Mental Health ATI Final

1. A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care? - d. implement measures to prevent intentional self-inflicted injury 2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? - a. Provide the client with a quiet environment 3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider? - a. States that he hasn't bathed in 2 days 4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following recommendation should the nurse include in the clients plan of care? - b. Thought stopping 5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? - b. Dim the lights in the clients room 6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first. - c. Identify prior coping skills 7) A nurse overhears a client saying"I am a spy, a spy for the FBI I am an I,an eye for an eye in the sky. Sky is up high." The nurse should document the clients statement as which of the following speech alterations? - d. Clang association 8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "Im so worried that my mother is depressed" which of the following responses should the nurse make? - d. Tell me the reasons you think your mother is depressed. 9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care? - b. Initiates social interactions with caregivers. A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? - a. Snap a rubber band on your wrist when you think about checking the locks. 11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicate the nurse is practicing the ethical principle of nonmaleficence? - c. Withholding the prescribed medication that is causing adverse effects for the client. 12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? - c. Positive reinforcement to increase desired behavior. 13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? - d. Have the client breathe into a paper bag. 14) The nurse is caring for a client following a physical assault. The client states " don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms? - a. Repression 15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? - d. Blood pH 7.60 16) A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? - d. Set limits on the clients behavior 17) Dosage Calculation Question. dosage calc - Dosage calc 18) A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take? - c. Document the clients refusal of the treatment in the medical record. 19) A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? - d. Discuss the clients coping skills. 20) A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups. - b. Dialectical treatment group 21) The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.? - d. Haloperidol 22) A nurse is counseling a client following the death of a clients partner 8 months ago. Which of the following client statements indicates maladaptive grieving? - c. I still dont feel up to returning to work. 23) A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan? - c. The client will verbalize improved mood 24) A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I cant stand to be touched by another person." Which of the following responses should the nurse make? - c. I will tell your provider you would like a treatment other than a massage. 25) A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? - a. Encourage physical activity for the client during the day 26) A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role as the monopolizer? - d. The adolescent daughter who attempts to dominate the conversation. 27) A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranial magnetic stimulation. Which of the following information should the nurse include in the teaching plan? - a. The client might have a headache after treatment. 28) A nurse is providing teaching about disulfiram to a client who has a history of alcohol use. Which of the following instructions should the nurse include in the teaching? (Select all that apply) - a. "You will need to take the medication once daily" c. "You should avoid using mouthwash that contains alcohol" 29) A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take? - a. Avoid power struggles by remaining neutral 30) A nurse is assessing a young adult female client for schizophrenia. Which of the following findings should the nurse identify as a risk factor for this condition? - d. Birth order 31) A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching? - b. The client develops an inability to concentrate 32) A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium? - b. The client manifestations developed suddenly 33) A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make? - c. "It must be frightened to think that someone is reading your mail" 34) A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the following clinical findings should the nurse expect? - b. Temperature 40 C (104 F) 35) A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - a. WBC count