ATI-RN Mental Health Online Practice A-2021

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A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? ○ Tooth erosion - A client who has bulimia nervosa is likely to have dental caries a... nd tooth erosion caused by frequent exposure to gastric acid from vomiting 2. A nurse in a mental health unit observes a client who has acute mania hit another client. Which fo the following actions should the nurse take first? ○ Call for a team of staff members to help with the situation - The greatest risk is injury to the client and others. Therefore, the first action the nurse should take is to call for assistance to prevent further injury to himself or others. 3. A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse’s suspicion of delirium? ○ Easily distracted - Extreme distractibility is a hallmark manifestation ofdelirium. 4. A nurse is caring for a client who has anorexia nervosa. Which of the following criteria requires hospitalization? ○ Temperature 35.6° C (96.1° F) - Severe hypothermia, a temperature lower than 36° C (96.8° F) due to loss of subcutaneous tissue or dehydration, requires hospitalization. 5. A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that she stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication? ○ Hand tremors - Fine hand tremors are an expected adverse effect of lithium and can interfere with the client's ADLs, causing the client to stop taking the medication. 6. A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? ○ Refrains from manipulating others to earn dining-room privileges - The goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative behavior is a desired response. [Show More]

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