NURSING 69 Mental Health Final ATI 2-50 updated 2021/2022,100% CORRECT

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NURSING 69 Mental Health Final ATI 2-50 updated 2021/2022 2.A nurse is collecting data from a client who has binge-eating disorder. Which of the folling findings should the nurse expect? Answer: A... bdominal pain 3.A nurse is assisting with the collection of admission data for a client who has anorexia nervosa. The client has lost 11.4kg(25lb) over the past month and currently weight 38.6kg(85lb). The nurse should expect which of the following findings? Answer:Amenorrhea 4.A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which of the following medications should the nurse expect to administer to the client during maintenance? Answer:Disulfiram 5.A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a sexual assault that occurred 3 months ago. Which of the following findings should the nurse expect? Answer:Dream about the assault 6.A nurse in an acute mental health facility is participating in a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following information should the nurse include? Answer:A involuntary admission is justified if the client is a danger to others. 7.A nurse in a mental health unit is contributing to the plan of care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority for this client? Answer:Promoting and maintaining client safety 8.A nurse in an acute mental health facility is assisting with the plan of care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse recommend? Answer:Instruct the client to practice thought stopping 9.A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should explain that the provider will routinely prescribe which of the following tests while the client is taking valproic acid? Answer:Liver function levels 10.A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of the following findings should the nurse expect? Answer:Respiratory depression 11.A nurse is assisting with a community presentation about alzheimer’s disease. The nurse should conclude that a member of the group requires further reinforcemet of teaching when she identifies which of the following findings as a manifestation of Alzheimer’s disease? Answer:Sudden confusion 12.A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect? Answer: Increased mental alertness 13. A nurse is assisting with the admission of a client who has antisocial personality disorder to an acute care unit. The client is admitted under court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display? Answer: Anger with the nursing staff for hospitalizing him against his will 14. A nurse is contributing to the plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client? Answer: Permitting the client to spend some quiet time alone after each meal 15.A nurse is contributing to the plan of care for a client who has a physical dependence To alprazolam and must discontinue the medication. Which of the following actions should the nurse recommend? Answer: Taper the medication gradually over several weeks. 16. A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? Answer: Sedation 17. A nurse is collecting data from a client who takes an MAOI for the treatment of depression. Which of the following findings is the priority for the nurse to report to the provider? Answer: Elevated blood pressure 18.A nurse in an acute substance disorder unit is collecting data from a client who received treatment in the emergency department for an opioid overdose. Which of the following findings should the nurse anticipate during opioid withdrawal? Answer: Anxiety 19.A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which of the following manifestations is an adverse effect of this medication? Answer: Dizziness 20. A nurse is collecting date from a client who has moderate cognitive decline due to stage 4 Alzheimer’s disease. Which of the following finding should the nurse expect? Answer: The client is able to identify the names of family members 21. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client? Answer: Denial 22. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider’s prescription? Answer: Hypotension 23. A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the nurse that he isn’t going to attend any further sessions and states, “I don’t have time for all that talking.” Which of the following responses should the nurse make? Answer: “It must be difficult for you to talk about family problems.” 24. A nurse is assisting in the planning of a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse recommend to include? Answer: Older adult clients require a lower initial dose of antidepressant medication than adult clients. 25. A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnoses? Answer: Alzheimer’s disease 26. A nurse is caring for a client who has Alzheimer’s disease and a new prescription for donepezil. Which of the following actions should the nurse take? Answer: Administer the medication at bed time 27. A nurse is collecting admission data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? Answer: Strenuous exercise regimen 28. A nurse is reinforcing teaching with a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching? Answer:” You will slowly be exposed to increasing levels of public spaces.” 29. A nurse on an acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take? Answer: Keep the client’s room well-lit at night. 30. A nurse is reviewing the medical history of a client who has a new prescription for electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as the priority? Answer: Cardiac arrhythmia 31. A nurse is collecting data from an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use? Answer: Maintain a nonjudgmental tone 32. A nurse is caring for a client who has depression. The client states, “I am too tired and depressed to attend group therapy today.”Which of the following responses should the nurse make? Answer: “Attending group therapy, even if you’re tired. Is an Important part of your treatment.” 33. A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium? Answer: Valproic acid 34. A nurse is collecting data from a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse? Answer: The parent provides a history that is inconsistent with the child’s injury. 35. A nurse is assisting to evaluate the plan of care for a client who has antisocial personality disorder. Which of the following client actions indicates that he is making progress with the treatment? Answer: -Assisting another client who has depression to fill out a menu -Requesting a weekend pass to go home 36. A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse,” I have not had anything to drink for 6 hours,” Which of the following findings should the nurse expect during alcohol withdrawal? Answer: Insomnia 37. A nurse is caring for a client who has Alzheimer’s disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take? Answer: Talk to the client from two arm-lengths away. 38. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? Answer: Provide the client frequently with high-calorie finger-foods. 39. A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? Answer: Pure vanilla extract 40. A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client’s care? Answer: Diazepam 41. A nurse is caring for a client who has schizophrenia. The nurse notices that th client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actions should the nurse take first? Answer: Approach the client in a nonthreatening manner. 42. A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? Answer: Speak to the client using simple and concrete terminology 43. 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.” Which of the following responses should the nurse make? Answer: “That must be very frightening.” 44. A nurse is collecting data from a client who has conduct disorder. Which of the following finding should the nurse expect? Answer: Aggressive behavior towards others 45. A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances? Answer: Opiates 46. A nurse is reinforcing teaching with the parents of a school-age child who has attention deficit hyperactivity disorder(ADHD). Which of the following instructions should the nurse include? Answer: ignore your child’s attention-seeking behaviors that are not dangerous.” 47.A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority? Answer: Maintaining adequate hydration 48. A nurse is reinforcing teaching with the family of a client who has Alzheimer’s disease about donepezil. Which of the following statements should the nurse include? Answer: Donepezil can improve cognitive functioning during the earlier stages of the disease.” 49. A nurse in acute mental health facility is caring for a client who is experiencing an acute manic episode which of the following actions is the nurse’s priority? Answer: Protect the client from impulsive behavior 50. A nurse is contributing to the plan of care for a client who has borderline personality disorder and self-mutilates. Which of the following treatment approaches should the nurse recommend? Answer: Maintain close observation of the client. [Show More]

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