TEST BANK
RN Mental Health
Nursing By ATI Nursing
Education
,A caregiver in a mental health unit is admitting a patient
who isanxious because he often hears voices telling him
what to do. Which of the following actions should the
caregiver take?
1. Tell the patient that the voices do not really
exist2. Touch the patient to help reduce his
anxiety
3. Instruct the patient to go to a quiet room when he
hearsvoices
4. Ask the patient what the voices are saying -
...ACCURATE RESPONSE...4. Ask the patient what the
voices are saying
EXPLANATION: It is important for the caregiver to ask
the patient directly about the hallucinations to determine if
the patient orothers are at risk for injury
A caregiver is planning care for a newly admitted patient
who hasbipolar disorder. Which of the following is the
priority action by the caregiver?
1. Schedule the patient for group therapy
sessions2. Maintain consistent rules
3. Provide frequent high-calorie snacks
4. Avoid the use of value judgments - ...ACCURATE
RESPONSE...3.Provide frequent high-calorie snacks
EXPLANATION: The priority action the caregiver
should take whenusing Maslow's hierarchy of needs is to
meet the patient's need for adequate nutrition. Therefore,
providing high- calorie snacks is the priority action for the
caregiver to take.
A caregiver is teaching a patient who has a depressive
,disorder about fluoxetine. Which of the following
information shouldthe caregiver include in the teaching?
1. "You may notice an increase in saliva while taking this
medication."
2. "You may experience difficulties with sexual functioning
while taking this medication."
3. "You should expect an improvement in symptoms of
depression in 3 to 4 days."
4. "You may notice a temporary ringing in the ears when
starting this medication." - ...ACCURATE RESPONSE...2.
"You may experience difficulties with sexual functioning
while takingthis medication."
EXPLANATION: Fluoxetine is a selective serotonin
reuptakeinhibitor that can cause sexual dysfunction
such as anorgasmia and impotence. The caregiver
should instruct thepatient to notify the provider if
sexual dysfunction occurs.
A caregiver is educating the parent of a child who has a
new diagnosis of autism spectrum disorder. Which of the
following manifestations of this disorder should the
caregiverinclude in the teaching?
1. Fear of abandonment
2. Motor and verbal tics
3. Hostile behavior
4. Language delay - ...ACCURATE RESPONSE...4.
Language delay
EXPLANATION: A child who has autism spectrum
disorderusually has language delay
A caregiver is caring for an older patient who is
, experiencing delirium. Which of the following
interventions should thecaregiver include in the patient's
plan of care?
1. Offer the patient various choices for meal
selection2. Assign different nursing personnel for
each shift
3. Permit the patient to perform daily rituals to
decreaseanxiety
4. Maintain an environment that has low lighting -
...ACCURATE RESPONSE...3. Permit the patient to
perform daily rituals todecrease anxiety
A caregiver in an acute mental health facility is
receivingchange-of-shift report for four patients.
Which of the following patients should the caregiver
assess first?
1. A patient who does not recognize familiar
people2. A patient who is awake and disoriented
at night 3. A patient who is awake and disoriented
at night
4. A patient who is experiencing delusions of persecution -
...ACCURATE RESPONSE...4. A patient who is
experiencing delusions ofpersecution
EXPLANATION: The presence of delusions of
persecution indicates that this patient is at the greatest risk
for injury dueto the patient's belief that a person in power
is out to harm him. Therefore, the caregiver should assess
this patient first.
During a patient's initial interview in a mental health
inpatientsetting, the caregiver identifies that the patient is
maintaining eye contact and leaning forward. Which of the
RN Mental Health
Nursing By ATI Nursing
Education
,A caregiver in a mental health unit is admitting a patient
who isanxious because he often hears voices telling him
what to do. Which of the following actions should the
caregiver take?
1. Tell the patient that the voices do not really
exist2. Touch the patient to help reduce his
anxiety
3. Instruct the patient to go to a quiet room when he
hearsvoices
4. Ask the patient what the voices are saying -
...ACCURATE RESPONSE...4. Ask the patient what the
voices are saying
EXPLANATION: It is important for the caregiver to ask
the patient directly about the hallucinations to determine if
the patient orothers are at risk for injury
A caregiver is planning care for a newly admitted patient
who hasbipolar disorder. Which of the following is the
priority action by the caregiver?
1. Schedule the patient for group therapy
sessions2. Maintain consistent rules
3. Provide frequent high-calorie snacks
4. Avoid the use of value judgments - ...ACCURATE
RESPONSE...3.Provide frequent high-calorie snacks
EXPLANATION: The priority action the caregiver
should take whenusing Maslow's hierarchy of needs is to
meet the patient's need for adequate nutrition. Therefore,
providing high- calorie snacks is the priority action for the
caregiver to take.
A caregiver is teaching a patient who has a depressive
,disorder about fluoxetine. Which of the following
information shouldthe caregiver include in the teaching?
1. "You may notice an increase in saliva while taking this
medication."
2. "You may experience difficulties with sexual functioning
while taking this medication."
3. "You should expect an improvement in symptoms of
depression in 3 to 4 days."
4. "You may notice a temporary ringing in the ears when
starting this medication." - ...ACCURATE RESPONSE...2.
"You may experience difficulties with sexual functioning
while takingthis medication."
EXPLANATION: Fluoxetine is a selective serotonin
reuptakeinhibitor that can cause sexual dysfunction
such as anorgasmia and impotence. The caregiver
should instruct thepatient to notify the provider if
sexual dysfunction occurs.
A caregiver is educating the parent of a child who has a
new diagnosis of autism spectrum disorder. Which of the
following manifestations of this disorder should the
caregiverinclude in the teaching?
1. Fear of abandonment
2. Motor and verbal tics
3. Hostile behavior
4. Language delay - ...ACCURATE RESPONSE...4.
Language delay
EXPLANATION: A child who has autism spectrum
disorderusually has language delay
A caregiver is caring for an older patient who is
, experiencing delirium. Which of the following
interventions should thecaregiver include in the patient's
plan of care?
1. Offer the patient various choices for meal
selection2. Assign different nursing personnel for
each shift
3. Permit the patient to perform daily rituals to
decreaseanxiety
4. Maintain an environment that has low lighting -
...ACCURATE RESPONSE...3. Permit the patient to
perform daily rituals todecrease anxiety
A caregiver in an acute mental health facility is
receivingchange-of-shift report for four patients.
Which of the following patients should the caregiver
assess first?
1. A patient who does not recognize familiar
people2. A patient who is awake and disoriented
at night 3. A patient who is awake and disoriented
at night
4. A patient who is experiencing delusions of persecution -
...ACCURATE RESPONSE...4. A patient who is
experiencing delusions ofpersecution
EXPLANATION: The presence of delusions of
persecution indicates that this patient is at the greatest risk
for injury dueto the patient's belief that a person in power
is out to harm him. Therefore, the caregiver should assess
this patient first.
During a patient's initial interview in a mental health
inpatientsetting, the caregiver identifies that the patient is
maintaining eye contact and leaning forward. Which of the
