ATI MENTAL HEALTH - FOCUS
Quiz by Heather Silvani
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24 questions
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- Q1A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?Encourage countertransference when developing the nurse-client relationshipMonitor the client for splitting behaviorsIsolate the client from social or group interactionsProvide written information about the client's treatment plan30s
- Q2A nurse in a long-term care facility is assessing an older adult for depression. Which of the following findings should the nurse expect?sundowningrambling speechinsomniaRapid mood swings30s
- Q3A nurse in an emergency department is creating a plan of care for a client who reports experiencing intimate partner violence. Which of the following interventions should the nurse include as a priority?Help the client devise a safety planFollow the facilities protocol for reporting the abuseRefer the client to a support groupTeach the client stress reduction techniques30s
- Q4A nurse is assessing a client who has antisocial personality disorder. Which of the following client behaviors should the nurse expect?ManipulativeProjects blameAnxiousAttention seeking30s
- Q5The nurse is caring for a client who has posttraumatic stress disorder. Which of the following clinical findings associated with this disorder?Compulsive behaviorDepersonalizationHypervigilancePressured speech30s
- Q6A nurse is assessing a client who has bulimia nervosa. Which of the following findings should the nurse expect?AcrocyanosisLanugoHyponatremiaAmenorrhea30s
- Q7A nurse in a mental health facility is reviewing a client's medical record. Which of the following actions should the nurse take first?Teach the client about nutritional needsInitiate 0.9% sodium chloride with 40 mEq potassium chlorideAdminister acetaminophen 500 mg POEncourage the client to attend group therapy sessions30s
- Q8A nurse is assessing a client who has delirium. Which of the following findings require immediate intervention by the nurse?Inappropriate speech patternsImpaired memoryCommand hallucinationsRapid mood swings30s
- Q9A nurse in a community mental health clinic is caring for a group of clients. The nurse should encourage participation in cognitive-behavioral family therapy in response to which of the following client statements.I want to learn how to change the way I react to problems within my familyI want to improve my family's understanding of each other's boundariesI want each of my family members to be more aware of each other's feelingsI want to understand why my past experiences are affecting my family relationships30s
- Q10A nurse is providing teaching for school-age child and his parents regarding a new prescription for risperidone. Which of the following statements by the parent indicates an understanding of the teaching?I will provide a low sodium diet for my sonI should contact my doctor if my son urinates excessivelyI will make sure my son takes the last dose of the day by 4 PMI should expect my son to develop hand tremors30s
- Q11A nurse is developing a plan of care for a school-age child who has ADHD. Which of the following interventions should the nurse include in the plan?Provide a stimulating environmentAdminister olanzapineEncourage thought-stopping techniquesInstitute consequences for deliberate behaviors30s
- Q12A nurse is caring for a client in the emergency department who states she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?Conduct a pregnancy testProvide a trained advocate to stay with the clientRequests mental health consultation for the clientOffer prophylactic medication to prevent STI's30s
- Q13A school nurse is caring for an adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following intervention is the nurse's priority at this time?Ask the adolescent if he is considering hurting himselfDetermine when the adolescent's change in behavior beganContact the adolescent's parentsSuggest the adolescent join support groups30s
- Q14A nurse is planning care for a client who has bipolar disorder. The client reports not sleeping for 3 days and is exhibiting a euphoric mood. The nurse should identify which of the following as the priority intervention.Limit loud noises in the client's environmentProvide high-calorie snacks to the clientSecure the client's valuable possessionsEncourage the client to participate in structured solitary activities30s
- Q15A nurse is speaking with a client. Which of the following responses by the nurse demonstrates the communication technique of reflection?"Can you tell me what is happening now?""I would like to sit with you for a while""You feel upset when this happens?""Let's work together to try to solve your problem"30s