ATI-RN Mental Health Online Practice PART B

Document Content and Description Below

A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment? Diarrhea Constipation is a manifestatio... n of anorexia nervosa. Decreased food and fluid intake cause constipation. Heavy menstrual bleeding Amenorrhea is a manifestation of anorexia nervosa. Low weight, decreased body fat, and poor nutrition cause amenorrhea. Tachycardia Bradycardia is a manifestation of anorexia nervosa. Starvation and dehydration cause cardiovascular abnormalities, including bradycardia. Orthostatic hypotension Low weight, electrolyte imbalances, starvation, and dehydration cause orthostatic hypotension. Question: 2 of 60 A nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed consent? A 17-year-old client who lives with friends Individuals younger than 18 years of age can only provide informed consent if they are married, pregnant, parents, or emancipated. A 50-year-old client who has a blood alcohol level of 0.08 A client who is intoxicated cannot legally give informed consent. A 35-year-old client who has major depressive disorder A client who has major depressive disorder is capable of making health care decisions unless the client is determined to be legally incompetent. A 65-year-old client who just received a dose of morphine A client who has just received morphine, an opioid analgesic, is functionally incompetent due to the medication's effect on the CNS. Question: 3 of 60 A nurse is caring for a client who was admitted following an overdose of amitriptyline. The nurse should monitor the client for which of the following adverse effects associated with this medication? Loose stools An overdose of amitriptyline can result in anticholinergic effects and the client is more likely to experience constipation rather than loose stools. Urinary retention Urinary retention is an anticholinergic effect of amitriptyline. Therefore, the nurse should monitor for this as an adverse effect. Fever Fever is not an adverse effect of an overdose of amitriptyline. Dyspnea Dyspnea is not an adverse effect of an overdose of amitriptyline. Question: 4 of 60 A nurse who is working on a mental health unit should recognize that which of the following are indications for the use of electroconvulsive therapy (ECT)? (Select all that apply.) A client who is suicidal and in need of rapid treatment A client who has recently been diagnosed with severe depression A client who has bipolar disorder with rapid cycling A client who has mania and has not responded to medication therapy A client whose depression is secondary to situational difficulties A client who is suicidal and in need of rapid treatment is correct. ECT can be used when there is a need for a rapid, definitive response for a client who is suicidal. A client who has recently been diagnosed with severe depression is incorrect. ECT is not an appropriate first-line treatment for a client with a recent diagnosis of depression. A client who has bipolar disorder with rapid cycling is correct. ECT works best for a client who has bipolar disorder with rapid cycling. A client who has mania and has not responded to medication therapy is correct. ECT is indicated for clients who have mania and have not responded to medication therapy. A client whose depression is secondary to situational difficulties is incorrect. ECT is not effective for clients whose depression stems from situational or social problems. Question: 5 of 60 A nurse is teaching coping strategies to a client who is expeA nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment? Diarrhea Constipation is a manifestation of anorexia nervosa. Decreased food and fluid intake cause constipation. Heavy menstrual bleeding Amenorrhea is a manifestation of anorexia nervosa. Low weight, decreased body fat, and poor nutrition cause amenorrhea. Tachycardia Bradycardia is a manifestation of anorexia nervosa. Starvation and dehydration cause cardiovascular abnormalities, including bradycardia.A nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed consent? A 17-year-old client who lives with friends Individuals younger than 18 years of age can only provide informed consent if they are married, pregnant, parents, or emancipated. A 50-year-old client who has a blood alcohol level of 0.08 A client who is intoxicated cannot legally give informed consent. A 35-year-old client who has major depressive disordeA nurse is caring for a client who was admitted following an overdose of amitriptyline. The nurse should monitor the client for which of the following adverse effects associated with this medication? Loose stools An overdose of amitriptyline can result in anticholinergic effects and the client is more likely to experience constipation rather than loose stools. Urinary retention Urinary retention is an anticholinergic effect of amitriptyline. Therefore, the nurse should monitor for this as an adverse effect. Fever Fever is not an adverse effect of an overdose of amitriptyline. Dyspnea Dyspnea is not an adverse effect of an overdose of amitriptyline.ATIATI COMPREHENSIVEATI LATESTATI COMPREHENSIVE 2021ATI 2021COMPREHENSIVE 2021ATI LATEST 20212021-COMPREHENSI[VE ATI QUESTIONSATI PART C ELABOTATEDFOUNDAMENTALS 2021FUNDAMENTALS LATESTATI FUNADAMENTALS 2021ATI PART AATI PART CMEDICAL SURGERYATI MEDICAL SURGERYATI MED SURG LATESTMEDSURG 20212ATI MENTAL HEALTH 2021MENTAL HEALTH 2021MENTAL HEALTH LATEST [Show More]

Last updated: 1 year ago

Preview 1 out of 24 pages