ATI RN Mental Health (Needed To Pass) A+ Guaranteed. 2024 LATEST VERSION
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Course
ATI MENTAL HEALTH
Institution
ATI MENTAL HEALTH
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? correct answers "Succinylcholine is given to reduce muscle movements during the...
ATI RN Mental Health (Needed To Pass) A+ Guaranteed.
2024 LATEST VERSION
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will
receive succinylcholine. The client asks the nurse about this medication. Which of the following
responses should the nurse make? correct answers "Succinylcholine is given to reduce muscle
movements during therapy." - Succinylcholine is a muscle-paralyzing agent that will decrease
muscle movement during the procedure so the client is less likely to be injured.
A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. Which of the following
resources should the nurse recommend to the caregiver? correct answers Respite care
A nurse is reviewing the electronic medical record of a client who has schizophrenia and is
taking clozapine. Which of the following findings is the priority for the nurse to notify the
provider? correct answers The client reports an inability to breathe easily.
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? correct answers Shuffling gait
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? correct answers Refrains from manipulating others to earn dining
room privileges
A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight.
Which of the following interventions should the nurse include in the plan of care? correct
answers Encourage the client to drink 125 mL of fluid each hour while awake.
A nurse is obtaining a mental health history from an older adult client. Which of the following
actions should the nurse plan to take? correct answers Interview the client in a private setting.
A community health nurse is planning an education program about depressive disorders. Which
of the following factors should the nurse include as increasing the risk for depression? correct
answers Substance use disorder
A nurse is admitting a client who has alcohol use disorder. Which of the following statements by
the client indicates that the client is using denial as a defense mechanism? correct answers "I am
able to go to work every day, so I don't have a problem."
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? correct answers Ask the family member if they have any thoughts or questions about
the treatment plan.
A nurse is documenting admission assessment findings for a client who has major depressive
disorder. The nurse should identify which of the following findings as clinical manifestations?
(Select all that apply.) correct answers Feelings of hopelessness
Anhedonia
Flat facial expression
A nurse is reviewing routine laboratory values for several clients who are taking lithium
carbonate. Which of the following clients should the nurse assess further for flings indicating
lithium toxicity? correct answers A client who has a sodium level of 128 mEq/L
A nurse is assessing a client who recently used cocaine. Which of the following findings should
the nurse expect? correct answers Hypertension
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? correct answers
Promote the use of music to compete with the client's auditory hallucinations.
A client who has a diagnosis of depression is attending group therapy. During the group meeting,
the nurse asks each member to identify one goal for the day. When it is the client's turn, they do
not respond. Which of the following actions should the nurse take before repeating the request to
the client? correct answers Allow the client time to formulate an answer.
A nurse in an emergency department is admitting a client who reports experiencing a headache
and heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression
and a blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the
following actions should the nurse take first? correct answers Determine the client's prescribed
medication regimen.- The first action the nurse should take when using the nursing process is to
assess the client. By determining the client's prescribed medications, the nurse can determine the
cause of the hypertension, such as the client taking an MAOI to treat depression. These
medications can precipitate a hypertensive crisis if consumed with tyramine-containing foods,
including wine.
A charge nurse is preparing an education session for a group of newly licensed nurses to review
client rights under the law. Which of the following statements should the nurse make? correct
answers "In the event a client threatens harm to others, medications can be administered without
consent."
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
correct answers A client who is taking lamotrigine and has developed a rash
A nurse is providing teaching to a client who is to begin undergoing light therapy at home.
Which of the following information should the nurse include in the teaching? correct answers
Avoid looking directly at the light during treatment.
, A nurse is planning discharge for a client who has bipolar disorder and has a prescription for
lithium. Which of the following client statements indicates understanding of the teaching about
the medication? correct answers "I should eat a regular diet with normal amounts of salt and
fluids."- The nurse should identify that this statement indicates that the client understands the
teaching because normal levels of sodium and fluid need to be maintained to ensure adequate
excretion of lithium. If sodium levels are low, the body compensates by decreasing lithium
excretion, which can lead to toxicity.
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? correct answers "If you do my
homework for me, I won't bother you for the rest of the day."
A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that
they stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as
an expected adverse effect that might have caused the client to stop taking the medication?
correct answers Hand tremors
A nurse is caring for a client in a mental health facility. The nurse overhears another staff
member make derogatory comments to the client. Which of the following actions should the
nurse take? correct answers Report the occurrence to the charge nurse.
A nurse in the emergency department is caring for a client who has alcohol toxicity and is
unresponsive. Which of the following interventions should the nurse take? correct answers
Gather supplies for endotracheal intubation
While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive
of dependent personality disorder. Which of the following behaviors is consistent with this
condition? correct answers The client needs excessive external input to make everyday decisions.
A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weights
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.) correct answers 14 mL
A nurse is establishing a therapeutic relationship with a client who has antisocial personality
disorder. Which of the following strategies should the nurse use when communicating with this
client? correct answers Set realistic limits on the client's behavior.
A nurse is caring for a client who has a history of substance use disorder and was involuntarily
admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the
client refuses to take the medication and becomes physically aggressive. Which of the following
actions should the nurse take? correct answers Do not administer the lorazepam.
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