Psych ATI Practice Exam Q A 2022/2023 Graded A

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A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the nurse plan to take? - ANSWER a)Restrict partici... pation in group therapy sessions b)Establish consequences for self-mutilation c)Maintain close observation d) Provide an unstructered environment c is answer. 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 A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. What action should the nurse take? - ANSWER Administer the medication at bedtime. 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? - ANSWER "That must be very frightening." 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. A nurse is caring for a client who has Wernicke-Korsakoff syndrome due to alcohol use disorder. What finding should the nurse expect? - ANSWER Confusion. 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. A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which manifestations is a common adverse effect of this medication? - ANSWER Dizziness. The nurse should inform the client that dizziness is a common adverse effect of buspirone. The nurse should instruct the client to avoid driving and operating heavy machinery until the presence of adverse effects is determined. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. What finding should the nurse question the provider's prescription? - ANSWER Hypotension. The nurse should question the provider's prescription for a benzodiazepine for a client who has hypotension. Benzodiazepines can cause severe hypotension and increase the client's risk for cardiac arrest. A nurse is assessing a client who takes phenelzine for the treatment of depression. What finding is the priority for the nurse to report to the provider? - ANSWER Elevated blood pressure. The nurse should identify that the greatest risk to the client is an elevated blood pressure, which increases the risk for a hypertensive crisis that can result from taking an MAOI, such as phenelzine. The nurse should apply the safety and risk reduction priority-setting framework when assessing this client. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow's hierarchy of needs, the ABC priority-setting frame-work, or nursing knowledge to identify which risk poses the greatest risk. A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. What dietary choices should the nurse instruct the client to avoid? - ANSWER Pure vanilla extract. The nurse should instruct the client to avoid alcohol and alcohol-containing substances such as pure vanilla extract. The ingestion of alcohol while taking this medication causes a disulfiram-alcohol reaction, which is manifested by hyperventilation, dizziness, vomiting, and hypotension. A nurse is providing teaching to the parents of a school-age child who has attention deficit hyperactivity disorder (ADHD).What should the nurse include in her teaching? - ANSWER Ignore your child's attention-seeking behaviors that are not dangerous A nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. What should the nurse include in the teaching? - ANSWER Older adult clients require a lower initial dose of antidepressant medication than adult clients A nurse is caring for a client who has major depressive disorder and is severely withdrawn. What techniques should the nurse use to facilitate communication with the client? - ANSWER Speak to the client using simple and concrete terminology 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 what substance? - ANSWER Opiates. Opiates include opium, morphine, codeine, methadone, and heroin. Methadone is given as a substitute to prevent cravings and severe manifestions of opiate withdrawal. A nurse is performing an admission assessment for a client who has restricting type anorexia nervosa. What finding should the nurse expect? - ANSWER Decreased caloric intake. A nurse in an acute mental health facility is caring for a client who is experiencing an acute manic episode. What is the nurses priority? - ANSWER Protect the client from impulsive behavior. A nurse in the emergency department is assessing a client who has heroin intoxication. What should the nurse expect? - ANSWER Respiratory depression A nurse is caring for a client who is receiving treatment for alcohol detoxification. What medication should the nurse expect to administer during this phase of the client's care? - ANSWER Diazepam. Anti-anxiety agents, such chlordiazepoxide and diazepam, are long-acting CNS depressants that are used to minimize the manifestations of alcohol withdrawal A nurse is admitting 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. What behaviors should the nurse expect the client to display? - ANSWER Anger with the nursing staff for hospitalizing him against his will A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. What intervention should the nurse include in the plan? - ANSWER Provide the client frequently with high-calorie finger foods. A nurse is assessing a client who has conduct disorder. What finding should the nurse expect? - ANSWER Aggressive behaviors towards others A nurse is teaching a client who has agoraphobia about systematic desensitization. What comment should the nurse include in the teachings? - ANSWER You will slowly be exposed to increasing level of public spaces A nurse is interviewing a client who has anorexia nervosa. What findings should the nurse expect? - ANSWER Strenuous excercise regimn A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing morning hygience care. What action should the nurse take? - ANSWER Talk to the client from two arm-lengths away. A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. What client goals should the nurse identify as a priority? - ANSWER Maintaining adequate hydration. A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that a member of the group requires further teaching when she identifies what manifestation of the disease? - ANSWER Sudden confusion A nurse is assessing a client who has Stage 4 Alzheimer's disease. What finding should she expect? - ANSWER The client is able to identify the names of family members. A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription of lithium. The nurse should identify that it is safe to administer what medication while the client takes lithium? - ANSWER Valproic acid. A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify what interventions as the priority when planning care for this client? - ANSWER Promoting and maintaining client safety A nurse is providing teaching to the family of a client who has Alzheimer's disease about donepezil. What statement should the nurse include in her teaching? - ANSWER Donepezil can improve cognitive functioning during the earlier stages of the disease A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. WHAt action should the nurse include in the plan? - ANSWER Taper the medication gradually over several weeks A nurse in the emergency department is caring for a toddler who has a fractured arm. What findings should the nurse identify as a possible indication of physical abuse? - ANSWER The parent provides history that is inconsistent with the child's injury 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 what diagnosis? - ANSWER Severe Alzheimer's disease. Memantine, an NMDA receptor agonist, is shown to slow the progression of manifestations and to improve cognitive function 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. What response should the nurse provide? - ANSWER It must be difficult for you to talk about family problems. A nurse is caring for a client who just received a terminal diagnosis of cancer. What initial reaction should the nurse expect? - ANSWER Denial. A nurse is interviewing an older adult client about possible abuse by her caregiver. What technique should the nurse use? - ANSWER maintain a nonjudgmental tone which promotes trust and communicaton. A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a heroin overdose. What finding should the nurse anticipate during heroin withdrawal? - ANSWER muscle aches. The nurse should expect this and other manifestations of withdrawal to begin within 6 to 8 hours following the last dose of heroin A nurse in an emergency room is assessing a client who has cocaine intoxication. What finding should the nurse expect? - ANSWER dilated pupils. A nurse in an acute mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD). What action should the nurse include in the plan? - ANSWER Instruct the client to practice thought stopping. A nurse is providing teaching to a client who is to start taking valproic acid. What should be included in the instructions? - ANSWER You should have your liver function levels monitored regularly while taking valproic acid A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admissions. What information should the nurse include? - ANSWER An involuntary admission is justified if the client is a danger to others A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry way. What action should the nurse take first? - ANSWER Approach the client in a nonthreatening manner A nurse is assessing a client who experienced a sexual assault six months ago. What should the nurse report to the provider? - ANSWER Report of intense guilt A nurse is caring for a client who has depression. The client states "i am too tired and depressed to attend group therapy today". What response should the nurse make? - ANSWER Attending group therapy, even when your tired, is an important part of your treatment. A nurse is evaluating the plan of care for a client who has antisocial personality disorder. What actions indicate that he is making progress with the treatment? - ANSWER -Assisting another client who has depression to fill out menu -Requesting a weekend pass to go home A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse he has not had anything to drink for 6 hours. What should the nurse expcet? - ANSWER Insomnia A nurse is caring for a client who has alcohol use disorder. FOllowing alcohol withdrawal, what medication should the nurse expect to give the client during maintenance? - ANSWER disulfiram. The nurse should make sure that the client has not had anything to drink within the last 12 hours prior to administration A nurse is developing a plan of care for a client who has anorexia nervosa. What action is contraindicated for this client? - ANSWER Permitting the client to spend some quiet time alone after each meal A nurse is obtaining a client's medical history prior to scheduling the client for electroconvulsive therapy (ECT). What should the nurse identify as a potential complication? - ANSWER Cardiac arrythmia A nurse on an acute care unit is providing postoperative care to an older client who develops delirium. What action should the nurse take? - ANSWER request a prescription for an antianxiety medication A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. What adverse effect should the client expect? - ANSWER sedation. A nurse is providing discharge teaching for a female client who has anxiety disorder and a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching? - ANSWER This medication must be discontinued by gradual tapering over time. A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following levels should the nurse recognize as therapeutic lithium level? - ANSWER 1.2 mEq/L A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? - ANSWER Impaired judgement A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the clients risk for depression? - ANSWER The client is female A nurse is caring for a client who has obsessive-cumpulsize disorder. The client engages in repeated hand washing daily. Which of the following should the nurse recognize as the purpose of the clients behavior? - ANSWER Relieving anxiety A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompaniment. When attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse should identify that the client is exhibiting which of the following disorders? - ANSWER Agoraphobia A nurse is caring for a client who has PTSD. Which of the following actions by the client indicates the current treatment plan is effective? - ANSWER The client reports techniques she uses to promote sleep. A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of the following actions should the nurse take first? - ANSWER Instruct the client to take slow, deep breaths. A nurse is providing teaching to a client who has OCD and performs hand hygiene to decrease anxiety. Which of the following actions by the nurse implements modeling as a behavioral intervention strategy? - ANSWER Demonstrating performance of hand hygiene at scheduled times A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings indicated that the client is experiencing a relapse? - ANSWER Pressured speech A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicated that the clients current lithium level is 1.0 mEg/L. Which of the following actions should the nurse take? - ANSWER Administer the medication. A nurse is assessing a client who has psychotic disorder and a new prescription for haloperidol. The client is pacing in the hallway and states, "I can't seem to sit still." Which of the following extraprymidal side effects is the client likely experiencing? - ANSWER Akathisia A nurse is planning a menu for a client who has bipolar disorder and is experiencing an acute manic episode. Which of the following meals should the nurse provide for this client? - ANSWER Chicken nuggets, crackers with cheese sticks, and a cookie A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine. The nurse should instruct the client that which of the following blood tests should be performed periodically? - ANSWER Glucose A nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamoshu from my house." The nurse recognizes this statement as an example of which of the following? - ANSWER Neologism A nurse on an inpatient unit is assessing a client who has claustrophobia. The nurse determines the clients condition has improved when he can perform which of the following tasks? - ANSWER Ride in an elevator. A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the clients provider immediately? - ANSWER Urinary retention An emergency room nurse is assessing a client who has an anxiety disorder. The client is flushed, perspiring profusely, and is experiencing palpitations. The client begins to scream, "I am going to die! This is it! I am having a heart attack!" The nurse should determine the clients level of anxiety to be which of the following? - ANSWER Panic A nurse is caring for an adolescent client who has a history of a depressive episode 1 year ago. He appears withdrawn from social activities and his school performance is declining. Which of the following actions should the nurse take first? - ANSWER Conduct a suicide risk assessment. A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make? - ANSWER This medication is an antipsychotic that controls manifestations of schizophrenia. A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect? - ANSWER Headache A nurse is assessing a client who has been taking an antipsychotic medication for 6 years and the provider has started tapering off the dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia? - ANSWER Involuntary tongue protrusion A nurse is assessing a client who has been taking thioridazine for several days. The client reports hand tremors, drooling, and rigid extremities. Which of the following actions should the nurse take? - ANSWER Administer benztropine. A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse should teach the client that which of the following over the counter medications can cause a hypertensive crisis when taken concurrently with phenelzine? - ANSWER Pseudoephedrine A nurse is caring for a client who has OCD. Which of the following actions should the nurse take when dealing with the clients ritualistic behaviors? - ANSWER Plan the clients schedule to allow time to perform rituals. A nurse asks an older adult client. "did you have an visitors yesterday?" The client responds, "yes several members of my church choir came to see me." The nurse knows that only the clients daughter visited the day before. Which of the following cognitive impairments is the client demonstrating? - ANSWER Confabulation A nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the clients appearance is unkempt and he appears to be actively hallucinating. Which of the following should be the nurses priority assessment? - ANSWER Physical needs A nurse is caring for a client who has a severe anxiety disorder and is in a state of panic in the dayroom. Which of the following actions should the nurse take? - ANSWER Speak to the client in a calm voice. A nurse in a mental health facility is caring for a client who has generalized anxiety disorder. Which of the following statements should the nurse make? - ANSWER We'll assist you with making decisions. A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as, "me, see, bee, tree." The nurse recognizes that the client is demonstrating which of the following positive manifestations of schizophrenia? - ANSWER Clang association. A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. Which of th [Show More]

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