Exam (elaborations)
ATI - Mental Health
- Module
- USMLE Step 1 Pharm
- Institution
- USMLE Step 1 Pharm
Exam of 15 pages for the course USMLE Step 1 Pharm at USMLE Step 1 Pharm (ATI - Mental Health)
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ATI RN Mental HealthRN is admitting client who has a alcohol use disorder. Which of the following statements
by the client indicates that the client is using denial as a defense mechanism?
A. I put in extra hours at work so I won't think about drinking
B. I know that wine is good for my heart, so that's why I drink some each evening C. I
make up for my drinking by taking my partner on nice vacations D. I am able to go to
work every day, so I don't have a problem - ANS-A. I put in extra hours at work so I
won't think about drinking
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?
A. Gather supplies for endotracheal intubation
B. Administer a beta blocker intravenously
C. Position the client in a low-Fowler's position
D. Place a cooling blanket over the client - ANS-A. Gather supplies for endotracheal
suctioning
(Indicates respiratory depression)
A nurse in an outpatient mental health setting is collecting a health history from a client
who is taking paroxetine for depression. The client reports to the nurse that he also
takes herbal supplements. The nurse should advise the client that which of the following
supplements interacts adversely with paroxetine?
A. St. John's wort
B. Saw palmetto
C. Echinacea
D. Ginkgo - ANS-A. St. John's wort
A nurse is caring for a client who is undergoing ECT and will receive succinylcholine.
The client asks the nurse about this medication. Which of the following responses
should the nurse make?
A. Succinylcholine will enhance the therapeutic effects of this treatment
B. Succinylcholine is given to reduce muscle movements during
, therapy
C. Succinylcholine will decrease the anxiety level that you might experience with this
treatment
D. Succinylcholine is used as a general anesthetic to make sure you are sleeping during
the procedure - ANS-B. Succinylcholine is given to reduce muscle movements during
therapy
A nurse is assessing a client who recently used cocaine. Which of the following findings
should the nurse expect?
A. Polyphagia
B. HTN
C. Decreased temp.
D. Depressed mood - ANS-b. Hypertension
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?
A. If you do my homework for me, I won't bother you for the rest of the day
B. Mom is always upset
C. It's not the children's fault, it's mine
D. It's your fault that we're having problems as a family - ANS-A. If you do my
homework for me, I won't bother you for the rest of the day
A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who
weighs 110 lbs. Available is chlorpromazine syrup 10 mg/5 ml. How many ml should the
nurse administer? - ANS-14 ml
110 lb --> kg = 50 kg
50 kg*0.55 mg = 27.5 mg
27.5 mg*(5 ml/10 mg) = 14 ml
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?
A. Promote the use of music to compete with the client's auditory hallucinations
B. Inform the client that the auditory hallucinations are not real
C. Avoid asking the client if they are experiencing auditory hallucinations
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