefmecha
nisms?f-fANS-repression
Afnursefisfcaringfforfafclientfwhofhasfanorexiafnervosa.fWhichfofftheffollowingffindingsfrequirefim
mediatefinterventionfbyfthefnurse?f-fANS-BloodfpHf7.60
Afnursefisfcaringfforfafclientfinfafmentalfhealthffacility.fThefclientfisfagitatedfandfthreatensftofharmfhersel
ffandfothers.fWhichfofftheffollowingfisfthefpriorityfintervention?f-fANS-Setflimitsfonfthefclient'sfbehavior
, DosagefCalculationfQuestion.f-fANS-volume/time
Afnursefisfcaringfforfafclientfwhofwasfinvoluntarilyfcommittedfandfisfscheduledftofreceivefelectroconvul
siveftherapyf(ECT).fThefclientfrefusesftheftreatmentfandfwillfnotfdiscussfwhyfwithfthefhealthfcarefteam.f
Whichfofftheffollowingfactionsfshouldfthefnurseftake?f-fANS-
Documentfthefclient'sfrefusalfofftheftreatmentfinfthefmedicalfrecord.
Afnursefinfthefemergencyfdepartmentfisfcaringfforfafclientfwhofreportsffeelingfsad,fworthless,fandfhop
elessf9fmonthsfafterfthefdeathfoffherfson.fWhichfofftheffollowingfactionsfshouldfthefnurseftakeffirst?f-
fANS-Discussfthefclientsfcopingfskills.
Afnursefisfcaringfforfafclientfwhofhasfborderlinefpersonalityfdisorderfandfhasfbeenfengagingfinfselfmutilati
on.fThefnursefshouldfencouragefthefclientftofparticipatefinfwhichfofftheffollowingfgroups.
- ANS-Dialecticalftreatmentfgroup
Thefnursefisfreviewingfthefmedicationfadministrationfrecordfoffafclientfwhofhasfschizophrenia.fThefnu
rsefshouldfplanftofinitiatefthefAbnormalfInvoluntaryfMovementfScaleftofmonitorfforfadversefeffectsfof
fwhichfofftheffollowingfmedications?f-fANS-Haloperidol
Afnursefisfcounselingfafclientffollowingfthefdeathfoffafclientsfpartnerf8fmonthsfago.fWhichfofftheffollow
ingfclientfstatementsfindicatesfmaladaptivefgrieving?f-fANS-Ifstillfdon'tffeelfupftofreturningftofwork
Afnursefisfcaringfforfafclientfwhofhasfborderlinefpersonalityfdisorder.fWhichfofftheffollowingfoutcome
sfshouldfthefnursefincludefinftheftreatmentfplan?f-fANS-Thefclientfwillfverbalizefimprovedfmood
Afnursefisfcaringfforfafclientfwhofisfprescribedfmassageftherapyftoftreatfpanicfdisorder.fThefclientfstates
f"Ifcan'tfstandftofbeftouchedfbyfanotherfperson."fWhichfofftheffollowingfresponsesfshouldfthefnursefma
ke?f-fANS-Ifwillftellfyourfproviderfyoufwouldflikefaftreatmentfotherfthanfafmassage.
Afnursefisfcreatingfafplanfoffcarefforfafclientfwhofhasfmajorfdepressivefdisorder.fWhichfofftheffollowin
gfinterventionsfshouldfthefnursefincludefinfthefplan?f-fANS-
Encouragefphysicalfactivityfforfthefclientfduringfthefday
Afnursefisfprovidingfcounselingfforfaffamilyfthatfconsistsfofftwofparentsfandftheirftwofadolescentfchil
dren.fWhichfofftheffollowingffamilyfmembersfshouldfthefnursefidentifyfasfactingfinfthefrolefasfthefmo
nopolizer?f-fANS-Thefadolescentfdaughterfwhofattemptsftofdominatefthefconversation.
f f
Afnursefisfteachingfafclientfwhofhasfschizophreniafaboutfherfnewfprescriptionfforfrisperidone.fWhichfofft
heffollowingfstatementsfshouldfthefnursefincludefinfthefteaching?
- ANS-"youfshouldfcontinuefthefmedicationfiffyoufdevelopfmusclefrigidity."
Afnursefisfadmittingfafclientfwhofhasfgeneralizedfanxietyfdisorder.fWhichfofftheffollowingfactionsfsh
ouldfthefnursefplanftoftakeffirst?
- ANS-Providefthefclientfwithfafquietfenvironment
Afnursefisfconductingfanfadmissionfinterviewfwithfafclientfwhofisfexperiencingfmania.fWhichfofftheffoll
owingfshouldfthefnursefreportftofthefprovider?
- ANS-Reportsfeatingftwicefinfthefpastftwofweeks.
Afnursefisfplanningfcarefforfafclientfwhofhasfobsessive-
compulsivefdisorder.fWhichfofftheffollowingfrecommendationfshouldfthefnursefincludefinfthefclientsfp
lanfoffcare?
- ANS-Thoughtfstopping
Afnursefisfcaringfforfafclientfwhofhasfbipolarfdisorderfandfisfexperiencingfafmanicfepisode.fWhichfoffthef
followingfactionsfshouldfthefnurseftake?
- ANS-Dimftheflightsfinfthefclientsfroomfor/andfencouragefclientftofparticipatefinfphysicalfactivity
Afnursefisfleadingfafcrisisfinterventionfgroupfforfadolescentsfwhofwitnessedfthefsuicidefoffafcla
ssmate.fWhichfofftheffollowingfactionsfshouldfthefnurseftakeffirst?
- ANS-Identifyfpriorfcopingfskills
Afnursefoverhearsfafclientfsaying,f"Ifamfafspy,fafspyfforfthefFBI.fIfamfanfI,fanfeyefforfanfeyefinfthefsky.fS
kyfisfupfhigh."fThefnursefshouldfdocumentfthefclient'sfstatementfasfwhichfofftheffollowingfspeechfal
terations?
- ANS-Clangfassociation
Anfolderfadultfclientfisfbroughtftofthefmentalfhealthfclinicfbyfherfdaughter.fThefdaughterfreportsfthatfhe
rfmotherfisfnotfeatingfandfseemsfuninterestedfinfroutinefactivities.fThefdaughterfstatesf"I'mfsofworriedft
hatfmyfmotherfisfdepressed"fwhichfofftheffollowingfresponsesfshouldfthefnursefmake?f–
ANS-Tellfmefthefreasonsfyoufthinkfyourfmotherfisfdepressed.
,Afnursefisfplanningfcarefforfanfadolescentfwhofhasfautismfspectrumfdisorder.fWhichfofftheffollowingfout
comesfshouldfthefnursefincludefinfthefplanfcare?
ANS-Initiatesfsocialfinteractionsfwithfcaregivers.
Afnursefisfprovidingfbehaviorftherapyfforfafclientfwhofhasfobsessive-
compulsivefdisorder.fThefclientfrepeatedlyfchecksfthatfthefdoorsfareflockedfatfnight.fWhichfofftheffollo
wingfinstructionsfshouldfthefnursefgivefthefclientfwhenfusingfthoughtfstoppingftechnique?
- ANS--Snapfafrubberfbandfonfyourfwristfwhenfyoufthinkfaboutfcheckingftheflocks.
-Focusfonfabdominalfbreathingfwheneverfyoufgoftofcheckftheflocks.
Afnursefisfcaringfforfafclientfwhofisfstartingftreatmentfforfsubstancefusefdisorder.fWhichfofftheffoll
owingfactionsfindicatefthefnursefisfpracticingfthefethicalfprinciplefoffnonmaleficence?
- ANS-Withholdingfthefprescribedfmedicationfthatfisfcausingfadversefeffectsfforfthefclient
Afnursefinfafgroupfhomeffacilityfisfcaringfforfafclientfwhofisfdevelopmentallyfdisabled.fThefclientfhasfbee
nfstealingfbelongingsffromfotherfclients.fWhichfofftheffollowingftechniquesfshouldfthefnursefuse?
- ANS-Positivefreinforcementftofincreasefdesiredfbehavior
Afnursefisfcaringfforfafclientfwhofisfexperiencingfafpanicfattack.fWhichfofftheffollowingfactionsfsho
uldfthefnurseftake?
- ANS-Havefthefclientfbreathefintofafpaperfbag
Thefnursefisfcaringfforfafclientffollowingfafphysicalfassault.fThefclientfstatesf"Ifdon'tfrememberfwhatfhap
penedftofme."fThefnursefshouldfrecognizefthatfthefclientfisfusingfwhichfofftheffollowingfdefensefmecha
nisms?f-fANS-repression
Afnursefisfcaringfforfafclientfwhofhasfanorexiafnervosa.fWhichfofftheffollowingffindingsfrequirefim
mediatefinterventionfbyfthefnurse?f-fANS-BloodfpHf7.60
Afnursefisfcaringfforfafclientfinfafmentalfhealthffacility.fThefclientfisfagitatedfandfthreatensftofharmfhersel
ffandfothers.fWhichfofftheffollowingfisfthefpriorityfintervention?f-fANS-Setflimitsfonfthefclient'sfbehavior
, DosagefCalculationfQuestion.f-fANS-volume/time
Afnursefisfcaringfforfafclientfwhofwasfinvoluntarilyfcommittedfandfisfscheduledftofreceivefelectroconvul
siveftherapyf(ECT).fThefclientfrefusesftheftreatmentfandfwillfnotfdiscussfwhyfwithfthefhealthfcarefteam.f
Whichfofftheffollowingfactionsfshouldfthefnurseftake?f-fANS-
Documentfthefclient'sfrefusalfofftheftreatmentfinfthefmedicalfrecord.
Afnursefinfthefemergencyfdepartmentfisfcaringfforfafclientfwhofreportsffeelingfsad,fworthless,fandfhop
elessf9fmonthsfafterfthefdeathfoffherfson.fWhichfofftheffollowingfactionsfshouldfthefnurseftakeffirst?f-
fANS-Discussfthefclientsfcopingfskills.
Afnursefisfcaringfforfafclientfwhofhasfborderlinefpersonalityfdisorderfandfhasfbeenfengagingfinfselfmutilati
on.fThefnursefshouldfencouragefthefclientftofparticipatefinfwhichfofftheffollowingfgroups.
- ANS-Dialecticalftreatmentfgroup
Thefnursefisfreviewingfthefmedicationfadministrationfrecordfoffafclientfwhofhasfschizophrenia.fThefnu
rsefshouldfplanftofinitiatefthefAbnormalfInvoluntaryfMovementfScaleftofmonitorfforfadversefeffectsfof
fwhichfofftheffollowingfmedications?f-fANS-Haloperidol
Afnursefisfcounselingfafclientffollowingfthefdeathfoffafclientsfpartnerf8fmonthsfago.fWhichfofftheffollow
ingfclientfstatementsfindicatesfmaladaptivefgrieving?f-fANS-Ifstillfdon'tffeelfupftofreturningftofwork
Afnursefisfcaringfforfafclientfwhofhasfborderlinefpersonalityfdisorder.fWhichfofftheffollowingfoutcome
sfshouldfthefnursefincludefinftheftreatmentfplan?f-fANS-Thefclientfwillfverbalizefimprovedfmood
Afnursefisfcaringfforfafclientfwhofisfprescribedfmassageftherapyftoftreatfpanicfdisorder.fThefclientfstates
f"Ifcan'tfstandftofbeftouchedfbyfanotherfperson."fWhichfofftheffollowingfresponsesfshouldfthefnursefma
ke?f-fANS-Ifwillftellfyourfproviderfyoufwouldflikefaftreatmentfotherfthanfafmassage.
Afnursefisfcreatingfafplanfoffcarefforfafclientfwhofhasfmajorfdepressivefdisorder.fWhichfofftheffollowin
gfinterventionsfshouldfthefnursefincludefinfthefplan?f-fANS-
Encouragefphysicalfactivityfforfthefclientfduringfthefday
Afnursefisfprovidingfcounselingfforfaffamilyfthatfconsistsfofftwofparentsfandftheirftwofadolescentfchil
dren.fWhichfofftheffollowingffamilyfmembersfshouldfthefnursefidentifyfasfactingfinfthefrolefasfthefmo
nopolizer?f-fANS-Thefadolescentfdaughterfwhofattemptsftofdominatefthefconversation.