ATI: Mental Health Questions with Correct Answers | Grade A
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Course
Mental Health
Institution
Mental Health
A nurse in a long-term mental health facility is caring for a client who has a personality
disorder. The client has broken a unit rule and phone privileges are being revoked
consequently. The client asked the nurse can I just make one more phone call? Which of the
following responses should t...
1 ATI: Mental Health 8 Questions with Correct Answers | Grade A+ A nurse is admitting a client who has derealization disorder. Which of the following manifestations should the nurse expect? A. The inability to recall important personal information B. The feeling that the surroundings are unreal C. The inability to recall identity D. The presence of at least 2 distinct personalities Ans: The feeling that the surroundings are unreal *The feeling that the surroundings are unreal or distant is a manifestation of derealization disorder. Cli ents who have this disorder might feel mechanical, dreamy, or detached from their body. Often, the manifestations are destressing and come and go. The disorder occurs as a response to acute stress 2 A nurse is reinforcing teaching with the family of a client who is scheduled for electroconvulsive therapy (ECT). Which of the following statements made by a family member indicates an understanding of ECT? A. "We are so glad there are no physical side ef fects of shock treatment." B. "Thank goodness there is no permanent memory loss." C. "Cardiac dysrhythmias can persist for several weeks." D. "We won't be alarmed if there is some confusion after the treatment." Ans: "We won't be alarmed if there is some confusion after the treatment." *It is common following ECT for a client to experience confusion and disorientation A nurse is reinforcing teaching with a client who has a prescription for lithium. Which of the following instructions should the nurse in clude in the teaching? A. Take this medication on an empty stomach B. Drink 2 L of fluid each day C. Use a salt substitute to season foods D. Take ibuprofen for headaches Ans: Drink 2 L of fluid each day 3 *The nurse should instruct the client to drink a t least 2 to 3 L of fluid per day to remain hydrated and to consume a consistent amount of sodium. Low sodium levels can result in lithium toxicity A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and do wn the hall rapidly and muttering in an angry manner. Which of the following actions should the nurse take first? A. Apply mechanical restraints to the client B. Administer PRN haloperidol IM to the client C. Approach the client in a nonthreatening manner D. Place the client in seclusion Ans: Approach the client in a nonthreatening manner *The first action the nurse should take is to approach the client calmly to create a nonthreatening environment. A nurse on a psychiatric unit is talking with a client who makes a sexual advance toward the nurse. Which of the following responses should the nurse provide? A. "It's normal for you to have sexual feelings toward the staff." 4 B. "You need to stop any type of sexual advances." C. "This behavior is unacceptable while I am your nurse." D. "What would your family think of this type of behavior?" Ans: "You need to stop any type of sexual advances." *The nurse should clearly identify behavior expectations to help promote and maintain appropriate boundaries A nurse is assisting with the admission of a client who has alcohol use disorder and is experiencing withdrawal. Which of the following actions is the nurse's priority? A. Pad the side rails of the client' s bed B. Assign the client to a private room C. Collect a urine sample from the client D. Determine the client's level of disorientation Ans: Determine the client's level of disorientation *The greatest risk to this client is self -injury from the alcoho l withdrawal; therefore, the priority action the nurse should take is to determine the client's level of disorientation to ensure the client is safe from self -injury or harm
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