2024 Mental Health Pre-Assessment ATI Quiz - Complete Solutions

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2024 Mental Health Pre-Assessment ATI Quiz - Complete Solutions A client is experiencing acute alcohol withdrawal. Which of the following observations should the nurse expect to make? Select all tha... t apply. a. Disorientation b. Inability to sleep c. Bradycardia d. Grandiosity e. Tremors A nurse is caring for a client experiencing acute benzodiazepine withdrawal. Which of the following is the priority intervention? a. Encourage participation in group therapy sessions. b. Provide oral rehydration as tolerated. c. Frequent reorientation to person, place and time. d. Implementation of seizure precautions. A nurse is caring for a client prescribed the atypical antipsychotic agent clozapine. Which of the following client statements indicates a need for further education? a. "I will notify my provider if I experience a disruption in my sleep." b. "I will increase my calorie intake to prevent weight loss." c. "I can consume foods containing tyramine." d. "I will notify my provider if I have signs of an infection." A nurse is caring for a client following electroconvulsive therapy (ECT) who is experiencing short-term memory loss as a side effect of the therapy. Which of the following nursing actions should the nurse take? Select all that apply. a. Explain to the client and family that memory loss is typically short term. b. Assist the client with personal hygiene as needed. c. Remove clocks from the client's view. d. Provide a safe environment to prevent injury. e. Provide frequent orientation. A nurse is caring for a client diagnosed with bipolar syndrome who is prescribed lithium. What dietary education should be reinforced to this client? a. Clients must maintain adequate hydration and normal sodium intake when taking lithium. b. Clients must drink 5,000 - 6,000 mL of water each day while taking lithium. c. Clients must increase potassium intake while taking lithium. d. Clients must restrict sodium when taking lithium. A client's blood lithium level is 2.0 mEq per L. This value indicates: a. a below normal maintenance treatment level. b. a toxic lithium blood level. c. a normal maintenance treatment level. (during initial treatment of a manic episode, levels should be between 0.8-1.4. The maintenance treatment level range is between 0.4-1.0. Plasma levels >1.5 can result in toxicity) A nurse is caring for a client recently admitted to a mental health unit for the treatment of post-traumatic stress syndrome (PTSD). Which of the following is an expected finding in clients with PTSD? a. Recurring nightmares b. Obsessive need to talk about the traumatic event c. Diminished reflexes d. Exaggerated displays of emotion A client diagnosed with schizophrenia and experiencing frequent auditory hallucinations is admitted to an inpatient psychiatric unit. Which of the following would be the most effective, initial strategy for the nurse to implement? a. Ask the client to describe the components of the hallucination. b. Agree with the client that the voices are audible. c. Explain to the client that the hallucination is not real. d. Ask the client to rest in a quiet area until the voices are gone. A nurse is caring for a client who was recently prescribed the selective serotonin reuptake inhibitor (SSRI) sertraline. The client has become disoriented with a high fever and tremors. Which of the following should the nurse expect and what is the most important action for the nurse to take? a. Delirium. Administer an antipsychotic medication. b. An extrapyramidal side effect. Immediately initiate body cooling procedures. c. Serotonin syndrome. Discontinue all SSRIs. d. Myoclonic seizures. Administer a muscle relaxant. A nurse is explaining the therapeutic nurse-client relationship to a new client. Which of the following is an expected client task during the working phase of the therapeutic relationship? [Show More]

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