ATI MENTAL HEALTH EXAM PACK MERGERED LATEST TESTS ACTUAL EXAM 2022 LATEST GRADED A

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ATI MENTAL HEALTH EXAM PACK MERGERED LATEST TESTS ACTUAL EXAM 2022 LATEST GRADED A A nurse is assisting with the planning of a therapeutic support group for individuals who have bulimia nervosa. Whic... h of the following tasks should the nurse include during the orientation phase of group development? A. determine the rules that the group will follow B. address disagreements among group members C. help clients work through the grief response D. transition from the role of leader to facilitator Correct Answer: determine the rules that the group will follow *during the orientation phase of group development, the nurse should determine the rules that apply to the group and ensure that all members understand these rules. Examples of rules to be discussed include confidentiality and meeting times. A nurse is providing support for a client who is grieving the loss of her mother who died from Alzeimer's disease. Which of the following statements should the nurse offer? A. "I know how you must be feeling. I recently lost my father." B. "Dealing with your mother's death must be difficult for you." C. "Knowing your mother is in a better place provides you with some comfort." D. "I want you to let me know what I can do to help you cope with your mother's death." Correct Answer: "Dealing with your mother's death must be difficult for you." *The nurse should use therapeutic communication when supporting a client who is grieving. This statement keeps the focus of the conversation on the client by acknowledging her grief and encourages further communication." 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? A. Seizure activity B. Respiratory depression C. Hypersensitivity to pain D. Increased mental alertness Correct Answer: Respiratory depression *Heroin is an opioid; therefore, the nurse should expect this client who has heroin intoxication to exhibit respiratory depression. A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of the following pieces of information about the client is the strongest indicator that the client might become aggressive? A. The client has marginal coping skills B. The client has a history of violence C. The client feels powerless after being hospitalized D. The client blames others for her problems Correct Answer: The client has a history of violence *The client's history of violence is the most important indicator that this client might become violent; therefore, this is the strongest indicator of potential aggressiveness. A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the following instructions should the nurse include in the teaching? A. Offer the client a list of activities to choose from B. Offer finger foods to the client C. Discourage naps throughout the day D. Turn on the television when the client is in the room Correct Answer: Offer finger foods to the client *The caregiver should offer finger foods that the client can eat without sitting down. Clients who have dementia often like to wander and walk off nervous energy, which can decrease anxiety and calm the client. A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania. Which of the following interventions should the nurse recommend including in the plan? A. Provide the client with a low-calorie, low-fat diet B. Encourage the client to have frequent rest periods C. Escort the client to daily group therapy D. Limit the client's intake of caffeinated beverages to 12 oz per day Correct Answer: Encourage the client to have frequent rest periods *The nurse should recommend encouraging frequent rest periods throughout the day to decrease the client's risk of exhaustion from the constant activity associated with acute mania. A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder? A. Prevents the need for mood-stabilizing medications B. Helps the client deal with distorted thought processes C. Aids in communication among family members D. Replaces the need for lifestyle interventions Correct Answer: Helps the client deal with distorted thought processes *CBT assists the client with recognizing distorted thought processes that are maladaptive with regards to recovery. When experiencing mania, the client tends to view the future unrealistically as highly favorable. CBT assists the client in recognizing and challenging such unrealistic or "automatic" thoughts and can help the client and the health care team recognize early trends toward mania A nurse is caring for a client in a mental health facility and overhears the client discussing plans to harm her father-in-law physically when she is discharged. Which of the following interventions should the nurse take? A. Ask the client to sign a contract agreeing not to harm others B. Notify the provider of the client's threat C. Keep the client's discussion confidential D. Place the client in individual observation Correct Answer: Notify the provider of the client's threat *It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's responsibility to warn the the intended victim or the police of the client's threat A nurse is preparing to meet with a client who has borderline personality disorder. Which of the following actions should the nurse plan to take during the working phase of the therapeutic relationship? A. Introduce the concept of client confidentiality B. Establish goals with the client C. Define the roles of the nurse and the client D. Facilitate change in the client's behavior Correct Answer: Facilitate change in the client's behavior *The nurse should facilitate change in the client's behavior during the working phase of the therapeutic relationship. A nurse is contributing to the plan of care for a client who has suicidal ideation and is being transferred to the mental health unit. Which of the following interventions should the nurse recommend? A. Search the client and his belongings upon arrival B. Assign the client to a private room near the nurse's station C. Instruct assistive personnel to check on the client every 15 m in D. Keep the door to the client's room closed Correct Answer: Search the client and his belongings upon arrival *The nurse should plan to search the client and all of his belongings upon arrival to the unit. This search is conducted for the client's safety so that the nurse can identify and remove any objects that increase the client's risk of injury or suicide. Potentially harmfully objects include razors, shoelaces, hygiene products, and tweezers A nurse is talking with a client about his admission to a mental health unit. The client states, "I just don't know if I should be here. What will my family think?" Which of the following responses by the nurse uses the therapeutic communication technique of reflection? A. "It sounds like you are concerned about your family's reaction." B. "What your family thinks isn't important; you need to be concerned about getting well." C. "I suspect your family doesn't seem to understand you. D. "Many clients are concerned about the reaction of their families." Correct Answer: "It sounds like you are concerned about your family's reaction." *In a reflective response, the nurse directs feelings and statements back to the client, allowing the client to think about personal feelings 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? A. Bargaining B. Depression C. Denial D. Anger Correct Answer: Denial *The nurse should expect the client to deny the reality of the diagnosis initially. This is a protective reaction seeking to avoid psychological pain A nurse is reinforcing teaching with the parent of a child who has a new prescription for methylphenidate to treat ADHD. Which of the following instructions should the nurse include in the teaching? A. "Weigh your child 3 times per week." B. "Expect your child to experience dark-colored stools." C. "Administer this medication at bedtime." D. "You should limit your child's intake of caffeine." Correct Answer: "Weigh your child 3 times per week." *The nurse should instruct the parent to weigh the child 2 to 3 times per week. Weight loss is an adverse effect of this medication. If significant weight loss occurs, the parent should notify the provider. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for venlafaxine. Which of the following statements should the nurse make? A. "This medication is only for short-term use" B. "This medication can be taken on an as-needed basis." C. "This medication will effectively reduce your physical manifestations of anxiety." D. "This medication should not be stopped abruptly." Correct Answer: "This medication should not be stopped abruptly." *The nurse should instruct the client that stopping venlafaxine abruptly will lead to manifestations of withdrawal. 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? A. Electrocardiogram B. Chest X-ray C. Thyroid function tests D. Liver function levels Correct Answer: Liver function levels *The nurse should inform the client of the need to monitor liver function levels regularly due to the risk of hepatotoxicity while taking valproic acid. It is is recommended to obtain baseline levels and then repeat testing every 2 months during the first 6 months of therapy. A nurse is caring for a client who is taking carbamazepine. The nurse should monitor the client for which of the following adverse effects of carbamazepine? A. Thrombocytopenia B. Weight loss C. Polyuria D. Insomnia Correct Answer: Thrombocytopenia *The nurse should monitor the client for thrombocytopenia (an increased risk of bleeding). The nurse should monitor for bleeding of the gums, which can indicate thrombocytopenia, and notify the provider if this occurs. A nurse in a provider's office is collecting data for a client who has been taking donepezil for Alzheimer's disease. The data indicate that the client's disease is progressing and becoming more severe. Which of the following medications should the nurse expect the provider to prescribe? A. Megestrol B. Galantamine C. Memantine D. Haloperidol Correct Answer: Memantine *As Alzheimer's disease progresses and becomes more severe, memantine is added to the medication regimen. The medication is an n-methyl-D-aspartate antagonist, which can enhance cognition. It does not cure Alzheimer's disease 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? A. Practicing problem-solving skills B. Understanding the medication regimen C. Identifying indications of relapse D. Maintaining adequate hydration Correct Answer: Maintaining adequate hydration *The priority goal for this client is to prevent physical exhaustion, maintain health, and meet nutritional and rest needs during the acute phase of the client's manic episode. A nurse is collecting data from a client who has schizophrenia. Which of the following statements by the client should the nurse recognize as an erotomaniac delusion? A. "My coworker is trying to poison me because he is afraid I'll take his job." B. "I have only met Jenny twice, but I know she'll love me." C. "I am selling my house before the earthquake hits in May." D. "The foil on my walls prevents the government from controlling me." Correct Answer: "I have only met Jenny twice, but I know she'll love me." *The nurse should recognize that a client who believes another person desires him or her romantically after meeting only a few times is demonstrating an erotomaniac delusion A nurse is caring for an adolescent male client who has anorexia nervosa. The client asks, "Have I done any permanent damage to my body?" Which of the following responses should the nurse make? A. "What concerns do you have about your physical health?" B. "Let's wait to discuss that after you're feeling better." C. "Unconsciously, you're saying that you're worried about your physical appearance." D. "I'm glad you're concerned about the physical effects of your illness." Correct Answer: "What concerns do you have about your physical health?" *The nurse should use therapeutic communication when discussing the client's concerns. This statement by the nurse is an example of exploring, which encourages the client to talk further about personal feelings and perceptions A nurse is reinforcing teaching with a client who has a new prescription for lorazepam to treat alcohol withdrawal. Which of the following should the nurse identify as an adverse effect of lorazepam that the client should report to the provider? A. Increased thirst B. Sweating C. Blurred vision D. Facial flushing Correct Answer: Blurred vision *The nurse should inform the client that blurred vision is an adverse effect of lorazepam and instruct the client to notify the provider if this occurs A nurse is caring for a client who is dying. The client's son appears visibly upset when he visits. Which of the following statements should the nurse make to the client's son? A. "Tell me how you're feeling about your mother's illness." B. "Consider bringing a support person when you visit your mother." C. "It is okay to feel angry when losing someone close to you." D. "You should think about joining a grief support group." Correct Answer: "Tell me how you're feeling about your mother's illness." *The nurse is using a therapeutic communication technique of offering a general lead to allow the son to express his feelings. This statement indicates that the nurse is interested in not only the client but also the client's family A nurse in a provider's office is reviewing the medical history of a client who asks about the use of varenicline for smoking cessation. Which of the following items in the client's medical history indicates a precaution for the use of varenicline? A. The client has type 1 diabetes mellitus B. The client has a history of depression C. The client has rheumatoid arthritis D. The client has a history of GERD Correct Answer: The client has a history of depression *The nurse should recognize that varenicline can cause mood changes and thoughts of suicide. Precautions should be taken when prescribing this medication to clients who have a history of psychiatric disease such as depression A nurse is reinforcing teaching with a client who has a new prescription for varenicline for smoking cessation. Which of the following statements by the client indicates an understanding of the teaching? A. "If I fail to stop smoking after 12 weeks, I will have to try another product." B. "I will take them medication for 7 days before I try to stop smoking." C. "This medication will cause me to lose weight as I stop smoking." D. "I will take the medication after eating a meal." Correct Answer: "I will take the medication after eating a meal." *The nurse should instruct the client that taking varenicline following a meal with a full glass of water will minimize the associated nausea A nurse is collecting data from a client who was recently admitted for treatment of major depressive disorder (MDD). Which of the following findings should the nurse expect the client to report? (Select all that apply) A. Difficulty sleeping for several weeks B. Inability to concentrate on simple tasks C. Desire for sexual activity with multiple partners D. Not bathing for several days E. Lack of enjoyment from a long-time hobby of gardening Correct Answer: 1. Difficulty sleeping for several weeks 2. Inability to concentrate on simple tasks 3. Not bathing for several days 4. Lack of enjoyment from a long-time hobby of gardening *The nurse should expect a client who has MDD to report either difficulty sleeping or excessive, indecisiveness and an inability to concentrate, a lack of personal hygiene and self-care, and anhedonia, which is the inability to feel pleasure or happiness from a hobby or activity that once provided these positive feelings A nurse on an acute care mental health unit is collecting data from a client who was admitted following an opioid overdose. The client states that he wants his admission to remain confidential. Which of the following responses should the nurse make? A. "There is no way we can keep the details of your admission a secret from other people." B. "Being admitted as a confidential client will cost extra." C. "Only the staff involved in your care will know the details of your admission." D. "We will only release information about your admission to your family members." Correct Answer: "Only the staff involved in your care will know the details of your admission." *Keeping the details of a client's admission and care confidential is a legal requirement as as part of the nurse's ethical duty. The nurse should inform the client that only members of the staff who are involved in his care will have access to information about his admission and treatment A nurse on a mental health unit is preparing to discharge a client who has bulimia nervosa. Which of the medications should the nurse expect the provider to prescribe for the client? A. Paroxetine B. Fluconazole C. Bupropion D. Fluoxetine Correct Answer: Fluoxetine *The nurse should expect the provider to prescribe fluoxetine for a client who has bulimia nervosa. It is an SSRI used most frequently for the treatment of depression. It is thought to assist in the treatment of binge eating associated with bulimia by decreasing the craving for carbohydrates. It is prescribed for bulimia at 3 times the dosage that is used for the treatment of depression A nurse is reinforcing teaching with the guardian of a female adolescent client who has bulimia nervosa. Which of the following statements by the guardian indicates an understanding of the teaching? A. "My daughter is at risk for developing high blood pressure." B. "It is important for my daughter to have regular dental checkups." C. "I should weigh my daughter daily for several weeks." D. "Bleeding during my daughter's periods will increase." Correct Answer: "It is important for my daughter to have regular dental checkups." *For a client who has bulimia nervosa, repeated vomiting erodes tooth enamel and predisposes the teeth to caries. Therefore, frequent checkups are essential. A nurse is caring for a client who has schizophrenia and is experiencing auditory and visual hallucinations. Which of the following actions should the nurse take? A. Ask the client what the voices are saying B. Encourage the client to use reality testing C. Limit the client's exposure to noise D. Place the client in seclusion Correct Answer: Encourage the client to use reality testing *A client who is experiencing hallucinations can become frightened or agitated. The nurse should encourage the client to perform reality testing during periods of hallucinations by looking at the faces of other clients in the area. If the other clients do not appear frightened, the client should identify that the perception is a hallucination and not real. A nurse at a long term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Which of the following statements indicates that the AP requires further instructions? A. "We will be serving breakfast in 10 min. I will stay here while you get ready." B. "It's Monday morning. I know that your favorite television shows are on this evening." C. "I see that you have a new photo on the wall. Can you tell me who that girl is?" D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth." Correct Answer: "It's almost time for your appointment. Let me do your hair for you and brush your teeth." [Show More]

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