ATI Mental Health A 2019

ATI Mental Health A 2019 A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a) "You should continue this medication if you develop muscle rigidity". b) "You will experience weight loss while taking this medication." c) "You will notice your symptoms improve within 24 hours of taking this medication." d) "You should increase your consumption of complex carbohydrates." The nurse is caring for a client following a physical assault. The client states "I don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms? a) Repression b) Displacement c) Rationalization d) Denial A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? a) +2 edema of the lower extremities b) BUN 21 mg dL c) Lanugo covering the body d) Blood pH 7.60 Downloaded by charity nimo () lOMoARcPSD| 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? a) Place the client in restraints b) Administer an anti-anxiety medication to the client c) Put the client in seclusion d) Set limits on the client’s behavior 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? a) Ask the clients family to encourage the client to receive ECT b) Inform the client that ECT does not require a consent. c) Document the client’s refusal of the treatment in the medical record. d) Tell the client he cannot refuse the treatment because he was involuntarily committed. 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? a) Request a mental health consult for the client. b) Ask the client if she has thought about harming herself. c) Encourage the client to attend a grief support group. d) Discuss the clients’ coping skills. 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. a) Dual diagnosis treatment group b) Dialectical treatment group c) Desensitization therapy d) Co-dependents support group. Downloaded by charity nimo () lOMoARcPSD| 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.? a) Amantadine b) Diphenhydramine c) Benztropine d) Haloperidol 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? a) I am so sorry for the times I was angry with my partner. b) I find myself thinking about my partner often. c) I still don’t feel up to returning to work. d) I like looking at his personal items in the closet. 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? a) The client will report a decrease in hallucinations. b) The client will communicate needs c) The client will verbalize improved mood d) The client will attend to personal hygiene. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I can’t stand to be touched by another person." Which of the following responses should the nurse make? a) Why don't you like to be touched by others? b) Don't worry about it. Your anxiety will lessen once the massage begins. c) I will tell your provider you would like a treatment other than a massage. d) I will request that the massage therapist wear gloves during your treatment. Downloaded by charity nimo () lOMoARcPSD| 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 b) Discourage the client from expressing feelings of anger c) Keep a bright light on in the client’s room at night. d) Identify and schedule alternative group activities for the client. 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? a) The mother who expresses hostility toward her spouse. b) The adolescent son who refuses to share personal feelings. c) The father who intervenes whenever the siblings argue. d) The adolescent daughter who attempts to dominate the conversation.