ATI :PN Learning System Mental Health Final Quiz

ATI :PN Learning System Mental Health
Final Quiz

Afnursefinfanfacutefmentalfhealthffacilityfisfreviewingfthefmedicationfrecordsfforfafgroupfoffclients.fThef
nursefshouldfexpectfafprescriptionfforfmemantinefforfafclientfwhofhasfwhichfofftheffollowingfdiagnoses?
f-fANSWERfAlzheimer'sfdisease




Rationale:

ThefnursefshouldfexpectfafprescriptionfforfmemantinefforfafclientfwhofhasfmoderateftofseverefAlzheime
r'sfdisease.fMemantine,fanfNMDAfreceptorfagonist,fisfshownftofslowfthefprogressionfoffmanifestationsfa
ndftofimprovefcognitiveffunction.



AfnursefisfcollectingfdataffromfafclientfwhoftakesfanfMAOIfforftheftreatmentfoffdepression.fWhichfoffthe
ffollowingffindingsfisfthefpriorityfforfthefnurseftofreportftofthefprovider?f-
fANSWERfElevatedfbloodfpressure




Rationale:

Thefnursefshouldfidentifyfthatfthefgreatestfriskftofthefclientfisfanfelevatedfbloodfpressure,fwhichfincreas
esfhisfriskfforfafhypertensivefcrisisfthatfcanfresultffromftakingfanfMAOI.fThefnursefshouldfapplyfthefsafet
yfandfriskfreductionfpriority-
settingfframeworkfwhenfcollectingfdataffromfthisfclient.fThisfframeworkfassignsfpriorityftoftheffactorforf
situationfposingfthefgreatestfsafetyfriskftofthefclient.fWhenftherefarefseveralfrisksftofclientfsafety,fthefon
efposingfthefgreatestfthreatfisfthefhighestfpriority.fThefnursefshouldfusefMaslow'sfhierarchyfoffneeds,fth
efABCfpriority-
settingfframework,forfnursingfknowledgeftofidentifyfwhichfriskfposesfthefgreatestfthreatftofthefclient.



Afnursefisfreviewingfthefmedicationsfoffafclientfwhofhasfbipolarfdisorderfandfafnewfprescriptionfforflithi
um.fThefnursefshouldfidentifyfthatfitfisfsafeftofadministerfwhichfofftheffollowingfmedicationsfwhilefthefcl
ientfisftakingflithium?f-fANSWERfValproicfacid

, Rationale:

Valproicfacidfandflithiumfarefbothfindicatedfforftheftreatmentfoffbipolarfdisorder.fItfisfsafefforfthefnursef
tofadministerfbothfoffthesefmedicationsftofthefclient.



Afnursefisfcollectingfdataffromfafclientfwhofhasfcocainefintoxication.fWhichfofftheffollowingffindingsfsho
uldfthefnursefexpect?f-fANSWERfIncreasedfmaternalfalertness



Rationale:

Thefnursefshouldfexpectfafclientfwhofhasfcocainefintoxicationftofhavefincreasedfmentalfalertnessfdueftof
itsfstimulantfproperties.



Afnursefisfcaringfforfafclientfwhofhasfschizophrenia.fThefnursefnoticesfthatfthefclientfisfpacingfupfandfdo
wnfthefhallfveryfrapidlyfandfmutteringfinfanfangryfmanner.fWhichfofftheffollowingfactionsfshouldfthefnu
rseftakeffirst?f-fANSWERfApproachfthefclientfinfafnonfthreateningfmanner



Rationale:

Theffirstfactionfthefnursefshouldftakefisftofapproachfthefclientfcalmly,finfafnonfthreateningfmanner,ftofcr
eatefafnonfthreateningfenvironment.fThefnursefshouldfapplyfthefleastfrestrictivefpriority-
settingfframeworkfwhenfcaringfforfthisfclient.fThisfframeworkfassignsfpriorftofnursingfinterventionsfthatf
arefleastfrestrictiveftofthefclient,fasflongfasfthosefinterventionsfdofnotfjeopardizefclientfsafety.fLeastfrest
rictivefinterventionsfpromotefclientfsafetyfwithoutfusingfrestraints.fThefnursefshouldfonlyfusefphysicalfo
rfchemicalfrestraintsfwhenfthefsafetyfoffthefclient,fstaff,forfothersfisfatfrisk.



Afnursefinfanfacutefmentalfhealthffacilityfisfparticipatingfinfafnursingfstafffdiscussionfaboutftheflegalfaspe
ctsfoffinvoluntaryfadmissions.fWhichfofftheffollowingfinformationfshouldfthefnursefinclude?f-
fANSWERfAnfinvoluntaryfadmissionfisfjustifiedfiffthefclientfisfafdangerftofothers




Rationale:

Afclientfwhofisfafdangerftofothersforftofhimselffqualifiesfforfanfinvoluntaryfadmission.fThefinabilityftofme
etfbasicfneedsfdueftofthefneedfforfmentalfhealthftreatmentfisfalsofafjustificationfforfanfinvoluntaryfadmi
ssion.