2023 ATI CMS MENTAL HEALTH EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse is on the elevator and overhears two nurses discussing a client on the unit. Which of the following actions should the nurse take? Tell the nurses to stop the discussion. Complete a written warning for each of the nurses. Discuss the occurren ce with the cilent. Report the issue to the ethics committee - ...ANSWER...Tell the nurses to stop the discussion. A nurse is sitting with a client in the dayroom. The client jumps up and states, "There are snakes coming toward me! " Which of the followi ng responses should the nurse make? "Let's move to a different room to avoid the snakes." What do you usually do when this happens?" I understand that you're seeing snakes, but I don't see any." Would you like to play cards?" - ...ANSWER...I understand that you're seeing snakes, but I don't see any. A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the n urse suggest? Administer an antianxiety medication before bedtime. Place a lock at the top of doors leading outside . use light restraints whille the client is in bed. Encourage the client to nap during the day. - ...ANSWER...Place a lock at the top of doors leading outside. A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings? Asthma Renal colic Crohns disease Cardiac arrhythmia - ...ANSWER...Cardiac arrhythmia A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take to intervene for manipulative behaviors during group therapy? Ignore manipulative behaviors during the session. Discuss consequences of inappropriate behaviors. Bargain with the client regarding established behavioral expectations. Place the client in seclusion immediately after inappropriate behavior occurs. - ...ANSWER...Discuss consequences of ina ppropriate behaviors A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse. "This baby constantly cries. My partner works all the time, and I can't take any more." Which of the following responses is the nurs e's priority? "Tell me about your baby. Where is she now?" Have you discussed this with your partner?" "Do you have a friend who could help you?" "Having a newborn must be stressful. Do you have other children? - ...ANSWER..."Having a newborn must be s tressful. Do you have other children? A nurse is caring for a client who states, "I'm overwhelmed, and no one understands. I can't take it anymore." Which of the following responses should the nurse make first? "Do you have anyone you can talk to about y our feelings?" "Are you saying that no one understands your concerns?" "Are you thinking of harming yourself?" Tell me more about how you are feeling" - ...ANSWER...Are you thinking of harming yourself?" A nurse is assisting with a staff education sess ion about legal issues affecting the care of clients who have mental health diagnoses. Which of the following examples should the nurse identify as libel? Taking the clothes of a client who is Voluntarily admitted so that he cannot leave Threatening to a pply restraints on a client who is refusing medication Documenting false information about a clients substance use history Administering an incorrect dosage of a client's medication - ...ANSWER...Documenting false information about a clients substance us e history A nurse on an inpatient mental health unit is caring for a client who has bipolar disorder. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that c ontain separate catetorles of data.) initiate sodium restrictions. Engage the client in a group activity. Withnoid the next dose of aripiprazol Accompany the client to a private area . - ...ANSWER...Accompany the client to a private area. A nurse is ob serving a newly hired nurse communicate with a client. The newly hired nurse asks. "You take your medications at a different time than prescribed?" Which of the following communication techniques is the newly hired nurse using? Offering self Exploring Presenting reality Reflecting - ...ANSWER...Presenting reality A nurse is caring for a client who was placed in four -point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take? Request the provider renew the prescription in 24 hr . Keep staff interactions with the client to a minimum. Provide range -of-motion exercises to all extremities every 2 hr. Document the client's behavior in the medical record every 1 hr. - ...ANSWER...Requ est the provider renew the prescription in 24 hr. A nurse is caring for a client who has terminal cancer and is receiving palliative care. Which of the following statements indicates that the client is demonstrating effective coping? I hope to have surge ry to cure my cancer." "I need to return to work as soon as my treatment is complete. " I should start making my funerat arrangements." I still believe my cancer will go into remission." - ...ANSWER...I should start making my funerat arrangements." A nurse is monitoring a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of this medication? Urinary retention Hypertension Diarrhea Excessive salivation - ...ANSWER...Urinary retention A nurse is monitoring a client who is receiving haloperidol. Which of the following findings is the priority to report to the provider? Hypoactive bowel sounds in all four quadrants client report of dry mouth Client repor t of photosensitivity
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