NGN ATI RN MENTAL HEALTH FINAL TEST REVIEWS

NGN ATI RN MENTAL HEALTH FINAL TEST REVIEWS A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? - CORRECT ANSWER-Do not administer the lorazepam. A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? - CORRECT ANSWER-"It is easier to talk about my feelings now." A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? - CORRECT ANSWER-It is not uncommon to feel angry toward yourself or others." During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors? - CORRECT ANSWER-The client is interested in what the nurse is saying. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to notify the provider? - CORRECT ANSWER-The client reports an inability to breathe easily. A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for findings indicating lithium toxicity? - CORRECT ANSWER-A client who has a sodium level of 128 mEq/L nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client? - CORRECT ANSWER-Set realistic limits on the client's behavior. A nurse in a provider's office is collecting a health history from the guardian of a schoolage child who has been taking atomoxetine. Which of the following adverse effects reported by the guardian is the priority for the nurse to report to the provider? - CORRECT ANSWER-Dark urine A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? - CORRECT ANSWER-client was administered onehalf of the prescribed dose of medication. A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following? - CORRECT ANSWER-Clang association A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening? - CORRECT ANSWER-Attention to body language A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect? - CORRECT ANSWER-Inappropriate dress A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment? - CORRECT ANSWER-orthostatic hypotension A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? - CORRECT ANSWER-Refrains from manipulating others to earn dining room privileges A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client. - CORRECT ANSWER-When addressing the client, approach them from the front when possible ANTICIPATED Use a vest restraint to keep the client in a medical recliner.CONTRAINDICATED Decrease sensory stimulation.ANTICIPATED Give directions to the client slowly and in a moderate tone of voice.ANTICIPATED Assign the client to a room near the nurses' station.ANTICIPATED Provide the client with high-calorie protein drinks hourly.NONESSENTIAL Ensure the bed is kept at a working height for the nurse. CONTRAINDICATED Keep the lights off in the client's bedroom and bathroom at night.CONTAINDICATED A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as the priority? - CORRECT ANSWER-Remove unnecessary equipment from the child's surroundings. A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? - CORRECT ANSWER-Ask the family member if they have any thoughts or questions about the treatment plan. A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is chlorpromazine syrup 10 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT ANSWER-14 mL 110/2.2=50 0.55 x 50 27.5/10x5= 13.75 rounded to 14 A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? - CORRECT ANSWER-change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds A nurse is caring for a group of clients. Which of the following findings should the nurse report? - CORRECT ANSWER-A client who is taking lamotrigine and has developed a rash A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? - CORRECT ANSWER-Allow the client time to formulate an answer. A nurse is caring for a client who has a recent diagnosis of mild Alzheimer's disease. The client's partner asks the nurse about expected manifestations. The nurse should teach the partner to expect which of the following manifestations to occur first? - CORRECT ANSWER-Frequently misplaces objects A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan?