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ATI MENTAL HEALTH PROCTORED EXAM |
MENTAL HEALTH ATI EXAM
1. A charge nərs (RN), following hospital policy, reports an incident of suspected child abuse. The parent of the child becomes upset and demands to know the reason for the nərs’s action. The appropriate response to the parent should be which of the following? As a nərs, I am required by law to report incidents of suspected child abuse 2. A nərs is discussing comorbidities associated with eating disorders with a newly licensed nərs. Which of the following should the nərs include in the discussion? (Select all that apply) Anxiety Obsessive compulsive disorder Depression 3. The nərs is leading a group of patients who have returned from fighting in Iraq. Which of the following statements indicates the need for further assessment and potential intervention? I know I’m not in danger now, but certain sounds make me remember the war 4. During a group therapy session a nərs notes a client (patient) using multiple defense mechanism. Which of the following client (patient) statements demonstrates rationalization? I don’t care about work anymore since I was not given a promotion 5. A nərs is conducting a group therapy meeting and is sharing a humorous story. When the group laughs at the story, a client (patient) who has schizophrenia jumps up and runs out while yelling “You are all making fun of me” Which of the following behaviors is the client (patient) displaying? Ideas of reference 6. A male nərs is assigned to care for a female client (patient) who was admitted to the hospital following a domestic abuse incident. The client (patient) states she does not want a male nərs as her caregiver. Which of the following nursing responses is appropriate? Would you like me to review the assignment and assign a female nərs to care for you? 7. A nərs is caring for a client (patient) diagnosed with depression. The client (patient)’s spouse asks the nərs about possible side effects of electroconvulsive therapy (ECT). After an explanation of the procedure, what additional information should the nərs offer? Recent research has shown that the main side effects are usually temporary, but may include confusion, headache, and memory loss. 8. A nərs manager is preparing to report evidence of substance diversion or being under the influence on duty concerning a RN who she is responsible for in the organization. Which of the following has the authority to institute a diversion program or disciplinary nərs’s license? State board of registered nursing 9. A nərs is consulting about addiction on a webinar with nursing staff. Which of the following are etiological risk factors of addictive disorders? Select all that apply Low self-esteem
Family history of addiction Personality disorder American Native or Alaskan ethnicity
10. You are a nərs assigned to care for a client (patient) who is experiencing acute alcohol withdrawal (delirium tremors). Which of the following are potential expected findings during assessment? Altered level of consciousness, anxiety, tremors, shaking Hallucinations, delusions The answer is #1 and # 11. A nərs is facilitating a community education class about substance use disorders. Which of the following should the nərs identify as a primary risk factors of developing pancreatitis and cirrhosis? Alcohol 12. A nərs is assessing a client (patient) who has post-traumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding? Increasing feelings of anger 13. A nərs in acute mental health unit is admitting a client (patient) who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania. Select all that apply The client (patient) responds to questions with disorganized speech and tangential though processes 14. A client (patient) who has moderate anxiety is pacing the hall and mumbling. As the nərs on the inpatient mental health unit approaches the client (patient), he states “I am at the end of my rope. I don’t think I can take any more bad news” Which of the following statements is an appropriate nursing response? Would it help to go to a private area where we can talk without interruption? 15. A nərs is caring for a client (patient) who is experiencing a crisis related to anxiety. Which of the following interventions are appropriate? Select all that apply Establish rapport with the client (patient) Identify the cause of the anxiety Validate the client (patient)’s feelings 16. A nərs is caring for a client (patient) who requires intervention for acute suicidal ideation. Which of the following is the highest priority intervention? Protecting the client (patient) from injury 17. A client (patient) has started to take lithium carbonate (Eskalith) to treat bipolar disorder. The nərs should make sure the client (patient) understands that he must maintain consistency in his intake of which of the following dietary elements? Sodium 18. A nərs in mental health clinic is caring for a client (patient) who had a lithium (Lithane) level of 1/5 mEq/L. The nərs should expect to observe which of the following? Adverse effects related to a mildly elevated lithium level 19. A nərs is communicating with a newly admitted patient. Which of the following is a
I have this kind of an infection” Which of the following responses should the nərs make? You seem scared to talk to your parents
31. A nərs is caring for a client (patient) who was involved in heavy combat and observed war casualties. The nərs should suspect that the client (patient) is suffering from posttraumatic stress disorder (PTSD) if the client (patient) makes which of the following statements? In my dreams, all I can see are the wounded reaching out and trying to grab me 32. A nərs for a client (patient) who has depression observes the client (patient) comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nərs is therapeutic? I see you have done some grooming today 33. A nərs reports an incident of suspected older adult abuse to Adult Protective Services. This a category of suspected abuse that nərss must report. However, one of the children of the patient becomes upset and demands to know the reason for the nərs’s action. Which of the following responses by the nərs is most appropriate? As a nərs, I am required by law to report suspected child/older abuse 34. A nərs in a mental health facility is caring for a client (patient) in the busy facility dining room during lunchtime when suddenly the client (patient) becomes angry and throws a chair. The client (patient)’s behavior escalates despites verbal attempts to calm him down. Which of the following interventions should the nərs perform first? Move other client (patient)s out to the lunch room 35. A nərs is planning care for a client (patient) who demonstrates manipulative behavior. Which of the following interventions should be included in the plan of care? Institute consequences for manipulative behavior 36. A nərs on a long-term care unit is creating a plan of care for a client (patient) who has Alzheimer’s disease. Which of the following interventions should the nərs include in the plan? Talk the client (patient) through tasks one step at a time 37. A nərs in a mental health facility is planning care for a client (patient) who has obsessive- compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nərs plan to take regarding the client (patient)’s compulsive behaviors? Plan the client (patient)’s schedule to allow time for rituals 38. A nərs is caring for a young adult client (patient) who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nərs make? It sounds like you’re having a difficult time 39. A nərs is admitting a client (patient) who has experienced a weight loss of 11 kg (25lb) in the past 3 months. The client (patient) weight 40 kg (88lb) and believes she is fat. Which of the following aspects of care should the nərs consider the first priority for this client (patient)? Identify the client (patient)’s nutritional status 40. A client (patient) becomes very dejected and states, “No one really cares what happens to me. Life
isn’t worth living anymore.” Which of the following responses should the nərs make? I care about you, and I am concerned that you feel so sad
41. A school nərs is talking with a 13 year old female at her annual health screening visit. Which of the following comments made by the adolescent should be the nərs’s priority to address? None of the kids at the school like me, and I don’t like them either 42. A nərs is caring for a client (patient) who was admitted with acute psychosis and is being treated with haloperidol. The nərs should suspect that the client (patient) may be experiencing extrapyramidal symptoms when the client (patient) exhibits which of the following? Select all that apply Tongue thrusting and lip smacking Involuntary pelvic rocking and hip thrusting movements 43. A nərs in an emergency department is caring for an adolescent client (patient) who reports being sexually assaulted just prior to admission. Which of the following actions should the nərs take? Ask the client (patient) to describe the situation 44. A male nərs is assigned to care for a female client (patient) who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client (patient) tells the nərs manger she does not want a male nərs as her caregiver. Which of the following nursing responses should the nərs manage make? I can review the assignments and arrange for a female nərs to care for you 45. A nərs is assessing a parent who lost a 12 year old child in a car crash 2 years ago. Which of the following findings indicates the client (patient) is exhibit manifestations of prolonged grieving? Leaves the child’s room exactly as it was before the loss 46. A charge nərs is admitting a client (patient) who has bipolar disorder and who is in the manic phase. Which of the following is the most appropriate room assignment for the new client (patient)? A semi-private room across from the snack area 47. A nərs is planning a unit orientation for a newly admitted client (patient) who has severe depression. Which of the following should be the nərs’s approach? Sit with the client (patient) and offer simple, direct information 48. A nərs is observing a newly licensed nərs as she interacts with a client (patient) regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nərs requires intervention by the nərs? You should try to see your partner’s point of view before your own 49. After ignoring a unit rule regarding being weighed, a client (patient) receiving treatment for an eating disorder tell the nərs, “I can’t get weighed this morning because I drank a glass of juice few minutes before breakfast.” Which statement by the nərs is consistent with treatment principles? This is weight day. Please step on the scale
63. While interviewing a client (patient) with schizoid personality disorder, the nərs notes the client (patient) has a flat affect and is minimally communicative. The nərs attributes this behavior to which of the following: The limited social interests associated with schizoid personalities 64. A client (patient) with bipolar disorder who has been on a maintenance dose of lithium for several months calls the clinic and complains of nausea, vomiting, severe diarrhea, and impaired coordination. The nərs taking the call should advise the client (patient) to: Hold the next dose of medication and schedule a same day appointment to see his physician 65. Side effects of tricyclic antidepressants include: Dryness of mouth, sedation, and constipation 66. The nərs should teach a client (patient) receiving Tranylcypromine (Parnate) that failure to adhere to the dietary restriction of tyramine can result in: Hypertensive crisis 67. A client (patient) whose diagnosis is bipolar 1 disorder, current episode mania, refuses to take lithium carbonate due to excessive weight gain while on the medication in order to increase compliance, which medication does the nərs anticipate that the physician will prescribe instead of lithium? Valproic Acid (Depakote) 68. A 35 year old client (patient) diagnosed with dysthymia asks the nərs to explain what the diagnosis means. When responding to the client (patient) the nərs should state that before dysthymia can be diagnosed, depressed mood would be present: For at least 2 years 69. One morning a client (patient) with the diagnosis of Major Depression states to the nərs, “God is punishing me for my past sins” Using therapeutic communication which of the following is the most appropriate response to “verbalize the implies”? I am hearing you say that you are feeling guilty 70. A nərs on an inpatient eathing disorder unit is caring for a client (patient) who has anorexia nervosa and has a body mass index of 17.2. Which of the following nursing interventions are appropriate for this client (patient)? Select all that apply Provide the client (patient) with small meals frequently Monitor the client (patient)’s weight daily Stay with the client (patient) during meals and for 1 hour afterward Offer specific privileges for sustained weight gain 71. A nərs is planning care for a client (patient) who has anorexia nervosa. Which of the following client (patient) goals has the highest priority? The client (patient) will: Attain a weight that is greater than the 75 th^ percentile for age and height 72. Which finding related to a teenager who has been diagnosed with depression is most significant when planning care? Her mother died from suicide 1 year ago
73. Immediately after electroconvulsive therapy (ECT), nursing care the patient is most similar to care of a client (patient): Recovering from general anesthesia 74. Which assessment findings would prompt the nərs to suspect a disulfiram (Antabuse) reaction? Headache, dyspnea, nausea, vomiting, and flushing 75. A client (patient) with bulimia nervosa has not responded to psychotherapeutic management. The health care provider is likely to prescribe a drug which classification? SSRI antidepressant 76. A 27 year old woman diagnosed with borderline personality disorder displays a labile affect, impulsivity, frequent angry outburst, and difficulty tolerating her angry felling without self-injury. A priority nursing diagnosis for this patient is: Risk for self-mutilation 77. A Client (patient) commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident? Identify cues in the client (patient)’s behavior that might have warned them that he was contemplating suicide 78. A nərs is performing an admission assessment for a client (patient) who is receiving treatment following a situational crisis. Which of the following assessments by the nərs is the highest priority? Determining if the client (patient) has psychotic thinking 79. A nərs is caring for a client (patient) who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nərs take first? Set behavioral limits for the client (patient) 80. A nərs is caring for a client (patient) who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nərs to address? Command hallucination 81. A nərs is providing teaching about confidentiality with a newly licensed nərs. Which of the following statements by the newly licensed nərs indicates an understanding of the teaching? The courts might require me to discuss confidential information 82. A nərs is caring for a young adult client (patient) following the sudden death of his wife. The client (patient) feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client (patient) experiencing? Situational 83. A nərs is caring for a client (patient) who has schizophrenia who consistently does the opposite of what the nərs asks of him. The nərs recognizes this as which of the following alterations in behavior? Active Negativism 84. A nərs is counseling a client (patient) for the management of anxiety. The client (patient)
93. A nərs is providing counseling to a group of teenagers who have lost two friends in an automobile accident. One of the teenagers walks out of the group calmly but tearful and states, “I am so bummed out, I don’t want to talk about this, there is no fairness in life” The nərs recognizes this behavior as: Depression 94. A 6 year old boy with attention deficit hyperactivity disorder (ADHD) is acting aggressively toward the other children in a day care center. The best action for the nərs is to: Take him to another room to play out his feelings 95. A client (patient) with dementia has a disturbed sleep pattern. Which of the following interventions should the nərs utilize for the client (patient)? Promote mild exercise during the day 96. A nərs is caring for a client (patient) who has anorexia nervosa and over exercises to avoid gaining weight. Which of the following nursing action is appropriate? Establish a contract with the client (patient) which requires her to talk with the nərs when she feels the urge to exercise 97. An elderly client (patient) with dementia is brought to the emergency room at midnight by a family member. The client (patient) is suffering from severe dehydration and malnutrition and is showing signs of toxicity to cardiac medications. The nərs assigned to the patient feels he could be a victim of elder abuse because: The client (patient)’s basic needs have been neglected 98. A client (patient) diagnosed with borderline personality disorder has made superficial cuts with a razor on each arm and requires daily dressing changes. During the performance of this physical care, the nərs should: Provide a care in a matter of fact manner 99. A nərs is caring for a client (patient) who is admitted to the acute mental health following a suicide attempt. The client (patient) has a history of depression, substance use disorder, and anorexia nervosa. Which of the following is the priority action? Initiating Suicide Precautions 100. A nərs is caring for a patient who has schizophrenia and tells the nərs, “They lie about me all the time and they are trying to poison my food” Which of the following nursing responses is therapeutic? You seem to be having very frightening thoughts 101. A nərs is teaching a client (patient) with schizophrenia about her new prescription for risperidone. Which of the following statements should the nərs include in the teaching? You should discontinue the medication if you develop muscle rigidity You will experience weight loss while taking this medication You will notice your symptoms improve than 24 hours of taking this medication You should increase your consumption of complex carbohydrates 102. A nərs is admitting a client (patient) who has generalized anxiety disorder. Which of the
following actions should the nərs plan to take first? Provide the client (patient) with a quiet environment Determine how the client (patient) handle stress Teach the client (patient) to use guided imagery Ask the client (patient) to identify her strengths
103. A nərs is conducting an admission interview with a client (patient) who is experiencing mania. Which of the following findings should the nərs report to the provider? States that he hasn't bathed in 2 days Reports eating twice in the past week Make inappropriate sexual comments Speak in rhyming sentences 104. A nərs is planning care for a client (patient) who has OCD. Which of the following recommendation should the nərs include in the Client (patient)’s plan of care? Validation therapy Thought stopping Operant conditioning Reality orientation therapy 105. A nərs is caring for a client (patient) who has bipolar disorder and experiencing a manic episode. Which of the following actions should the nərs take? Encouraged client (patient) to join group activities Dim the lights in the client (patient)’s room Provide detailed explanations to the client (patient) Administer methylphenidate to the client (patient) 106. A nərs is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nərs take first? Initiate referrals Review Community Resources Identify prior coping skills Discuss the importance of confidentiality 107. A nərs overhears a client (patient) saying, “I am a spy, a spy for the FBI. I am an I, an eye for an eye, and eye in the sky. Sky is up high.” The nərs should document the client (patient) statement as which of the following speech alterations? Echolalia Word salad Neologism Clang Association 108. An older adult client (patient) is brought to the mental health clinic by her daughter. The
seclusion Have the client (patient) breathe into a paper bag
114. A nərs is caring for a client (patient) following a physical assault. The client (patient) states, “I don't remember what happened to me.” The nərs should recognize that the client (patient) is using which of the following defense mechanisms? Repression Displacement Rationalization Denial 115. A nərs is caring for a client (patient) who has anorexia nervosa. Which of the following findings requires immediate intervention by the nərs? +2 edema of the lower extremities BUN 21 mg/dL Lanugo covering the body Blood pH 7. 116. A nərs is caring for a client (patient) in a mental facility. The client (patient) is educated and threatens to harm herself and others. Which of the following is a nərs's priority intervention? Place the client (patient) in restraints Administer and anti-anxiety medication to the client (patient) Put the client (patient) in seclusion Set limits on the client (patient)'s behavior 117. A nərs is preparing to administer haloperidol 7 mg IM to a client (patient) who is severely agitated. Available as Haloperidol injection 5mg/ml. How many ml should the nərs administer? (Round to the nearest tenth) 1.4 ml 118. A nərs is caring for a client (patient) who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client (patient) refuses the treatment and will not discuss why the healthcare team would. Which of the following actions should the nərs take? Ask the client (patient)'s family to encourage the client (patient) to receive ECT Inform the client (patient) that ECT does not require client (patient) consent Document the client (patient)’s refusal of the treatment in the medical record Tell the client (patient) he cannot refuse the treatment because he was involuntarily committed 119. A nərs in emergency department is caring for a client (patient) who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nərs take first? Request a mental health consult for the client (patient) Ask the client (patient) if she has thought about harming herself Encourage the client (patient) to attend a grief support group Discuss the client (patient)'s coping skills 120. A nərs is caring for a client (patient) who has borderline personality disorder and has been
engaging in self-mutilation. The nərs should encourage decline to participate in which of the following groups? Dual diagnosis treatment group Dialectical behavior treatment group For client (patient) who exhibit self injurious behavior Desensitization therapy Co-dependents support group
121. A nərs is reviewing the medication administration record of a client (patient) who has schizophrenia. The nərs should plan to initiate abnormal involuntary movement scale to monitor for adverse effects of which of the following medications? Amantadine Diphenhydramine Benztropine Haloperidol a. To screen for EPS b. AE for antipsychotics 122. A nərs is counseling a client (patient) following the death of the client (patient)’s partner 8 months ago. Which of the following client (patient) statements indicates maladaptive grieving? I am so sorry for the times I was angry with my partner I find myself thinking about my partner often I still don't feel up to returning to work I like looking at his personal items in the closet 123. A nərs is caring for a client (patient) who has borderline personality disorder. Which of the following outcomes should the nərs include in the treatment plan? a. The client (patient) will report a decrease in hallucinations b. The client (patient) will communicate needs c. The client (patient) will verbalized improved mood d. The client (patient) will attend to personal hygiene 124. A nərs is caring for a client (patient) who is prescribed the massage therapy to treat panic disorder. The client (patient) states, “I can't stand to be touched by another person.” Which of the following responses should the nərs make? a. Why don't you like to be touched by others? b. Don't worry about it. Your anxiety will lessen once a massage begins c. I will tell your provider that you would like a treatment other than massage d. I will request that the massage therapist wear gloves during the treatment 125. A nərs is creating a plan of care for a client (patient) who has major depressive disorder. Which of the following interventions should the nərs include in the plan? a. Encourage physical activity for the client (patient) during the day b. Discourage the client (patient) from expressing feelings of anger
d. You should avoid drinking carbonated beverages while taking the medication - caffeine? e. You can expect to develop a physical dependence to the medication
129. A nərs is caring for a client (patient) who is in the manic phase of bipolar disorder. Which of the following actions should the nərs take? a. Avoid power struggles by remaining neutral b. Allow the client (patient) to set limits for his behavior c. Provide in-depth explanation of nursing expectations d. Encourage the client (patient) to participate in group activities 130. A nərs is assessing a young adult female client (patient) for schizophrenia. Which of the following findings should the nərs identify as a risk factor for this condition? a. Environmental stress b. Gender c. Depression d. Birth order 131. A nərs is providing discharge teaching about manifestations of relapse to the family of a client (patient) who has schizophrenia. Which of the following information should the nərs include in the teaching? a. The client (patient) exhibits an inflated sense of self b. The client (patient) develops an inability to concentrate c. The client (patient) increases participation in social activities - impaired social d. The client (patient) begins sleeping more than usual - can’t sleep 132. A nərs is assessing a client (patient) who is restless and constantly mutters to himself. Which of the following findings should the nərs to suspect delirium? a. The client (patient) unable to recognize objects b. The client (patient)s manifestations developed suddenly c. The client (patient) has a flat affect d. The client (patient) speech is slow and repetitious 133. A nərs is caring for a client (patient) and an inpatient mental health facility. The client (patient) tells the nərs that the government is reading her mail. Which of the following responses should the nərs make? a. You know that's not true, because it is against the law for others to read your mail b. All of your letters come sealed, so that seems unlikely c. It must be frightening that someone is reading your mail d. Why do you think the government wants to read your mail? 134. A nərs is assessing a client (patient) who has Neuroleptic malignant syndrome. Which of the following clinical findings should the nərs expect? a. Heart rate 48/min b. Temperature 104 F - sudden high fever
c. WBC 3,000/mm d. Hypotonicity
135. A nərs is reviewing the medical record of a client (patient) who is taking clozapine for which of the following findings should the nərs withhold the medication and notify the provider? EXHIBIT a. WBC count b. Blood glucose level c. Report of photosensitivity d. Heart rate 136. A nərs is caring for a client (patient) who has a personality disorder and is using transference to cope. Which of the following behaviors should the nərs expect? a. Talking negatively about other staff members b. Expressing frustration regarding unit rules c. Reacting to the nərs as though she were his mother d. Refusing to participate in group activities 137. A nərs in a mental health facility is caring for a newly admitted client (patient). Which of the following resources should the nərs recommend to help the client (patient) adapt to the health care setting? a. A community meeting b. A medication group c. A self-help meeting d. A symptom Management Group 138. A nərs is assisting with obtaining informed consent for a client (patient) who has been declared legally incompetent. Which of the following actions should the nərs take? a. Request of the client (patient)’s Guardian sign the consent b. Ask the charge nərs to obtain informed consent c. Contact the social worker to obtain the consent d. Explain implied consent to the client (patient)’s family 139. A nərs is caring for a client (patient) who has cocaine use disorder. Which of the following manifestations should the nərs expect the client (patient) to have during the withdrawal? a. Hand tremors b. Rapid speech c. Fatigue d. Seizures 140. A nərs is providing teaching about this order management for a client (patient) who has PTSD. Which of the following statements should the nərs include in the teaching? a. Avoiding stimuli that trigger memories of the trauma can help you overcome your PTSD b. Talking about the traumatic experience is recommended
countertransference? a. The client (patient) is just like my brother who finally overcame his habit b. The client (patient) needs to accept responsibility for his substance use c. The client (patient) generally shares his feelings during group therapy sessions d. The client (patient) asked me to go on a date with him, but I refused
147. A nərs is caring for a client (patient) who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nərs take first? a. Establish a rapport to foster trust b. Implement continuous one to one observation c. Ask the client (patient) to sign a no suicide contract d. Encourage the client (patient) to participate in group therapy 148. A nərs is providing teaching for a newly licensed nərs about the constructive use of defense mechanisms. Which of the following examples should the nərs include in the teaching? a. A student who is upset with her teacher writes a story about an excellent student b. A school-age child whose mother died two years ago talks about her and present tense c. A woman who has a health concern postpones a medical appointment until after the vacation d. An adult who was sexually abused as a child is unable to remember the incident 149. A nərs in an inpatient mental health facility is assessing a client (patient) who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nərs’s priority? a. High fever b. Urinary hesitancy c. Insomnia d. Headache 150. A nərs is planning care for a client (patient) who has a recent diagnosis of antisocial personality disorder. Which of the following outcomes should the nərs include in the care plan? a. The client (patient) recognizes the importance of others b. The client (patient) conforms to social norms regarding clothing choices c. The client (patient) reduces self dramatization d. The client (patient) treats others with respect 151. A nərs is planning care for a newly admitted client (patient) who has anorexia nervosa. Which of the following interventions should the nərs include in the plan? a. Negotiate with the client (patient) how much weight she should gain each week b. Decrease the client (patient)'s daily intake of fiber c. Weigh the client (patient) weekly for the first month d. Notify the client (patient) about designated times for meals 152. A nərs is fearful of driving and enters a behavioral therapy program to help him overcome his anxiety. Using systematic desensitization, he's able to drive down a familiar street without experiencing a panic attack. The nərs should recognize that to continue positive results, the client
(patient) should participate in which of the following? a. Therapist modeling b. Positive reinforcement c. Frequent practice d. Biofeedback
153. A nərs in the emergency department is counseling a client (patient) who reports experiencing intimate partner violence. Which of the following actions should the nərs take? a. Request permission from the client (patient) to take photographs of the injuries b. Offer to help the client (patient) escape from the partner the next time violence occurs c. Determine what the client (patient) did to trigger the violent incident d. Tell the client (patient) that staying with the partner shows a lack of judgement 154. A nərs is caring for a client (patient) who has a prescription for phenelzine. The nərs should instruct the client (patient) to avoid which of the following over the counter medications? a. Ranitidine b. Pseudoephedrine c. Ibuprofen d. Docusate sodium c. Contraindicated w SSRIs, vasoconstrictors, epinephrine, NE 155. A nərs is caring for a client (patient) who is experiencing active auditory hallucinations. Which of the following actions should the nərs take? a. Avoid asking direct questions about the client (patient)s experiences b. Convey sympathy for the client (patient)s experience c. Tell the client (patient) her experience is not real d. Focus the client (patient) on reality-based activities 156. A nərs is caring for a client (patient) who has just returned to the unit after receiving an electroconvulsive therapy treatment. Which of the following assessments is a nərs's priority? a. First voiding b. Short-term memory c. Presence of gag reflex d. Return of bowel sounds 157. A nərs is talking to a client (patient) following a group therapy session. The client (patient) tells the nərs that one of the other client (patient)s in the group made an inappropriate comment. Which of the following responses should the nərs make? a. I think you should ignore the comment b. You sound upset about today’s session c. Why do you think that he said that to you? d. I agree that the comment was inappropriate 158. A nərs is assessing a client (patient) who is experiencing acute alcohol withdrawal. Which of the following findings should the nərs expect?
