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ATI RN Mental Health Online Practice 2019 B With Questions And 100% SURE ANSWERS
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JACKLINEATI RN Mental Health Online Practice 2019 B With Questions And 100% SURE
ANSWERS
Terms in this set (60)
A nurse is assessing a family's dynamics during a Correct: C
counseling session. The nurse should recognize - This is an example of enmeshed boundaries in which there are no distinctions between the roles
which of the following findings as an indication of of family members.
a boundary issues?
A - incorrect - An adolescent who questions parental authority is demonstrating appropriate
A. An adolescent family member who questions behaviors for developmental age
parental authority B - incorrect - This scenario occurs in many households, not indication of boundary issue
B. A family with three generations in the same D. This is an example of a blended family, not indication of boundary issue
household
C. Older children who are responsible for their
younger siblings
D. Two adults and their children from prior
relationships in the same household
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,A nurse is performing an admission assessment on A - CORRECt
a client and notices that the client appears - According to evidence-based practice, the nurse should first inform the client about
withdrawn and fearful. To establish a trusting confidentiality during the orientation phase of the nurse-client relationship.
nurse=client relationship, which of the following
actions should the nurse take first? B - Incorrect The nurse should introduce the client to other clients in the day room to help the
client interact with others during the working phase of the nurse-client relationship. However,
A. Inform the client that this admission is evidence-based practice indicates that the nurse should take a different action first.
confidential C. INCORRECT The nurse should assist the client with behavioral change during the working
B. Introduce the client to other clients in the day phase of the nurse-client relationship. However, evidence-based practice indicates that the nurse
room should take a different action first.
C. Assist the client in facilitating behavioral change D. Incorrect The nurse should determine what coping strategies the client used in the past during
D. Determine coping strategies that the client the working phase of the nurse-client relationship. However, evidence-based practice indicates
used in the past that the nurse should take a different action first.
A nurse is performing a cognitive assessment to D - CORRECT
distinguish delirium form dementia in a client - Extreme distractibility is a hallmark manifestation of delirium.
whose family reports episodes of confusion.
Which of the following assessment findings A - INCORRECT
supports the nurse's suspicion of delirium? Delirium has an acute onset. Dementia is a slow, progressive decline.
B. INCORRECT
A. Slow onset Aphasia is a manifestation of dementia
B. Aphasia C. INCORRECT
C. Confabulation Confabulation is a manifestation of dementia.
D. Easily distracted
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, A nurse is caring for an older adult client who is C - CORRECT
experiencing delirium. Which of the following The nurse should provide a client who has delirium with a plan of care that decreases agitation
interventions should the nurse include in the and anxiety by permitting the client to perform daily rituals.
client's plan of care?
A- INCORRECT
A. Offer the client various choices for meal The nurse should provide a client who has delirium with a plan of care that decreases agitation
selection and anxiety by limiting the choices the client is asked to make.
B. Assign different nursing personnel for each shift B - The nurse should provide a client who has delirium with a plan of care that decreases
C. Permit the client to perform daily rituals to agitation and anxiety by providing consistent nursing personnel.
decrease anxiety D - The nurse should provide a client who has delirium with a plan of care that decreases
D. Maintain an environment that has low lighting agitation and anxiety by providing a well-lit environment.
C - CORRECT
A nurse is planning care for a client who has
The nurse should frequently offer the client high-calorie foods that can be eaten while the client
bipolar disorder and is experiencing mania. Which
is on the go. Clients experiencing mania might be unable to sit down for meals and can
of the following interventions should the nurse
experience weight loss and dehydration.
include in the plan of care?
A - INCORRECT
A. Encourage the client to participate in group
The nurse should maintain a low-stimuli environment for a client who is experiencing mania. The
therapy
nurse should dim the lights, decrease noise, and limit the number of people the client is around.
B. Instruct the client to avoid napping during the
B - The nurse should encourage the client to take frequent rest periods throughout the day.
day
Clients experiencing mania are at risk of exhaustion that can be life threatening.
C. Offer the client high-calorie finger foods
D - The nurse should encourage the client to eat foods and snacks that are high in fiber. Clients
frequently
experiencing mania can experience dehydration and nutritional deficiencies from decreased
D. Decrease the client's daily fiber intake
intake, which can lead to constipation.
B - CORRECT
During acute mania, the client is extremely active and does not sleep, which can lead to
A nurse is teaching the partner of a client who has exhaustion. Therefore, the nurse should instruct the partner to report this finding
bipolar disorder how to identify acute mania.
Which of the following findings should the client's A - INCORRECT
partner report to the provider? During the manic phase of bipolar disorder, a client's behavior becomes disorganized and
chaotic, which renders the client unable to focus on detail.
A. Obsessive attention to detail C - INCORRECT
B. Inability to sleep Although the client who is experiencing acute mania might eventually become exhausted, there
C. Reports of fatigue is a characteristic unawareness of fatigue during this phase.
D. Isolation from others D - INCORRECT
Clients who are in the manic phase of bipolar disorder often talk and joke incessantly and are
highly interactive.
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