ATI MENTAL HEALTH Practice A

ATI MENTAL HEALTH Practice A A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? - correct answer--Hypertension A nurse is caring for a group of clients ...

ATI MENTAL HEALTH Practice A A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? - correct answer--Hypertension A nurse is caring for a group of clients. Which of the following findings should the nurse report? - correct answer--A client who is taking lamotrigine and has developed a rash A nurse on a mental health unit is admitting a client who is anxious and tells the nurse,. "I hear voices telling me what to do." Which of the following actions should the nurse take? - correct answer--Ask the client what the voices are saying. A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening? - correct answer--Attention to body language A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? - correct answer--Ask the family member if they have any thoughts or questions about the treatment plan. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? - correct answer--The client reports command hallucinations. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first? - correct answer--Diazepam 5 mg IV bolus A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to notify the provider? - correct answer--The client reports an inability to breathe easily. A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? - correct answer--"If you do my homework for me, I won't bother you for the rest of the day." A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? - correct answer--Shuffling gait A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? - correct answer--Change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds. While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition? - correct answer--The client needs excessive external input to make everyday decisions. A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as the priority? - correct answer--Remove unnecessary equipment from the child's surroundings. A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? - correct answer--St. John's wort A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? (Select all that apply.) - correct answer--Feelings of hopelessness Anhedonia Flat facial expression A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client? - correct answer--The client will refrain from self-mutilation. A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which of the following information should the nurse include in the teaching? - correct answer--Avoid looking directly at the light during treatment.