ATI Mental Health Final UPDATED 2022 49 QUESTIONS & ANSWERS 1. A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment app... roaches should the nurse plan to take? a)Restrict participation in group therapy sessions b)Establish consequences for self-mutilation c)Maintain close observation d) Provide an unstructered environment - c)Maintain close observation 2. Clients who have borderline personality disorder are at risk for self-harm during times of increased anxiety. Maintaining close observation reduces the client's risk of injury 3. A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. What action should the nurse take? - Administer the medication at bedtime. 4. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." What response should the nurse make? - "That must be very frightening." 5. The nurse should respond to the client's delusion in a calm and empathetic manner. By acknowledging to the client that the delusion must be frightening, the nurse promotes the nurse-client relationship. 6. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use disorder. What finding should the nurse expect? - Confusion. 7. The nurse should expect the client who has Wernicke-Korsakoff syndrome to exhibit neurological and cognitive manifestations due to thiamine deficiency. Confusion, stupor, diplopia, and memory loss are expected findings of this disorder. [Show More]
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