ATI Capstone Mental health Assessment Questions and Answers /Verified Answers 2024
A nurse is collecting data from a client who received diazepam 10mg PO 1 hr ago. Which of the following findings should the nurse identify as an indication that the client is experiencing benzodiazepine toxicity...
ATI CAPSTONE MENTAL HEALTH ASSESSMENT ATI Capstone Mental health Assessment Questions and Answers /Verified Answers 2024 A nurse is collecting data from a client who received diazepam 10mg PO 1 hr ago. Which of the following findings should the nurse identify as an indication that the client is experiencing benzodiazepine toxicity? [Cofrrect Ans: - respiratory rate 10/min A nurse is interviewing an adolesce nt client who reports that they were sexually assaulted. Which of the following actions should the nurse take? [Cofrrect Ans: - move the client to a private examination room to perform the interview. A nurse is reinforcing teaching with a client who has s chizophrenia and new prescription for fluphenazine. Which of the following adverse effects should the nurse include in the teaching [Cofrrect Ans: - akathisia, hypotension, drowsiness A nurse is reinforcing discharge teaching with the family of a client w ho has mild dementia. The family plans to care for the client in their home. Which of the following instructions should the nurse include? [Cofrrect An s: - use signs to identify different rooms in the home A nurse is reinforcing teaching with a client who is preparing for a conditional release following involuntary admission. Which of the following statements by the client indicates an understanding of the teaching. [Cofrrect Ans: - If I don't follow the instructions in my conditional release, I might be readmitted A nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT), which of the following findings should the nurse document as an unexpected response to the procedure ATI CAPSTONE MENTAL HEALTH ASSESSMENT [Cofrrect Ans: - Irregular heart rhythm A nurse is planning an in -service about eating disorders for a group of staff nurses. Which of the following conditions should the nurse include as a risk factor for anorexia nervosa? [Cofrrect Ans: - a diagnosis of obsessive -complusive disorder A nurse is reinforcing discharge teaching with a client who has alcohol use disorder. Which of the following statements by the client indicates an understanding of relapse prevention [Cofrrect Ans: - I'm learning which situations I have difficulty handling A nurse is reinforcing teaching regarding family therapy with the parents of a client who has anorexia nervosa. The parents tell the nurse, " we don't understand why we have to have family therapy we are not sick". Which of the following responses should the nurse provide [Cofrrect Ans: - family therapy explores how the family dynamic impact your son A nurse is reinforcing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following statements by the client indicates an understanding of the teaching [Cofrrect Ans: - I will have the level of medication in my blood checked regularly A nurse is collecting data from a client who has schizophrenia. When asked questions, the client keeps repeating what the nurse says rather than providing answers. The nurse should document this finding as which of the following alterations of speech [Cofrrect Ans: - echolalia A nurse is contributing to the plan of care for a client who has anorexia nervosa and is 60% of their ideal body wei ght (IBW). Which of the following interventions should the nurse include [Cofrrect Ans: - set structured mealtimes for the client A nurse is caring for a client who is experiencing acute alcohol withdrawal. The client becomes agitated and the nurse administers lorazepam 2 mg IM. Which of the following actions should the nurses take
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