ATI PN Mental Health Practice 2023 B

ATI PN Mental Health Practice 2023 B A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for phenelzine. Which of the following foods should the nurse instruct the client to void? A. Fried chicken B. Oranges C. Smoked sausage D. Lentils C. Smoked sausage RAT: Smoked sausages are high in tyramine. Clients who are prescribed monoamine oxidase inhibitors (MAOIs) should avoid food that contain tyramine because consuming them can cause a hypertensive crisis. A nurse is caring for a client who is scheduled for electro conclusive therapy ECT. Which of the following actions should the nurse take prior to the procedure? A. Keep the client in a side-lying position. B. Administer morphine IV. C. Prepare the client for intubation. D. Administer atropine sulfate IM. D. Administer atropine sulfate IM. RAT: In preparation for ECT, the nurse should administer atropine sulfate IM 30 min prior to the procedure. This will decrease secretions in order to prevent aspiration that can be caused by the vagal stimulation induced by ECT. A nurse is talking with a client who has borderline personality disorder. The client states they think that the other nurses avoid them, but they are afraid to share this thought with the other staff. Which of the following actions should the nurse take? A. Encourage the use of transference in the nurse-client relationship. B. Offer to talk to the staff until the client gains an increased level of trust. C. Encourage the client's verbalization of feeling and perceptions. D. Ask the client why they think the staff is avoiding them. C. Encourage the client's verbalization of feeling and perceptions. RAT: The nurse should encourage the client to verbalize their feelings, perceptions, and fears. Discussing these dynamics can help increase the client's comfort in expressing concerns directly to other members of staff. A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an indication that the client is experiencing cocaine toxicity? A. Hypothermia B. Piloerection C. Somnolence D. Seizures D. Seizures RAT: The nurse should expect a client who is experiencing cocaine toxicity to experience seizures. Other findings include severe anxiety, hallucinations, and paranoid thoughts. A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should identify that which of the following findings