2024 UPDATED Mental Health ATI Mastery Exam Questions With All Correct Answers

Clinical finding of anorexia nervosa - ANSWER- Amenorrhea- what to look for Clinical finding of bulimia - ANSWER- Tooth erosion, hand calluses, hypokalemia What causes parotid gland swelling - ANSWER- Increased serum amylase levels What lab value would you expect to see in a client with alcoholic cardiomyopathy - ANSWER- Increased CPK- enzyme released when tissue is damaged Common behavior associated with dependent personality disorder - ANSWER- Needing excessive external input from others to make everyday decisions Characteristic of avoidant personality disorder - ANSWER- Difficulty starting new relationships, unless he feels accepted. Are unwilling to get involved socially unless one feels accepted. What is part of healthy adolescent behavior - ANSWER- Exhibiting a realistic self- concept What age group displays an egocentric approach to problem solving - ANSWER- Pre schoolers What age group demonstrates distrust of others - ANSWER- Infants What is a common characteristic of autism spectrum disorder - ANSWER- Language delays What disorder is associated with fears of abandonment - ANSWER- Separation anxiety disorder What places a client with schizo at greatest risk of self-directed injury or harm to others - ANSWER- Command hallucinations Example of active listening - ANSWER- Attention to body language (identifying verbal and nonverbal communication) How much percentage of weight loss must occur in order for a pt to be required hospitalization - ANSWER- Over 30% within 6 months What clinical finding of a pt with anorexia nervosa requires hospitalization - ANSWER- Temp of 96.1 degrees - severe hypothermia due to loss of SQ tissue or dehydration How offer should a pt in seclusion be offered food? ( Prescribed haloperidol and seclusion, what should be included in plan of care?) - ANSWER- Every hour also document behavior every 15-30 min vitals every 1 to 2 hrs; keep communication w/client direct and brief; obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review Rx every 24 hr What is an early indication of depression - ANSWER- Decreased social involvement Signs of cocaine intoxication - ANSWER- Tachycardia, elevated BP, dilated pupils & agitation Signs of heroin intoxication - ANSWER- Constricted pupils & decreased BP Adverse effects of imipramine- for depression - ANSWER- Urinary retention, tinnitus, weight gain & tachycardia, Tricyclic -Anticholergic Effect Signs of PTSD & Priority action - ANSWER- Distressing dreams, difficulty concentrating & exaggerated startle response, (not delusions and compulsions). safety; making the client feel safe What is a sign of lithium toxicity? Side Effects that cause patients to stop taking it? - ANSWER- Coarse hand tremors- prevents them from doing ADLs. What lab does a nurse need to evaluate for a pt taking risperidine - ANSWER- Blood glucose- can cause DM to develop What kind of foods should a pt on tranyclopromine avoid - ANSWER- Foods high in tyramine, such as some cheeses, avocados, and bologna Clinical findings of mild anxiety - ANSWER- Restlessness, irritability, nail biting & fidgeting. Feels restless & irritable before taking exam. what level of anxiety? Clinical findings of moderate anxiety - ANSWER- Tension, palpitations, increased HR & diaphoresis Clinical findings of severe anxiety - ANSWER- Difficulty sleeping, light headedness, nausea, tremors & sense of impending doom Clinical findings of panic anxiety - ANSWER- Hyperactivity, severe tremors & uncoordinated impulsive behavior Indication of complicated grief - ANSWER- Difficulty carrying on normal activities following a loss. I feel so empty without my wife, its hard to get up every morning. What med should be prescribed to a pt experiencing alcohol withdrawals - ANSWER- Chlordiazepoxide What med should be prescribed to a pt to assist in alcohol abstinence - ANSWER- Disulfiram Taking tranylcypromine. What is good food choice? - ANSWER- Roasted chicken Hx of gambling dependence and participates in support group. What is the purpose of attending the group? - ANSWER- Provide assurance that others have similar problems Haloperidol what should be reported? - ANSWER- Shuffling gait Autonomy - ANSWER- The right of self goverment Discharged from inpatient detoxification program and plans to attend AA. What statement indicates understanding of teaching? - ANSWER- I will use peer support to maintain my abstinence Bereavement support group, one member is silent after several sessions. What should nurse do To encourage participation? - ANSWER- Divide the group into pairs to discuss topic, then summarize the discussion to the group Conduct disorder is being destructive , throwing things and kicking others. What intervention is highest? - ANSWER- Use a therapeutic holding technique. Exhibits anger, aggression and violent behavior, what is priority? - ANSWER- Create a large personal space Borderline personality disorder. Priority care goal? - ANSWER- The client will refrain form self mutilation. Situational crisis - ANSWER- The client recently lost grandparent in a MVA. unexpected event, changes that results when a person faces an event or situation that causes a disruption in his or her life. Code of ethics for RN - ANSWER- The right to treatment ensures individualized care Suspects abuse for an elderly client - ANSWER- Check the client for other sings and symptoms of abuse Valproic acid, what should be monitored to determine effectiveness of med? - ANSWER- The client has decreased episode of pressured speech. Decreased insomnia, grandiose thoughts, and hyperactivitiy. Bipolar client is bragging and dominating the conversion in group therapy. What should the nurse do? - ANSWER- Tell the client to calm down or he will be dismissed form the session. What is expected with chronc stress? - ANSWER- Viral infection Client wants to use herbals instead of pharmaceuticals. What classifications is the medicine practice? - ANSWER- Alternative medicine Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What is first priority? - ANSWER- Identify the client's nutritional status. Personality disorder and demonstrates manipulative behavior. What intervention should be included in plan of care? - ANSWER- Institute consequences for manipulative behavior. Clint is being d/c to nursing home. States why do I have to go to 'that place'? What is appropriate nursing response? - ANSWER- Did your doctor or anyone else talk to you about going to the nursing home? Client sits quietly and calmly after a traumatic assault. What behavior is this? - ANSWER- Denial What is appropriate to include in plan of care for client with schizophrenia? - ANSWER- Limit the number of questions asked during the assessment. Client becomes upset and breaks a chair. What should the nurse do first? - ANSWER- Administer an antianxiety medication Tertiary interventions for suicide. - ANSWER- I should provide counseling for the family following the suicide of a client Client was alert X3, but is now restless and confused. What interventions are appropriate? - ANSWER- Move the client to a room closer to the nurses station Client has delirium tremens. What actions should be done first? - ANSWER- Raise the bed side rails