Mental Health Nursing: Comprehensive Exam Preparation, Exams of Nursing

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ATI Mental Health CMS Prep Complete Questions

And Answers 2023

A nurse is caring for a group of clients. Which of the following findings should the nurse report? ✔✔A client who is taking lamotrigine and has developed a rash lamotrigine is an anticonvulsant med that is used as a mood stabilizer. The nurse should identify that a rash is potentially life-threatening a/e a nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening? ✔✔attention to body language use of active listening involves identifying verbal and nonverbal communication by the client which includes attention to body language a nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following meds should the nurse administer first? ✔✔diazepam 5m IV bolus the greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated HR and elevated BP. IV diazepam acts rapidly to prevent seizures. stabilize v/s and decrease intensity of withdrawal signs A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic med yesterday. Which of the following findings indicates the nurse should administer benztropine 2mg IM? ✔✔shuffling gait benztropine is used to treat parkinsonism signs a nurse is delegating client care tasks to a LPN and an AP. Which of the following task should the nurse assign to the LPN? ✔✔change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds. a client who has borderline personality disorder is at risk for self-mutilation such as cutting self inflicted wounds scratching or picking at wounds. It is in w/in the LPN's scope to change the dressing, cleanse the wounds and collect data regarding the healing. a nurse is planning care for a 7 year old who has ADHD. which of the following interventions should the nurse identify as priority? ✔✔remove unnecessary equipment from the child's surroundings the greatest risk to the child who has ADHD is injury rom impulsive behavior and the decreased ability to perceive self-harm.

a nurse is discussing the home care of a client who has advanced alzheimers with the clients partner, who is planning to go out of town for several days. which of the following resources should the nursing recommend to the caregiver? ✔✔respite care respite care programs allow the client to stay in a nursing facility for a set number of days, allowing the caregiver to go on vacation or have time to themselves a nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? ✔✔refrains from manipulating others to earn dinning room privileges the goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. a nurse is assessing a client who has schizophrenia. which of the following findings should the nurse document as a negative symptom of this disorder? ✔✔negative symptoms of schizophrenia affect a person's ability to interact with others and are less dominant than positive symptoms. these symptoms develop over time. examples are flat affect, anergia (lack of energy), anhedonia, and thought blocking a nurse is reviewing routine lab values for several clients who are taking lithium. which of the following clients should the nurse assess further for findings of lithium toxicity? ✔✔a client who has sodium level of 128 renal excretion of lithium is decreased in the presence of low sodium level a nurse is caring for a client who is experiencing a situational crisis. which of the following findings should the nurse expect ✔✔the client recently lost a grandparent in a car accident situational crisis is when an unexpected event occurs a nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. which of the following is the priority by the nurse? ✔✔provide frequent high calorie snacks the priority action the nurse should take when using maslows hierarchy of needs is to meet the clients need for adequate nutrition a nurse is assessing a client who has borderline personality disorder. which of the following findings should the nurse expect? ✔✔emotional lability

rapid transition from one emotions to another and is a primary feature of borderline personality. people with BPD react to situations with emotional responses that are out of proportion to the circumstance a nurse is planning care for a client who is experiencing acute mania. which of the following interventions should the nurse include in the plan to promote sleep? ✔✔encourage frequent rest periods throughout the day a client who is experiencing acute mania is at risk for sleep disturbances and might go for extended periods of time w/ sleep. encourage rest during the day can limit risk of exhaustion a nurse in a clinic is assessing a client whose partner died 4 months ago. which of the following indicated the client is at risk for complicated grief? ✔✔"i feel so empty without my wife it's hard to get up every morning." the nurse should identify that when a client has difficulty carrying on normal activities following a loss, this is an indication that there is a risk for complicated grief a nurse in a providers office is collecting a health history from the guardian of a school- age child who has been taking atomoxetine. which of the following a/e reported is the priority for the nurse to report? ✔✔dark urine greatest risk for the child is liver damage from atomoxetine, which can progress to liver failure and death. a nurse is caring for an older client who is experiencing delirium. Which of the following interventions should the nurse include in the clients plan of care? ✔✔permit the client to perform daily rituals to decrease anxiety the nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by permitting the client to perform daily rituals a nurse is assessing a client who is experiencing opioid withdrawal. which of the following manifestations should the nurse expect? ✔✔rhinorrhea nurse should expect the client to have rhinorrhea and flu-like symptoms such as yawning, sneezing, and abd pain. a nurse is facilitating a community meeting for acute care clients. one client is constantly talking and using the majority of the groups time. which of the following interventions should the nurse implement? ✔✔ask group members to discuss their feelings about this clients monopolizing behavior this intervention will validate other members' feelings toward the client who is dominating the meeting. is also encourages group problem-solving

a nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. which of the following behaviors is the priority for the nurse to report to the tx team? ✔✔giving away possessions indicates client is at greatest risk for suicide. a nurse is caring for four clients in an emergency department. the nurse should identify that which of the following clients can give informed consent? ✔✔a 35 year old who has MDD a nurse is admitting a client who has MDD and a new prescription for tranylcypromine. Which of the following over the counter meds that the client reports taking should alert the nurse to a potential adeverse reaction? ✔✔phenylephrine clients taking tranylcypromine a MAOI should not take phenylephrine and OTC meds for sinus congestion colds or allergies due to their actions on the SNS which can result in severe hypertension a nurse is planning discharge teaching for a client who has severe schizoaffective disorder. the nurse should identify that which of the following treatment options can offer interdisciplinary services for the client at home? ✔✔assertive community treatment provides comprehensive, community-based services to clients who have severe mental illness based upon individualized needs. services available in any setting including clients homes, 24hr per day and provide crisis intervention, med services, and advocacy a nurse is updating the plan of care for a client who has bulimia and is 5% above their ideal body weight. which of the following interventions should the nurse include in their plan? ✔✔identify clients trigger foods a nurse is caring for a child who is taking methylphenidate. the nurse should monitor the child for which of the following findings as an a/e of methylphenidate? ✔✔tachycardia a nurse is reviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. the nurse should administer benztropine to relieve which of the following adverse effects? ✔✔acute dystonia a nurse on a med surg unit is assessing a client who sustained injuries 12 hours ago following a motor vechile crash. the clients admission blood alcohol level was 325 mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? ✔✔BP 154/ symptoms of alcohol withdrawal are hypertension, tachycardia, and fever greater than

a nurse is receiving change of shift report for four clients. which of the following clients should the nurse plan to see first? ✔✔a client who is taking clozapine and reports a sore throat and chills can cause agranulocytosis that causes neutropenia a nurse is caring for a client for a client who has panic disorder and is experiencing anxiety at the panic level. which of the following actions should the nurse take first? ✔✔instruct the client to take slow deep breaths a nurse is caring for an adolescent male client who has anorexia. the client asks "have i done any permanent damage to my body?" which response should the nurse provide? ✔✔What concerns do you have about your physical health? a nurse is caring for a client who has schizophrenia and states "my doctor is trying to kill me" which response should the nurse make? ✔✔it must be frightening to feel that your doctor is trying to kill you. nurse should empathize with the feelings a nurse is caring for a client who is receiving treatment for alcohol detoxification. what med should the nurse expect to administer? ✔✔diazepam antianxiety agents are used to minimize signs of alcohol withdrawal a nurse is reviewing the medical record of a client who has a prescription for a benzo. which of the following findings should the nurse questions the providers prescription? ✔✔hypotension benzos can cause severe hypotension putting client at risk for cardiac arrest a nurse is assessing a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2. what findings should the nurse expect? ✔✔blurry vision signs of lithium toxicity are levels between 2-2.5, blurry vision, ataxia, clonic twitching, severe hypotension, and polyuria a nurse is assessing a client who has anorexia. the nurse should expect which of the following? ✔✔feelings of decreased self worth a nurse is providing teaching to the parents of a school aged child with ADHD. which of the following should the nurse include in the teaching? ✔✔ignore your childs attention seeking behavior that are not dangerous

a nurse is caring for a client with alcohol use disorder who has undergone detox. what med should the nurse expect the provider to prescribe to assist in maintaining sobriety? ✔✔disulfiram a nurse is assessing a client who is taking buspirone to treat GAD. what findings should the nurse identify as an adverse effect? ✔✔xerostomia (dry mouth) a nurse is assessing a client who has panic disorder and has been taking paroxetine. which of the following should the nurse identify as an adverse affect? ✔✔weight gain other adverse affects of SSRIs are nausea, headache, insomnia, and sexual dysfunction