ATI PN Mental Health Online Practice 2020 B

A nurse is collecting data from a client who has a history of cocaine use. Which of the following manifestations is an indication that the client is experiencing cocaine toxicity? - Seizures *The nurse should expect a client who is experiencing cocaine toxicity to experience seizures. Other manifestations include severe anxiety, hallucinations, and paranoid thoughts. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? - "Have you considered playing a sport, to help control your aggression?" A nurse is participating in group therapy for clients who have major depressive disorder. Which of the following topics should the nurse include in the orientation phase of group therapy? - Confidentiality A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should identify that which of the following findings indicates a potential need for a PRN dose of benztropine? - Shuffling gait *The nurse should identify that a shuffling gait can be indicative of the presence of pseudoparkinsonism, which can be treated with a PRN dose of benztropine. A nurse on a mental health unit is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following statements indicates an understanding of the teaching? - "The consent form should have the name of the provider who is performing the procedure on the form." A nurse is assisting with the admission of a client to an acute care mental health facility. Which of the following activities should the nurse plan for the working phase of the therapeutic relationship? - Evaluate the client's progress toward meeting his goals. A nurse is collecting data from a client who has delirium. The nurse should identify which of the following conditions as a predisposing factor for delirium? - Hepatic failure *Hepatic failure can be a predisposing factor for the development of delirium. Other potential predisposing factors include febrile illness, hypoxia, head trauma, and stroke. A nurse is caring for a group of clients on mental health unit. Which of the following client behaviors should the nurse report to the charge nurse? - A client who is manic has been pacing the unit for several hours *The nurse should identify that excessive physical activity in a client who is experiencing a manic episode places the client at risk for physical exhaustion and possible death. The nurse should report this client's behavior to the charge nurse. A nurse is reinforcing teaching about stress management techniques with a client who has mild anxiety. Which of the following statements should the nurse make? - "You should listen to music when you feel stress." A nurse is caring for a client who is undergoing behavioral therapy for post traumatic stress disorder (PTSD). The nurse should identify that which of the following findings indicates an improvement in the client's condition? - The client reports about techniques she uses to promote sleep. A nurse is caring for a client who has psychiatric somatic symptom disorder. Which of the following actions should the nurse take? - Encourage the client to examine how his illness behavior affects his family. *The nurse should recognize that secondary gains the client might receive are a reprieve from performing duties related to care of the family. The nurse should encourage the client to gain insight into how his illness behavior affects his family, which can help restore family function. A nurse is collecting data from a client who uses alcohol "to cope with stress." Which of the following questions should the nurse ask? - "What daily activities are disrupted because of your alcohol consumption?" A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take when caring for this client? - Remind the client of consequences for unacceptable behavior. *Clients who have an antisocial personality disorder do not respect the rights of others. Therefore, the nurse should remind the client about which behaviors are acceptable and unacceptable and be prepared to administer consequences for unacceptable behavior. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following medications should the nurse anticipate the provider to prescribe? - Naloxone *The nurse should identify that naloxone is an opioid antagonist that is administered to treat the effects of opioid toxicity. Following administration, the nurse should monitor the client's respiratory and neurologic status. A nurse is contributing to the plan of care for a client who has an anxiety disorder. Which of the following interventions should the nurse recommend be included in the plan? - Help the client to identify situations that trigger his anxiety. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance, which of the following actions should the nurse take next? - Tell the client calmly to sit down. A nurse is caring for a client who has dementia. Which of the following actions should the nurse take? - Stand in front of the client when speaking. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of the following clients should the nurse see first? - The client who is experiencing command hallucinations. A nurse is caring for a client who reports recent amphetamine use. Which of the following manifestations should the nurse expect? - Paranoia *Paranoia, anxiety, and panic are adverse effects of amphetamine intoxication and are common with stimulant use. A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse expect to administer? - Naltrexone *The nurse should expect to administer naltrexone, an opioid antagonist, to a client who is experiencing opioid withdrawal. A nurse is collecting data from a client who is experiencing severe anxiety. Which of the following manifestations should the nurse expect? - Sighing *The nurse should identify that a client who has severe anxiety can display respiratory manifestations, including sighing, constriction of the chest, and dyspnea. A nurse is caring for a client who states that she does not want to go to physical therapy after having a below-the-knee amputation. Which of the following responses should the nurse make? - "What are your feelings about going to physical therapy?" A nurse on an inpatient mental health unit is supervising a group of clients. in the unit's dayroom. The nurse fails to respond to the escalating, aggressive behavior of a client who eventually becomes violent and injures another client. For which of the following is the nurse liable? - Negligence *The nurse is liable for negligence by failing to respond to the client's escalating, aggressive behavior and prevent harm to others. A nurse is talking with a client who has borderline personality disorder. The client states she is lonely and thinks the other nurses avoid her, but she is afraid to share this concern with the other staff. Which of the following actions should the nurse take? - Role-play this situation so the client can gain confidence in expressing her feelings. *Role-playing can provide practice in a safe environment where the client can learn new behaviors or skills. This can help increase the client's comfort in expressing concerns directly to other members of staff. A nurse is contributing to the plan of care for a school-age child who. has attention deficit hyperactivity disorder. Which of the following interventions should the nurse recommend? - Instruct the child to apologize for behavior that negatively affects others. A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? - Sodium 132mEq/L *The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lithium accumulation and places the client at risk for lithium toxicity. The nurse should report this finding to the provider. A nurse is caring for a group of clients on a mental health unit. The. nurse should identify that which of the following clients can exhibit manifestations that are barriers to communication? - A client who has schizophrenia *A client who has schizophrenia can exhibit impaired cognitive functioning and speech alterations, such as associative looseness, clang association, and neologisms. These can be barriers to communication. A nurse is caring for a client who. states, "This has been the worst day of my life." Which of the following responses should the nurse make? - "Tell me about your day."