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1. A nurse is admitting a client who has major depressive disorder and a
new prescription for tranylcypromine. Which of the following over-the-counter
medications what the client reports taking should alert the nurse to a potential
adverse reaction?: Phenylephrine
2. A nurse is teaching a newly licensed nurse about nursing care plans for
clients you have depressive disorders. Shut the following statements by the
newly licensed nurse indicates an understanding of the teaching?: "I will up-
date the plan of care as a client's manifestations of depression change."
3. A nurse is performing an admission assessment on a client who notices that
the client appears withdrawn and fearful. To establish a trusting nurse client
relationship, which of the following action should the nurse take first?: Inform
the client of this admission is confidential
4. A nurse is caring for four clients in an emergency department. The nurse
should identify that which of the following clients can give informed consent?-
: 35-year-old client who has major depressive disorder
5. A nurse observes the client on a mental health unit pushing on a locked unit
door. Which of the following statements should the nurse make?: "it appears
as though you would like to open the door."
6. a nurse other providers office is interviewing an older adult client. Which of
the following actions should the nurse plan to take?: Use a screening tool to
evaluate the client for depression
7. A nurse is caring for an older client who begins to cry and states, "I
knew God will punish me and I deserve this horrible sickness!" Which of the
following responses should the nurse make?: "let's talk about what is upsetting
you"
8. Nurse is caring for a child who is taking methylphenidate. The nurse should
monitor the child for which of the following findings as anniversary action of
methylphenidate.: Tachycardia
9. A nurse is caring for the client, who is this equation and under mechanical
restraint. For each potential assessment findings, click to specify if the finding
indicates the clients condition has improved, not changed, declined.: Play
attempts to bite nursing staff and offered water - declined
Client follows instructions of the nurse - improved
Client is silent and glaring at staff - not changed
Client verbalizes precipitating factors to violent outbursts - improved
10. The nurses are in for the client. Which of the following actions should the
nurse take?: Maintain continuous observation of the client while in restraints
Conduct debriefing with a client and other stuff
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, ATI Mental Health Practice B
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11. For each potential nursing intervention, click to specify if the potential
intervention is anticipated, nonessential, or contraindicated: -Haloperidol 2mg
Im - anticipated
-Holden next dose of buspirone - contraindicated
-request change of diet to mechanical soft - nonessential
-request prescription for digoxin 1 mg IV bolus STAT - contraindicated
-call me approach client and state, "you seem agitated. Let's sit quietly and talk about
it" _ anticipated
12. The client is at risk for developing _______________ as evidence by the
client's: Violent behavior; increased agitation
13. For each potential provider's prescription, click to specify if they prescribe
therapy is expected with obsessive compulsive disorder, dementia, or bor-
derline personality disorder.: -systematic desensitization - obsessive compulsive
disorder
-validation therapy - dementia
-dialectical behavior therapy - borderline personality disorder
-donepezil 5 mg po - dementia
-fluoxetine 20 mg Po- obsessive compulsive disorder
14. Select the six findings found in the clients medical record that are mani-
festations of the client's diagnosed personality disorder: Hyper sexualization
Physical altercations
Married multiple times
Stealing money from family to cover credit card charges
Anxious if left alone
Incidences of self injury
15. A nurse in the emergency department is caring for four clients. Which of
the following clients is the nurse required to report as a potential victim of
abuse?: An older adult client who is bedbound and has stage four pressure ulcers
16. A nurse is reviewing laboratory results for a client who has schizophrenia
and it's taking clozapine. Which of the following values should the nurse
identify as a contraindication for receiving clozapine?: WBC count 2500
17. A nurse is caring for a client who gave birth to a stillborn baby. Which of
the following statements should the nurse make?: I'll stay with you just in case
you want to talk
18. A nurse is teaching the guardians of a client about their adolescent child
diagnosis of bulimia nervosa. Which of the following statements made by the
guardians indicates an understanding of their child's illness?: It is important
for a child to have regular dental check ups
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