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ATI Mental Health practice 2019 A & B
A nurse in a community Health Center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates
manipulative behavior?
“If you do my homework for me, I won't bother you for the rest of the day.” This is
an example of manipulative behavior. It is an example of manipulation when the
family member uses
a behavior to get what they desire rather than directly asking for what they want.
A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who
weighs 110 lb. Available is chlorpromazine syrup 10 mg/5 mL. How many mL should
the nurse administer? (Round the answer to the nearest whole number. Use a leading zero
if it applies. do not use a trailing zero.)
14 mL
Step 4: Solve for X.
X mL/dose = 13.75 mL/dose
Step 5: Round if necessary. 13.75 mL/dose = 14 mL/dose
Step 6: Determine whether the amount to administer makes sense. If there are 10 mg/5
mL and the prescription reads 0.55 mg/kg, it makes sense to administer 14 mL. The nurse
should administer chlorpromazine syrup 14 mL PO.
A nurse is planning care for a client who has schizophrenia and reports auditory
hallucinations. Which of the following interventions should the nurse include in the plan?
Promote the use of music to compete with the client’s auditory hallucinations.
Competing reality-based stimulation such as the use of music or television during
auditory
hallucinations can assist in limiting the effect the hallucinations have on the client's
stress level.
A client who has paranoid schizophrenia is attending a treatment planning conference
with a family member. During the discussion of the medication adherence portion of
the plan, a nurse notices that the family member seems distracted. Which of the
following actions should the nurse take?
Ask the family member if they have any thoughts or questions about the treatment
plan. This action involves the family member and allows them a venue to
communicate about the client's medication treatment plan.
During a client’s initial interview in a mental health inpatient setting, a nurse
identifies that the client is maintaining eye contact in leaning forward. Which of the
following assumptions should the nurse make based on the client’s nonverbal
behaviors?
The client is interested in what the nurse is saying. The client's posture and eye
contact demonstrates an interest in the interview and what the nurse is saying.
,Nurs 101 ati mental exam practice 2020 update success
guaranteed
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.
A nurse providing teaching to a client who is to begin undergoing light there be at home.
Which of the following information should the nurse include in the teaching?
Avoid looking directly at the light during the treatment. Light therapy, or
phototherapy, can cause sensitivity to light. To minimize this effect, the client should
avoid looking directly at the
light.
A nurse is assessing a school age child who has conduct disorder. Which of the following
characteristics should the nurse expect the child to demonstrate?
Aggression towards animals. The nurse should identify that aggression toward
people and animals is an expected characteristic of a child who has conduct
disorder.
A client who has a diagnosis of depression is attending group therapy. During the
group meeting, the nurse asked each member to identify one goal for the day. When it
is the clients turn, they do not respond. Which of the following actions should the nurse
take before repeating the request to the client?
Allow the client time to formulate an answer. Slowed response time is common in
clients who have depression. The nurse should allow the client time to comprehend
and formulate an answer to the question.
A nurse is obtaining a mental health history from an older adult client. Which of the
following actions should the nurse plan to take?
Interview the client in a private setting. The nurse should interview clients in a
private place when asking questions regarding client health.
A nurse is caring for a group of clients. For which of the following situations should
the nurse complete an incident report?
A client was administered one-half of the prescribed dose of medication. An
incident report is a recording of any occurrence that does not meet the standard of
care. The nurse should
report medication errors using the facility's incident or occurrence form.
, Nurs 101 ati mental exam practice 2020 update success
guaranteed
A nurse is caring for a client who has schizophrenia and began taking a conventional
antipsychotic medication yesterday. Which of the following findings indicates the
nurse should administer benztropine 2 mg IM?
Shuffling gait Benztropine is used to treat parkinsonism manifestations, such as
shuffling gait.
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