MENTAL HEALTH QUESTIONS - ATI .pdf

MENTAL HEALTH QUESTIONS - ATI 1- A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client? ● Share personal ...

MENTAL HEALTH QUESTIONS - ATI 1- A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client? ● Share personal information to help the client feel comfortable. ● Develop an emotional commitment to the client. ● Set boundaries with the client regarding personal space. ● Tell the client if she reminds the nurse of a personal friend or relative. 2- A nurse is caring for a client who is in the acute manic phase of bipolar disorder. Which of the following activities is appropriate for the nurse to suggest to the client? (the focus is on safety and maintaining physical health) ● Attending a client's birthday party in the café ● Watching a movie with a group of clients in the day room ● Participating in a basketball game in the gym. (provide outlets for physical activity: punching bags, physical exercise. Do not involve the client in activities that last a long time or require a high level of concentration or detailed instruction) ● Walking with the nurse on the grounds of the facility. (Decrease stimulation without isolating the client if possible. Be aware of noise, music, television, and other clients, all of which can lead to an escalation of the client's behavior. In some cases, seclusion might be the only way to safely decrease stimulation for the client) 3- A nurse is assisting in the care of a client who has schizophrenia and is experiencing a hallucination. Which of the following actions by the nurse is appropriate? ● Act like the hallucination is real. ● Instruct the client to argue with the voices that are a part of the hallucination.(Symptom management techniques include strategies such as using music to distract from “voices”, attending activities, walking, talking to a trusted person when hallucinations are most bothersome, and interacting with an auditory or visual hallucination by telling it to stop or go away) ● Ask the client direct questions about the hallucination.(Ask the client directly about hallucination. The nurse should not argue or agree with the clients view of the situation, but can offer a comment, such as, ‘’i don't hear anything but you seem to be feeling frightened” ● Tell the client that the hallucination is not a part of reality. 4- A nurse is caring for a newly admitted client who is suspicious of the nursing staff and other clients. Which of the following actions should the nurse take to establish a relationship with the client ● Wait for the client to initiate interactions with the nurse. ● Set aside short, frequent times each day to spend with the client. ● Tell the client he reminds the nurse of her father. ● Disclose some personal information to the client. 5- A nurse in an urgent care facility is caring for a client who has traumatic injuries following an assault. The client sits quietly and calmly and tells the nurse “I'm fine”. The nurse should recognize the client's behavior as which of the following reactions? ● Denial ● Displacement ● Projection ● Undoing 6- A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? SATA ● Short attention span ● Delayed language development ● Spins a toy repetitively ● Ritualistic behavior ● Consistent limit-testing 7- A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms(EPS)? SATA ● Muscle contractions of the neck ● Fidgeting behavior ● Fluctuating vital signs ● Impaired gait ● Sexual dysfunction 8- A nurse is assisting in the care of a client who has bipolar disorder. The client states “i feel like superman. I can do anything, I can fly home today and then become a U.S senator” which of the following findings should the nurse document the client is exhibiting? ● Flight of ideas ● Grandiosity (Grandiose view of self and abilities. During manic phase) ● Reality testing ● Derealization 9- A nurse is caring for a client who has bipolar disorder and states that his latest project is “revolutionizing the industry” . Which of the following behaviors is the client exhibiting? ● Flight of ideas ● Confabulation ● Clang associations ● Grandiosity (Grandiose view of self and abilities. During manic phase) 10- A nurse is reinforcing teaching about valproate with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? ● "Thyroid function tests must be performed every 6 months." ● "A pretreatment electroencephalogram (EEG) will be performed." ● "Liver function tests must be monitored regularly." ● "A white blood count must be monitored weekly." 11- A nurse on an inpatient mental health unit is assisting with the admission of a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following assessments should the nurse make first? ● Coping abilities ● Support systems ● Suicide risk ● Psychiatric history 12- A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statement by the newly licensed nurse indicates an understanding of the teaching? ● "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." ● "Alcohol tolerance causes the client to have an increased effect when taking opiates." ● "Alcohol tolerance can result in a decreased physical response to alcohol." ● "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." 13- A nurse is contributing to the plan of care for a newly admitted client who has obsessive compulsive disorder. Which of the following interventions should the nurse plan to include? ● Give negative reinforcement for ritualistic behavior. ● Provide a stimulating environment for the client. ● Provide a structured schedule of activities for the client. ● Limit time for rituals to 30 min each day.