ATI Mental Health A with NGN Exam 2024

A nurse is planning care for a client who is experiencing acute mania. Which of the following interventions should the nurse include in the plan to promote sleep? - ANSWER Encourage frequent rest periods throughout the day A nurse is delegating client care tasks to a LPN and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? - ANSWER Change the dressings of a client who has borderline personality disorder and superficial self-inflected wounds A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is chlorpromazine syrup 10mg/5mL. How many mL should the nurse administer? - ANSWER 14 mL A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicated that the client is using denial as a defense mechanism? - ANSWER "I am able to go to work everyday, so I don't have a problem." A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression? - ANSWER Substance abuse disorder A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse questions the client's speech pattern as which of the following? - ANSWER Clang association A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? - ANSWER St. Johns Wort A charge nurse is preparing an educational session for a group of newly licensed nurses to review client rights under the law. Which of the following statements should the nurse make? - ANSWER "In the event a client threatens to harm others, medication can be administered without consent." A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder? - ANSWER Anhedonia A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which of the following interventions should the nurse include in the plan of care? - ANSWER Encourage the client to drink 125 mL of fluid each hour while awake. A nurse is caring for a group of clients. Which of the following findings should the nurse report? - ANSWER A client who is taking lamotrigine and has developed a rash. A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? - ANSWER Instruct the client to avoid driving during initial therapy A nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide attempt. Which of the following interventions should the nurse identify as the priority? - ANSWER Arrange one-to-one observation of the client. A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect? - ANSWER Inappropriate dress A nurse is caring for a group of clients. Which of the following findings is the nurse required to report? - ANSWER A client who has borderline personality disorder threatened to harm their roommate A nurse is caring for a group of clients. For which of the following situations should the nurse complete the incident report? - ANSWER A client was administered one-half of the prescribed dose of medication. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? - ANSWER Do not administer the lorazepam