VIRTUAL ATI PN MENTAL HEALTH PRE ASSESSMENT, Exams of Nursing

VIRTUAL ATI PN MENTAL HEALTH PRE ASSESSMENT

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2023/2024

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VIRTUAL ATI PN MENTAL HEALTH PRE
ASSESSMENT
A nurse is teaching a newly licensed nurse about ECT. Which of the following statements by the newly
licensed nurse indicates understanding?
1. "ECT is an effective treatment for personality disorders"
2. "I should monitor the client closely for hypotension following ECT"
3. "Informed consent should be obtained prior to ECT"
4. "It is a myth that clients experience seizures during it" - correct answer โœ”โœ”3. "Informed consent
should be obtained prior to ECT"
A nurse is contributing to the plan of care for a client who has paranoid schizophrenia. Which of the
following interventions should the nurse recommend to be included int he plan of care?
1. Rotate the client's staff assignments daily
2. Use touch to clam the client during periods of anxiety
3. Serve food family-style rather than on individual plates
4. Assume an upbeat, friendly attitude when talking with client - correct answer โœ”โœ”3. Serve food family-
style rather than on individual plates
-will think their food is less poisoned if everyone takes their portion from the same serving dish
A nurse is reinforcing teaching with a client who has an alcohol use disorder and is taking disulfiram.
Which of the following statements should the nurse include in the teaching?
1. "Avoid alcohol for 2 weeks after discontinuing the medication"
2. "This medication will cure alcohol use disorder"
3. "You should avoid eating undercooked meats while taking this medication"
4. "You can safely use topical products that contain alcohol, such as cologne" - correct answer โœ”โœ”1.
"Avoid alcohol for 2 weeks after discontinuing the medication"
A nurse is contributing to the plan of care for a newly-admitted client who has obsessive-compulsive
disorder. Which of the following interventions should the nurse plan to include?
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VIRTUAL ATI PN MENTAL HEALTH PRE

ASSESSMENT

A nurse is teaching a newly licensed nurse about ECT. Which of the following statements by the newly licensed nurse indicates understanding?

  1. "ECT is an effective treatment for personality disorders"
  2. "I should monitor the client closely for hypotension following ECT"
  3. "Informed consent should be obtained prior to ECT"
  4. "It is a myth that clients experience seizures during it" - correct answer โœ”โœ”3. "Informed consent should be obtained prior to ECT" A nurse is contributing to the plan of care for a client who has paranoid schizophrenia. Which of the following interventions should the nurse recommend to be included int he plan of care?
  5. Rotate the client's staff assignments daily
  6. Use touch to clam the client during periods of anxiety
  7. Serve food family-style rather than on individual plates
  8. Assume an upbeat, friendly attitude when talking with client - correct answer โœ”โœ”3. Serve food family- style rather than on individual plates -will think their food is less poisoned if everyone takes their portion from the same serving dish A nurse is reinforcing teaching with a client who has an alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?
  9. "Avoid alcohol for 2 weeks after discontinuing the medication"
  10. "This medication will cure alcohol use disorder"
  11. "You should avoid eating undercooked meats while taking this medication"
  12. "You can safely use topical products that contain alcohol, such as cologne" - correct answer โœ”โœ”1. "Avoid alcohol for 2 weeks after discontinuing the medication" A nurse is contributing to the plan of care for a newly-admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse plan to include?
  1. Give negative reinforcement for ritualistic behavior
  2. Provide a stimulating environment for the client
  3. Provide a structured schedule of activities for the client
  4. Limit time for rituals to 30 min each day - correct answer โœ”โœ”3. Provide a structured schedule of activities for the client A nurse is caring for a client who is exhibiting signs of serotonin syndrome. Which of the following is the nurse's priority intervention?
  5. Administering an anticonvulsant
  6. Administering diazepam
  7. Preparing for artificial ventilation
  8. Applying a cooling blanket - correct answer โœ”โœ”3. Preparing for artificial ventilation
  • thinking ABC A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
  1. "What are the voices telling you"
  2. "How often do you hear the voices"
  3. "I know you hear the voices, but i do not"
  4. "The voices are part of your illness" - correct answer โœ”โœ”1. "What are the voices telling you" A nurse is caring for a client who is in the acute manic phase of bipolar disorder. Which of the following activities is appropriate for the nurse to suggest to the client?
  5. Attending a client's birthday party in the cafe
  6. Watching a movie with a group of clients in the day room
  7. Participating in a basketball game in the gym
  8. Walking with the nurse on the grounds of the facility - correct answer โœ”โœ”4. Walking with the nurse on the grounds of the facility A nurse is collecting data from a client who has PTSD following a sexual assault. Which of the following is an expected finding?

A nurse is reinforcing teaching about valproate with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching?

  1. "Thyroid function tests must be performed every 6 months"
  2. "A pretreatment electroencephalogram (EEG) will be performed"
  3. "Liver function tests must be monitored regularly"
  4. "A white blood count must be monitored weekly" - correct answer โœ”โœ”3. "Liver function tests must be monitored regularly" A nurse is caring for a group of clients on a mental health unit. Which of the following clients should the nurse recognize as utilizing a maladaptive defense mechanism?
  5. A client slams a drawer after misplacing her wallet
  6. A client who used to smoke 3 packs of cigarettes daily now volunteers with a smoking cessation group
  7. A client is afraid to begin chemotherapy and forgets to schedule a necessary appointment
  8. A client who is scheduled for oral surgery ignores the thought of pain - correct answer โœ”โœ”3. A client is afraid to begin chemotherapy and forgets to schedule a necessary appointment -considered maladaptive if the action interferes with healthy functioning, either physically or mentally A nurse is reinforcing teaching with a client who has a new prescription for clozapine. Which of the following adverse effects should the nurse include in the teaching?
  9. Rhinitis
  10. Wheezing
  11. Hyperreflexia
  12. Tachycardia - correct answer โœ”โœ”4. Tachycardia A nurse is collecting data from a client who is to begin taking alprazolam. Which of the following findings should the nurse identify is a contraindication to this medication?
  13. Alcohol use disorder
  14. Drug withdrawal
  15. Seizure disorder
  16. Suicide attempts - correct answer โœ”โœ”1. Alcohol use disorder

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurses priority?

  1. Offer the client high-calorie fluids
  2. Remain with the client in a quiet area
  3. Administer an antianxiety medication to the client
  4. Teach the client relaxation exercises - correct answer โœ”โœ”2. Remain with the client in a quiet area A nurse is supervising a newly licensed nurse who is female while she performs postmortem care on a male client who is Muslim. Which of the following actions by the newly licensed nurse should prompt the nurse to intervene?
  5. Leaves the client dentures in his mouth
  6. Prepares to cleanse the clients body
  7. Disconnects the cardiac monitor from the client
  8. Removes soiled linens from the clients room - correct answer โœ”โœ”2. Prepares to cleanse the client's body -body often ritualistically washed, wrapped with a white cloth, not to be touched by a non-muslim person. Same-sex caregivers is important A nurse is collecting data from a client who has a histrionic personality disorder. Which of the following findings should the nurse expect?
  9. Seductive
  10. Grandiose
  11. Callous toward others
  12. Preoccupied with details - correct answer โœ”โœ”1. Seductive -seductive behaviors as a response to stress A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?
  13. Seizure activity
  14. Stuporous level of consciousness
  15. Bradycardia
  1. Insomnia - correct answer โœ”โœ”2. Irritability A nurse is reinforcing teaching with a client how to use medication and progressive relaxation techniques to manage stress. Which of the following physiologic outcomes should the nurse instruct the client to expect?
  2. Arousal reduction
  3. Decreased blood pressure
  4. Decreased heart rate
  5. Increased oxygen consumption
  6. Increased respiratory rate - correct answer โœ”โœ”1, 2, 3
  7. Arousal reduction
  8. Decreased blood pressure
  9. Decreased heart rate A nurse is caring for a school-age child who has a history of conduct disorder. Which of the following actions should the nurse take?
  10. Introduce some humor during interactions with the child
  11. Explain to the child the need to pick up crayons when thrown on the floor
  12. Shorten a reading activity when the child appears to become frustrated
  13. Place the child in a vest restraint when disruptive behaviors occur
  14. Redirect with physical activities when the child's disrupted behavior begins - correct answer โœ”โœ”1, 2, 3, 5 A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?
  15. Crush the pills, if not contraindicated, and hide them in the clients applesauce
  16. Ask the client to express her reasons for refusing the morning medications and document the event
  17. Try to talk the client into adherence by telling her the possible implications of missing a dose
  18. Notify the charge nurse of the need for evaluation of the clients level of competence - correct answer โœ”โœ”2. Ask the client to express her reasons for refusing the morning medications and document the event

A nurse is assisting with the development of an in-service about conversion disorder in adolescents. Which of the following information should the nurse include in the teaching?

  1. "Conversion disorder is under the adolescent's voluntary control"
  2. "Conversion disorder symptoms are irreversible"
  3. "Conversion disorder is characterized by an extreme fear of a serious illness"
  4. "Conversion disorder can be caused by post-traumatic stress disorder" - correct answer โœ”โœ”4. "Conversion disorder can be caused by post-traumatic stress disorder" -ptsd, history of abuse, other somatic disorders, and personality disorders A nurse is caring for a client who has cancer. The client states that she wants to try nontraditional treatments instead of the chemotherapy recommended by her provider. Which of the following responses should the nurse make?
  5. "Using nontraditional treatments is not a good idea. I'd rather you avoid that route"
  6. "A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice"
  7. "Your doctor is very knowledgeable. If he prescribes chemotherapy its the best treatment for you"
  8. "Tel me more about your concerns about chemotherapy" - correct answer โœ”โœ”4. "Tel me more about your concerns about chemotherapy" A nurse is receiving the medical record of a client who attempted suicide. Which of the following findings should the nurse identify as risk factors for suicide?
  9. Diagnosis of major depressive disorder
  10. Unemployment
  11. Pregnancy
  12. Access to firearms
  13. Recent marriage - correct answer โœ”โœ”1, 2, 4
  14. Diagnosis of major depressive disorder
  15. Unemployment
  16. Access to firearms