ATI Mental Health Coping Exam 2

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) - 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 - 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 - 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 - 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. - 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. - 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 - 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. - 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 - 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 - 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. - 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 - 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." - 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) Th - 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." - 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 - 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 - 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? A) Encourage the client to go back to bed. B) Give the client a PRN sleeping medication. C) Remain with the client. D) Explore alternatives to pacing the floor with the client. - C) Remain with the client. A nurse is caring for a client who was admitted with delirium tremens five days ago. The client seeks permission from the nurse before performing activities of daily living. This behavior indicates which of the following findings to the nurse? A) The client is ready for discharge. B) The client may be having a recurrence of delirium tremens. C) The client is able to function independently. D) The client is exhibiting dependency. - D) The client is exhibiting dependency. A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse take? A) Compliment the client for weight gain. B) Allow the client to eat at any time. C) Provide privacy when friends visit. D) Schedule regular weigh-in times. - D) Schedule regular weigh-in times. A nurse is caring for a client who has severe manifestations of acute alcohol withdrawal. To ensure safe care, which of the following nursing actions should the nurse take? (Select all that apply.) A) Administer a sedative. B) Keep the lights on in the client's room. C) Ambulate the client in the hallway. D) Reduce unnecessary stimuli. E) Limit daily fluid intake. - C) Ambulate the client in the hallway. D) Reduce unnecessary stimuli. A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? A) Hand tremors B) Stuporous level of consciousness C) Bradycardia D) Hypotension - A) Hand tremors A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed. I need someone to take care of me." The nurse identifies this behavior as an example of which of the following defense mechanisms? A) Dissociation B) Introjection C) Regression D) Repression - C) Regression A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding? A) Sleeping 12 hr or more each day. B) Increasing sense of attachment to others. C) Constant need to talk about the event. D) Increasing feelings of anger. - D) Increasing feelings of anger. A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect? A) Hyperactive bowel sounds B) Bradycardia C) Hypertension D) Dental erosion - B) Bradycardia A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following? A) Decrease anxiety. B) Prevent aggressive and impulsive behaviors. C) Manipulate others. D) Decrease the time available for interaction with people. - A) Decrease anxiety. A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.) A) Difficulty relaxing B) Irrational fear of certain objects C) Rule-conscious behavior D) Unaware of compulsions E) Perfectionist behavior - A) Difficulty relaxing C) Rule-conscious behavior E) Perfectionist behavior A client is admitted with post-traumatic stress disorder following a fire in his home in which family members died. Which of the following should the nurse recognize as an adaptive defense mechanism? A) The client begins reading a book when he experiences hand tremors in response to loud noise. B) The client makes a decision to postpone a needed surgery. C) The client focuses on discussing his daily routine when asked about the fire. D) The client develops stomach pains when fire is seen on te - A) The client begins reading a book when he experiences hand tremors in response to loud noise. A nurse is planning care for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse plan to monitor? A) Decreased urine output B) Manifestations of seizure activity C) Inability to recall events D) Increase in white blood cell count - C) Inability to recall events A nurse manager is preparing to confront a staff nurse who is abusing alcohol. Which of the following defense mechanisms should the nurse manager expect the staff nurse to use? A) Projection B) Rationalization C) Repression D) Denial - D) Denial A client states, "I just don't know what to do about my partner's drinking. Every time I see him drinking beer, I start to feel extremely anxious." Which of the following is the most therapeutic response by the nurse? A) "Tell me more about what is going on with your son. Is he still causing problems for you?" B) "At one time you told me you were drinking regularly with your partner. Are you continuing to do that?" C) "The next time your partner starts drinking, what is something you might do to - C) "The next time your partner starts drinking, what is something you might do to decrease your anxiety?" A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer? A) Methadone B) Disulfiram C) Diazepam D) Buprenorphine - C) Diazepam A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect? A) Tachycardia B) Constipation C) Metrorrhagia D) Hyperkalemia - B) Constipation A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer? A) Methadone B) Disulfiram C) Risperidone D) Lithium carbonate - A) Methadone A nurse is assessing a client who is experiencing acute cocaine toxicity. Which of the following findings should the nurse expect? A) Tremors B) Hypothermia C) Hypotension D) Respiratory depression - A) Tremors AA mental health nurse is referring a client who has an alcohol addiction to a 12- step Alcoholics Anonymous program. The nurse should inform the client that which of the following is the basic concept of a 12-step program? A) Admit life is unmanageable. B) Detoxifying from the addictive substance. C) Identifying stimuli that promote drinking. D) Including family in counseling sessions. - A) Admit life is unmanageable. A nurse is assessing the medical record of a female client who has anorexia nervosa. Which of the following findings should the nurse expect? A) Decreased cholesterol levels B) Low bone density C) Heavy monthly periods D) Heat intolerance - B) Low bone density A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? A) "I check any room I enter because the enemy is still after me and could be hiding anywhere." B) "My child was born with a birth defect due to an exposure I had overseas." C) "I killed four enemy soldiers with my bare hands and saved my entire battalion. - D) "In my dreams, all I can see are the wounded reaching out and trying to grab me." A nurse in a mental health facility is planning care for a client who has obsessivecompulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors? A) Isolate the client for a period of time. B) Confront the client about the senseless nature of the repetitive behaviors. C) Plan the client's schedule to allow time for rituals. D) Set strict limits on the behaviors so that the client can confor - C) Plan the client's schedule to allow time for rituals. A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias? A) Xenophobia B) Acrophobia C) Mysophobia D) Agoraphobia - D) Agoraphobia A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how the use of alcohol affects the client's psychosocial behaviors? A) "Has alcohol use affected your performance at work?" B) "Have you received prior treatment for substance use disorder?" C) "Do you receive treatment for any mental health disorders?" D) "At what age did you begin drinking alcohol?" - A) "Has alcohol use affected your performance at work?"