ATI Mental Health Practice B

ATI MENTAL HEALTH
PRACTICE B
A nurse at an inpatient mental health facility is caring for a client who recently experienced a
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traumatic event. - (Correct Answer) `Attention to body language
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A nurse on a mental health unit is admitting a client who has bipolar disorder. - (Correct
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Answer) `The first action the nurse should take is to address the client's Cardiovascular injury
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due to the client's constant psychomotor activity.
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A nurse at an inpatient mental health facility is caring for a client who recently experienced a
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traumatic event. The nurse is providing teaching to the client. W hich of the following
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statements should the nurse include in the teaching? (Select all that apply.) - (Correct
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Answer) `--"You should seek help if you have thoughts of self-harm." (The nurse should inform
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the client that they should seek help immediately if they experience thoughts of self-harm or
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suicidal ideation.)
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--"A support group might be helpful to you during this time." (The nurse should encourage the
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client to participate in a support group, which can provide emotional support for a client who
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has experienced a traumatic event.)
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--"It is common for people who survived a traumatic event to experience feelings of anxiety."
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(Clients who have experienced a traumatic event can demonstrate manifestations of severe
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anxiety and panic attacks, including impulsivity and regression.)
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A charge nurse is preparing an education session for a group of newly licensed nurses to
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review clients rights under the law. W hich of the following statements should the nurse make?
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- (Correct Answer) `"In the event a client threatens harm to others, medications can be
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administered without consent."( The charge nurse should inform the participants that
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medications can be administered without consent if a client threatens harm to others. The
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nurse should always protect the health and safety of their clients, even when a client's safety is
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threatened by another client.)
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A nurse is reviewing the electronic medical record of a client who has schizophrenia and is
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taking clozapine. W hich of the following findings is the priority for the nurse to notify the
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provider? - (Correct Answer) `The client reports an inability to breathe easily(Serious adverse
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effects, such as heart failure, myocarditis, and pulmonary embolism are associated with
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clozapine. When using the greatest risk framework, the nurse should identify that the greatest
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risk to the client is dyspnea, which is a manifestation of respiratory or cardiac alterations and
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should be reported to the provider.)
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A nurse is caring for a client who has anorexia nervosa.
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A nurse is evaluating the client after 2 weeks. W hich of the following findings indicate an
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improvement in the client's condition? (Select all that apply.) - (Correct Answer) `— Heart rate
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, is correct. Clients who have anorexia nervosa usually have bradycardia. The client's heart
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rate is now within the expected reference range.
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— BMI is correct. Clients who have anorexia nervosa usually have a BMI of less than 17. The
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client's initial BMI indicates moderate anorexia nervosa while the current BMI indicates mild
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anorexia nervosa.
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— Potassium is correct. Clients who have anorexia nervosa usually have hypokalemia. The
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client's potassium level is now within the expected reference range.
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— Skin temperature is correct. Clients who have anorexia nervosa usually have cool skin.
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After 2 weeks, the client's skin is warm, which indicates improvement.
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— Sodium is correct. Clients who have anorexia nervosa can have hypernatremia related to
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dehydration. The client's sodium level is now within the expected reference range.
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— Bowel movement is correct. The client's constipation has improved based on the increased
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frequency of their bowel movements.
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— BUN is correct. Clients who have anorexia nervosa usually have an increased BUN. The
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client's BUN level is now within the expected reference range.
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A nurse in an outpatient clinic is reviewing the medical record of a client who has anorexia
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nervosa.
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Click to highlight the information in the client's medical record that indicate the client's
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condition is deteriorating. To deselect information, click on the information again. - (Correct
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Answer) `— QT prolongation is correct. The finding of QT prolongation in the client's ECG
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during the second visit reveals cardiac complications of anorexia nervosa. Changes in
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electrolyte levels can shorten or prolong the QT interval. This is an indication that the client's
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condition is deteriorating.
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— Exercise regimen is correct. The client's purchase of exercise equipment and working out
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twice a day is a new manifestation of anorexia nervosa. This is an indication that the client's
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condition is deteriorating.
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— Hematemesis is correct. New onset of hematemesis might be caused by esophageal
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irritation or ulceration due to the increase in the frequency of induction of vomiting. Continued
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induction of vomiting can cause esophageal rupture. Therefore, hematemesis is an
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indication that the client's condition is deteriorating.
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— BMI is correct. The client's BMI decreased between visits, which indicates the client is
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continuing to lose weight. This is an indication that the client's condition is deteriorating.
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A nurse is caring for a client who has alcohol use disorder. - (Correct Answer) `The client is at
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greatest risk for Violent behavior as evidenced by the client's Agitation.
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A nurse is admitting a client who has major depressive disorder and a new prescription for
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tranylcypromine(antidepressant). W hich of the following over-the-counter medications that
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the client reports taking should alert the nurse to a potential adverse reaction? - (Correct
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Answer) `Phenylephrine(Clients who are taking tranylcypromine, an MAOI antidepressant,
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should not take phenylephrine and other over-the-counter medications for sinus congestion,
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colds, or allergies due to their actions on the sympathetic nervous system, which can result in
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severe hypertension.)
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