ATI MENTAL HEALTH B

ATI MENTAL HEALTH B 1. A nurse is caring for a school-aged child with conduct disorder who is physically aggressive toward other children. What should the nurse prioritize? - Place the child in seclusion - Use therapeutic hold - Apply wrist restraints - **Administer risperidone** 2. A nurse is caring for a client newly diagnosed with bulimia nervosa. What diagnostic test might the provider order during the medical evaluation? - Chest x-ray - **ECG** - Coagulation studies - Liver function test 3. A nurse is caring for a client showing excessive compliance, passivity, and self-denial. These symptoms are associated with which personality disorder? - **Dependent** - Paranoid - Borderline - Histrionic 4. A nurse is caring for an involuntarily admitted client with major depressive disorder who refuses antianxiety medication. What action should the nurse take? - Inform the client about the right to refuse - Administer medication via IM injection - Offer medication at the next scheduled time - **Implement consequences for refusal** 5. A nurse is caring for a client in the emergency department who reports partner violence. What action should the nurse take immediately after a rapid assessment? - Conduct a pregnancy test - Request a mental health consultation - **Provide a trained advocate** - Offer prophylactic medication 1. A nurse is caring for a client diagnosed with major depressive disorder. Following a discussion of treatment options with their partner, the client verbally agrees to undergo electroconvulsive therapy (ECT) but declines to sign the consent form. What action should the nurse take? - Request that the client’s partner sign the consent form - Cancel the scheduled ECT procedure - Proceed with the preparation for ECT based on implied consent - Inform the client about the risks of refusing the ECT 2. A client expresses anger towards their partner, believing the partner thinks they are seeking attention. When the nurse tries to discuss this, the client becomes upset and asks the nurse to leave. Which defense mechanism is the client demonstrating? - Rationalization - Denial - Compensation - Displacement 3. A nurse is advising an assistive personnel (AP) on caring for a client with major depressive disorder. The AP mentions feeling irritated by the client's depression. Which statement by the nurse is appropriate? - "Please don’t take what the client said seriously when she is depressed." - "It’s important that the client feel safe verbalizing how she is feeling." - "Everybody feels that way about this client so don’t worry about it." - "I’ll change your assignment to someone who doesn’t have depressive disorder." 4. In an emergency department, a nurse assesses a child at risk for physical abuse. Which finding places the child at the greatest risk? - The child is 10 years old - The child is homeschooled - The child has no siblings - The child has cystic fibrosis 5. A nurse provides behavioral therapy to a client with obsessive-compulsive disorder who repeatedly checks locked doors at night. Which instruction should the nurse give regarding thought stopping techniques? - Keep a journal of how often you check the locks each night - Snap a rubber band on your wrist when you think about checking the locks - Ask a family member to check the lock for you at night - Focus on abdominal breathing whenever you go to check the locks 6. A nurse assesses a client experiencing alcohol withdrawal. For which finding should the nurse anticipate administration of lorazepam? - Bradycardia - Stupor - Afebrile - Hypertension 7. A nurse is creating a plan of care for a client with anorexia nervosa. Which intervention should the nurse include in the plan?