Exam 2 ATI Questions And Answers 2022

Exam 2 ATI Questions And Answers 2022 A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess? A) Amylase B) Creatinine C) Aspartate aminotransferase (AST) D) Antidiuretic hormone (ADH) - ANS-C) Aspartate aminotransferase (AST) A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms? A) Conversion B) Projection C) Undoing D) Regression - ANS-B) Projection A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety? A) Mild B) Moderate C) Severe D) Panic - ANS-C) Severe A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect? A) Rapid speech B) Chills C) Distorted perceptual field D) Urinary frequency - ANS-D) Urinary frequency A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following? A) Limit the amount of time available to interact with others. B) Focus attention on meaningful tasks. C) Manipulate and control others' behaviors. D) Decrease anxiety to a tolerable level. - ANS-D) Decrease anxiety to a tolerable level. A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first? A) Call for assistance to place the client in restraints. B) Escort the client to an unlocked seclusion room. C) Offer the client a PRN antianxiety medication. D) Speak to the client calmly, giving simple directions. - ANS-D) Speak to the client calmly, giving simple directions. A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.) A) Amenorrhea B) Verbalized desire to gain weight C) Altered body image D) Hyperactivity E) Bradycardia - ANS-A) Amenorrhea C) Altered body image D) Hyperactivity E) Bradycardia A nurse is planning care for a client who has generalized anxiety disorder. Which of the following intervention should the nurse implement to promote relaxation? A) Assist the client in practicing meditation. B) Recognize the client's spiritual preferences. C) Encourage the client to identify his positive qualities. D) Help the client to identify his previous accomplishments. - ANS-A) Assist the client in practicing meditation. A nurse is caring for a client who professes a deep and everlasting love for his girlfriend one day, and the next day refuses to speak to her or allow her to visit. The nurse recognizes this client behavior which of the following defense mechanisms? A) Repression B) Splitting C) Sublimation D) Undoing - ANS-D) Undoing A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect? A) Muscle aches and chills B) Fatigue and depression C) Anxiety and diaphoresis D) Arrhythmia and respiratory depression - ANS-C) Anxiety and diaphoresis A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first? A) Discuss alternative coping strategies with the client. B) Identify precipitating factors for ritualistic behaviors. C) Instruct the client on relaxation techniques for use when anxiety increases. D) Provide a structured activity schedule for the client. - ANS-B) Identify precipitating factors for ritualistic behaviors. A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam? A) The clients states, "I see purple bugs crawling on the wall." B) The client tells the nurse that he is too tired to attend the group meeting. C) The client tells the nurse he is a government agent. D) The client states, "My heart is pounding out of my chest." - ANS-D) The client states, "My heart is pounding out of my chest." A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the following statements by the client reflects an adaptive use of sublimation? A) "I will work out in the gym every time I get mad about what happened." B) "I do not have anxiety, and I'm not sure why not you think I do." C) "I can't remember anything that happened, but I am okay." D) "I'm not capable of moving past this time in my life." - ANS-A) "I will work out in the gym every time I get mad about what happened." A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress? A) The client demonstrated an allergic response to the medication. B) The client experienced a common side effect to the medication. C) The client consumed alcohol while taking the medication. D) The client took an overdose of the medication. - ANS-C) The client consumed alcohol while taking the medication. During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the maladaptive use of regression? A) "I wrote a short story about a heroic woman when I was really mad at my boss." B) "I don't care about work anymore since I was not given a promotion." C) "I mentally separate myself from distractions around me when I paint on canvas." D) "I still cannot remember the scene of my husband's car accident." - ANS-B) "I don't care about work anymore since I was not given a promotion." A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations? A) Attention-seeking conduct B) Mild difficulty problem solving C) Mild fidgeting D) Threatening behavior - ANS-D) Threatening behavior A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect? A) Increased vital capacity B) Moist skin C) Heat intolerance D) Decreased mental status - ANS-D) Decreased mental status A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take? CONTINUES...