ATI Mental health proctored Exam Review

ATI Mental health proctored Exam Review 1.A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his partner. The client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take? • Inform the client about the risks of refusing ECT • Cancel the scheduled ECT procedure • Request that the client’s partner sign the consent form • Proceed with preparation for ECT based on implied consent 2. A nurse is caring for a client who recently experienced the unexpected death of his child. Which of the following actions should the nurse take first? • Request a prescription for alprazolam for the client • Initiate a referral for the client to receive individual counseling • Asking the client if he is thinking about self-harm • Identify the client ‘s support system. 3.A nurse is interviewing a client who reports ongoing feelings of depression after the death of his siblings 9 months ago. Which of the following actions should the nurse take? • Explain to the client that the duration of grief is highly variable and can last for years. • Encourage the client to avoid discussing the events surroundings the siblings’ death • Recommend that the client participate in more solitary activities • Caution the client against angry at the sibling 4.A nurse is providing discharge teaching about manifestation of relapse to the family of a client who has schizophrenia. which of the following information should the nurse include in the teachings? • The client increase participation in social activities • The client exhibits an inflated sense of self • The client begins sleeping more than usual • The client develops an inability to concentrate 5.A nurse manager is observing a newly licensed a nurse preparing to administer an IM medication to a client who is manic and refused the medication. which of the following actions should the nurse manager take first? • Discuss the purpose of the medication first • Demonstrate how to verbally de-escalate the situation • Assess the need for physical restraints (course hero) • Stop the newly licensed nurse from administering the medication 6. A nurse is developing a plan of care for school-age child who has autism spectrum disorder. which of following intervention should the nurse include in the plan? • Allow flexibility in the child’s daily schedule • Use a reward system for appropriate behavior • Discourage the child from making eye contact with caregivers • Assign the child to room with another child of the same age 7. A nurse is assessing a client who has bipolar disorder. which of the following finding should the nurse identify as an indicator that the client is experiencing acute mania? • Report lack of sleep • Writes a detailed daily activity schedule • Isolates self from others • Refuses to engage in conversation 8.A nurse is reviewing medical record of a client who has anorexia nervosa. Which of the following findings should the nurse report to the provider? Exhibit • Heart rhythm • Edema • Temperature • Intake A nurse is reviewing the medical record of a client who has anorexia nervosa. Which of the following findings should the nurse report to the provider? A. Intake - Anorexia is an eating disorder characterized by an abnormally low body weight, intense fear of gaining weight and a distorted perception of self hence intake should be monitored and reported. • 9.A nurse in an acute care mental health facility is receiving morning report for a group of clients. Which of the following clients should the nurse plan to assess first? • a client who has posttraumatic stress disorder and is reported to have experienced a flashback during the night • a client who has generalized anxiety disorder and reports being frightened about upcoming dental appointment • a client who is depressed and occasionally expresses suicidal thoughts, but whose mood is reported to have improved this morning • a client who was recently admitted, has severe negative manifestation of schizophrenia, and is refusing to get up for breakfast. 10. A nurse is teaching the family of a client who has Alzheimer’s disease about safety intervention for nighttime wandering which of the following intervention should the nurse include? • Encourage the client to take naps during the day • Place the client’s mattress on the floor • Install locks at the bottom of exit door • Place rubber-backed throw rugs on the tile floors 11. A nurse is assessing a child in the emergency department. Which of the following findings places the child at the greatest risk for physical abuse? • The child has cystic fibrosis • The child has no siblings • The child is 10 years old • The child is homeschooled 12. A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to assistive personnel? • Check the client ‘s condition after the procedure • Give the client atropine 30 min before the procedure • Assist the client to ambulate for the first time following the procedure • Witness the client’s signature on the consent for the procedure. 13. 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 action should the nurse take? • Inform the client that ECT does not require client consent • Ask the client’s family to encourage the client to receive ECT • Document the client ‘s refusal of the treatment in the medical record • Tell the client he cannot refuse the treatment because he was involuntarily committed 14.A nurse is caring for a client who is experiencing manifestation of alcohol withdrawal. which of the following medication should the nurse plan to administer? • Bupropion • Lorazepam • Methadone • Clozapine d. lorazepam *benzodiazepine- first treatment for alcohol withdrawal 15. A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of alcohol use disorder. the nurse should identify which of the following is a therapeutic effect of this medication • Block aldehyde dehydrogenase • Reduces substance craving • Prevent the anxiety of substance • Decreases the likelihood seizures