ATI Mental Health 2 Quiz 2022 40 Questions & Answers 1. A nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam. Which of the fo... llowing instructions should the nurse include in the teaching? - "this med must be discontinued gradually" 2. A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following levels should the nurse recognize as a therapeutic lithium level? - 1.2mEq/L range: 1.0-1.5 3. A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? - impaired judgement 4. A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the client's risk for depression? - being female 5. A nurse is caring for a client who has obsessive-compulsive disorder. The client engages in repeated handwashing daily. Which of the following should the nurse recognize as the purpose of the client's behavior? - relieving anxiety 6. A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompaniment. When attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse should identify that the client is exhibiting which of the following disorders? - agoraphobia; fear and avoidance of places where escape might be difficult 7. A nurse is caring for a client who has posttraumatic stress disorder (PTSD). Which of the following actions by the client indicates the current treatment plan is effective? - the clients report techniques she uses to promote sleep8. A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of the following actions should the nurse take first? - instruct the client to take slow, deep breaths 9. A nurse is providing teaching to a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions by the nurse implements modeling as a behavioral intervention strategy? - demonstrating performance of hand hygiene as designated times 10. A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings indicates that the client is experiencing a relapse? - pressured speech 11. A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicates that the client's current lithium level is 1.0 mEq/L. Which of the following actions should the nurse take? - administer the med because it is within ranges 12. A nurse is assessing< a client who has a psychotic disorder and a new prescription for haloperidol. The client is pacing in the hallway and states, "I can't seem to sit still." Which of the following extrapyramidal side effects is the client likely experiencing? - akathisia 13. A nurse is planning a menu for a client who has bipolar disorder and is experiencing an acute manic episode. Which of the following meals should the nurse provide for this client? - chicken nuggets, crackers, a cookie, cheese sticks #YUM 14. A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine The nurse should instruct the client that which of the following blood tests should be performed periodically? - glucose 15. A nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamoshu from by my house." The nurse recognizes this statement as an example of which of the following? - neologism16. A nurse on an inpatient unit is assessing a client who has claustrophobia. The nurse determines the client's condition has improved when he can perform which of following tasks? - ride in an elevator 17. A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the client's provider immediately? - urinary retention 18. An emergency room nurse is assessing a client who has an anxiety disorder. The client is flushed, perspiring profusely, and is experiencing palpitations. The client begins to scream, "I am going to die! This is it! I am having a heart attack!" The nurse should determine the client's level of anxiety to be which of the following - panic 19. A school nurse is caring for an adolescent client who has a history of a depressive episode 1 year ago. He appears withdrawn from social activities and his school performance is declining. Which of the following actions should the nurse take first - conduct a suicide risk assessment 20. A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make ? - this medication is an anti-psychotic that controls symptoms of schizophrenia 21. A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect? - Head ache also: tachycardia, sweating, nausea, hand tremors, depression, irritability, vomiting 22. A nurse is assessing a client who has been taking an antipsychotic medication for 6 years and the provider has started tapering off the dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia? - involuntary tongue protrusion; TD begins with face and mouth and then leads to larger muscle groups 23. A nurse is assessing a client who has been taking thioridazine for several days. The client reports hand tremors, drooling, and rigid extremities. Which of the following actions should the nurse take? - administer benztropine; This client is experiencing extrapyramidal effects of thioridazine, which includes pseudoparkinsonism. Benztropine is a medication that counteracts these adverse effects. The nurse should notify the provider if extrapyramidal effects occur and obtain a prescription to alleviate the manifestations.24. A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse should teach the client that which of the following over-the-counter medications can cause a hypertensive crisis when taken concurrently with phenelzine? - pseudoephedrine: it interacts with MAOI's thus is contraindicated 25. A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following actions should the nurse take when dealing with the client's ritualistic behaviors? - plan the pts schedule to allow time for ritualistic behaviors [Show More]
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