ATI Mental Health Questions

A nurse is providing teaching for a family of a client with Alzheimer's about Donepezil. whihc of the following statements should the nurse include in teaching?

"Donepezil Can Improve Cognitive Function In The Early Stages Of The Diease."

A nurse is caring for a client that attempted suicide and has alcohol use disorder, Which of the following statements indicates that the client is using positive coping mechanisms?

"I Will Attend Daily Group Therapy Sessions To Practice Relaxation Techniques."

A nurse is caring for a client with Anxiety Disorder, which of the following statements suggest successful guided imagery?

"I imagine Myself Laying On A Quite Beach When I Feel Anxious."

A nurse is teaching a newly licensed nurse about nursing care plans for clients with depressive disorder. which of the follwoing statements by the newly licensed nurse indicates and understanding of the teaching?

"I will update the plan of care as the client's Manifestations of depression change."

A nurse is caring for a client who gave birth to a stillborn baby. which of the following statements should the nurse make?

"I'll Stay With You, Just In Case You Want To Talk."

A nurse on a mental health unit observes a client pushing on a locked door, which if the following statements should the nurse maek?

"It Appears As Thought You Would Like to Open the Door."

A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which one of the following statements would show a decreased risk for suicide?

"It Is Easier For Me To Talk About My Feelings Now."

A nurse is caring for a client who is attends family counseling with his partner and his children. The client tells the nurse he is going to attend any further sessions and states "I dont have time for all this talking" Whihc of the following responses should the nurse make?

"It must Be difficult For You To Talk About Your Family Problems"

A nurse in the Emergency Department is caring for a female adolescent that is diagnosed with bulimia nervosa and had fainting episodes during a ballet performance. which of the following statements by her mother acknowledges her daughter's diagnosis?

"She Won't Let Me Take The Trash From Her Room, I Am Concerned About What She Has In There."

A nurse is teaching a family member and a client who has a new diagnosis of Alzheimer's Disease, who is to start taking Donepezil, which of the following statements should the nurse include in teaching?

"Take This Medication In The Evening At Bedtime."

A nurse is caring for a client that report that the television set in thier room is really a two way radio and states, " Voices are coming from the TV and everything we say in the room is being recorded." which is the following responses should the nurse make?

"That Must Be Very Frighting"

A nurse is interviewing a client at a temporary shelter after the destruction of her home by a tornado. When assessing the client the nurse should ask which of the following questions to determine the clients ability to cope with the situation?

"To Whom Do You Talk When You Feel Overwhelmed?"

A nurse is counseling an adolescent with Anorexia Nervosa who used excessive laxatives and report fear of weight gain. She states "I am so fat I can't even stand to look at myself in the mirror. Which of the following is summerziing for the Patient?

"You Are Saying You Think You Are Fat, And Are Using Laxatives Due To Your Fear Of Weight Gain?"

A nurse is revewing risk factors for developing depression, which is the following patients is at higher risk?

A Client With COPD

A nurse is reviewing routine laboratory values for several clients who are taking Lithium. Which of the following clients should the nurse evaluate more for toxicity?

A Clients With A Sodium Level Of 128 mEq/dl.

A nurse in the emergency department is caring for a toddler with a fractured arm. whihc of the following finding should the nurse suspect as possible abuse?

A Parent Provides a History That is Inconsistent With Injury.

A nurse is caring for a client with Anorexia Nervosa, which of the following citeria requres hospitalization?

A Temperature of 35.6 c (96.1 F)

A nurse is assessing a client with Binge Eating Disorder. whihc of the following findings should the nurse expect?

Abdominal Pain.

A Patient is admitted to the emergency department with spasms of the face and back. He recently began taking Chlorpromazine to treat schizophrenia, Which of the following adverse reactions should the health care provider suspect?

Acute Dystonia

A nurse is caring for a client with Alzheimer's Disease and a new prescription of Donezapil. Whihc of the following actions should the nurse take?

Administer Medication At Bedtime.

A nurse assessing a client with Conduct disorder, which of the following findings should the nurse expect?

Aggressive Behavior Toward Others.

When talking to a patient about taking Buspirone, the healthcare professional should include which of the following?

Allow 2 to 4 Weeks Before Expecting to Feel Better.

A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the clients turn she does not respond. Whihc if the following actions should the nurse take before repeating the request to the client?

Allow The Client To Collect Her Thoughts.

A nurse in an acute care facility is leading a staff discussion about the legal implications of involuntary admissions. which of the following should the nurse include?

An Involuntary Admission Is Justified If The Client Is A Danger To Others.

A nurse is addressing a family dynamic during a counseling session, which if the following would be considered boundray issues?

An Older Child Who Is Responsible of Younger Siblings?

A nurse is admitting a client with Antisocial Personality Disorder to an acute care unit. The client is admitted due to court order after stealing and destroying a car. whihc of the following behaviors shoudl the nurse expect the client to display?

Anger With The Nursing Staff About The Involentary Admission.

A nurse is assesing a client with schizophrenia. whihc of the following findings should the nurse document as a negative sympom of the disorder?

Anhedonia.

A nurse is caring for a client with schizophrenia, the nurse notices that the client is pacing up and down the halls very rapidly muttering in an angry manner. which of the following actions should the nurse do first?

Approach The Client In A Nonthreatening Manor.

The nurse is planning care for an adolescent that is being admitted to an acute care facility following a suicide attempt. whihc of the following is priority?

Arrange One On One Observation For The Client?

A nurse is facilitating a Comunity meeting for acute care clients, One client is talking constantly and using a majority of the group time. What is the nurses best course of action?

Ask The Other ZClients To Talk About How They Feel About The Client Monoplizing The Time.

During morning rounds, a nurse finds a client with schizophrenia trembling and tearful in bed. The clients report that a bomb was placed in their room by a family memebr during visiting hours. Whihc of the following actions should the nurse take?

Asses The Client for Evidence of Perceptual Disturbance.

A Nurse is caring for a client who is experiencing a Panic Attack, Whihc of the following actions should the nurse take?

Assist The Client With Deep Breathing.

A nurse is evaluating a care plan for a client who has an Antisocial Personality Disorder. Which of the following client actions indicates he is making progress in treatments? (Select All That Apply)

Assisting Another Client With Filling Out a Menu, Requesting A Weekend Pass To Go Home.

A nurse is caring for a client who has depression, the clients states "i am too tired and depressed to attend group therapy today". Which of the following responses should the nurse make?

Attending Group Therapy, Even When You Are Tried, Is An Important Part Of Your Treatment.

A healthcare professional is talking to a patient who is taking Lithium Carbonate(Lithobid). Which of the following sntructions should be included to reduce the risk of lithium toxicity?

Avoid Taking NSAIDs.

A nurse on the medical-surgical unit is assessing a patient who sustained injuries 12 hours ago following a motor vehicle crash. The client's admission blood alcohol level was 325mg/dl. which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal?

Blood Pressure Of 154/96 mmHg

During and immediately following IV administration of Chlorpromazine to a patient that has Schizoaffective Disorder, the healthcare professional whould monitor for which of the following?

Blood Pressure.

A nurse in a mental health unit observes a client with acute mania hit another client. Whihc of the following actions should the nurse take?

Call For A Team Of Staff Members To Help With the Situation.

A nurse is obtaining a client's medical history prior to scheduling them for ECT. Which should the nurse see as a potential complication for the procedure.

Cardiac Arrhythmia.

A healthcare professional is caring for a patient who is about to start Amitriptyline to treat major depression. The healthcare professional should include which of the following instructions when talking with the patient about taking the drug? (select all that apply)

Change position Slowly from sitting or lying to standing, Don't stop taking the drug abruptly, Take drug at bedtime to reduce the risk of daytime drowsiness, And Increase fiber and fluid intake.

The nurse is reviewing a chart for a client with Dissassociatve Amnesia, which of the following should the nurse expect?

Client was seeverly injured while under the influence of alcohol.

A nurse in a mental health facility is caring for a client with schizophreana. whihc of the following places the client and thoes around him at greates safet risk?

Command Hallucination.

A nurse is caring for a client who has Wernicke-Korsakoff Syndrome due to Alcohol Use Disorder. Which of the following findings should the nurse expect?

Confusion.

A nurse is performing an admission assessment for a client who has restricting type Anorexia Nervosa. The nurse should expect which of the following findings.

Decreased Caloric Intake.

A nurse is caring for a client who has just received a terminal diagnosis of cancer. Whihc of the following initial reactions should the nurse expect?

Denial.

A charge nurse enters the room of an elderly client an observes the AP slapping the client. After moving the client to safety what following actions are the Charge nurses prioty?

Determine If The Client Has Been Physically Harmed.

A nurse is caring for a client who is experiencing Alcohol withdrawls, Which of the following medications should the nurse administer first?

Diazepam 5mg IV Bolus.

A nurse is receiving treatment for a client who is being treated for Alcohol Intoxication. Which of the folloeing medications should the nurse plan to administer during this phase of care?

Diazepam.

A nurse in the Emergency Department is assessing a client with Cocaine Intoxication. Which of the following Finding Should the nurse Expect?

Dilated Pupils.

A nurse is caring for a client with alchol use disorder. Following Withdrawls, which of the following medications shouls the nurse plan to administer for maintinace?

Disulfiram.

A nurse is providing treatment for a client with Generalize Anxiety Disorder, who has a new prescription of Buspirone. The nurse should inform the client that which of the followng manefestations is a common adverse effect for this medication?

Dizziness.

A healthcare professional should question the use of Alprazolam(Xanax) for a patient who?

Drinks 2 8oz Glasses of Wine Each Evening.

A nurse is performing a cognitive assessment to distinguish Dementia from Delerium in a client whose family reports and episode of confusion. which of the following support its Deleriuhm.

Easily Distracted.

A nurse is planning an education session about the administration of Antidepressants to older clients. which of the following should the nurse information should the nurse use?

Elderly Cilents Require A Lower Inital Dose Of Medication The Adult Clietns.

A nurse is assing a client who takes Phenelzine for the treatment of Depression. Which of the folowing finding should the nurse report ti the provider?

Elevated Blood Pressure.

A nurse is assessing a client with Borderline Personality Disorder, what is expected?

Emotional Liability.

A nurse is admitting a client with anorexia nervose who is only at 60% of their ideal body weight, which of the following intervention should the nurse include in the plan of care?

Encourage The Client To Drink At least 125ml Of Water An Hour While Awake.

A nurse in an acute care facility is planning care for a client with OCD, Which of the following actions should the nurse incldue?

Encourage The Client To Use Thought Stopping.

A nurse is planning prevention strategies for intimate partner abuse in the community. Which of the following should the nurse include as secodary preventionm?

Establish Screening Programs To Identify At Risk Clients.

A nurse in a community health center is teaching families of clients who have post traumatic distress disorder (PTSD) about expected clinical manifestations. whihc of the following manifestations should the nurse include?

Experiences Feeling of Isolation.

A nurse is caring for a client who has a recent diagnosis of Alzheimer's disease, The client's partner ask about expected manifestations. What nurse will teach them how this is the earliest symptom?

Frequently Misplacing Objects.

A healthcare professional is obtaining a patient's drug history when he finds out that the patient is taking Lithium Carbonate(Lithobid) for bipolar disorder. Which of the following findings in a patients drug history should alert a health care professional to monitor for Lithium Toxicity?

Furosemide(Lasix) for Hypertension.

A nurse is assessing a client with major depressive disorder and has been receiving Amitriptyline for 1 week which of the following outcomes should the nurse expect?

Greater Risk For Attempting Suisicde as Affect and Energy Improve.

A nurse in a mental health clinic is caring for a client who has Bipolar Disorder and reports the discontinuation of his Lithium 2 weeks ago. The nurse should expect to see which of the following as a result?

Hand Tremors.

A healthcare professional should advise a patient who is taking Phenelzine (Nardil) to avoid tyramine -enriched foods because of an increased risk of which adverse reaction?

Hypertensive Crisis

A nurse is reviewing the medical history of a client who is being prescribed a Benzodiazepine. Whihc condition is Contraindicated?

Hypo-tension.

A client who had Bipolar Disorder is to be discharged home with a prescription of Lithium. Which of the following statements indicates that the client teaching regarding the medication has been effective?

I Should Eat A Regular Diet With Normal Amounts of Salts And Fluids.

A nurse is providing a teaching for school aged children with ADHD, which of the following instruction should the nurse include in teaching?

Ignore Your Child's Attention Seeking Behavior As Long As It Isn't Dangerous.

When reviewing the adverse effects of drug therapy with the patient, a healthcare professional should explain that orthostatic hypotension is a common adverse reaction to which of the following drugs?

Imipramine(Tofranil)

A home helath nurse is assisting a client whos brother is the primary care giver. What findings would lead the nurse to suspect they client is being neglected or abused?

Inappropriate Dress.

A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. the client tells the nurse " I have not had a drink for 6 hours" which findings should the nurse expect during alcohol withdrawals.

Insomnia.

A nurse in a mental health clinic is planning care for a client who has a new prescription for Olanzapine, which of the following interventions should the nurse identify as priority?

Instruct The Client To Avoid Driving During Initial Therapy.

The nurse is completing a mental health history for an older adult client. Which of the following actions should the nurse plan to take?

Interview The Client In Private.

A nurse is planning care for a newly admitted client who has Bipolar Disorder and is experiencing Acute Mania. Whihc of the following client goals should the nurse identify as priority?

Maintain Adequate Hydration.

A nurse is planning care for a client who has Borderline Personality Disorder who self-mutilates which of the following treatment approcahes should the nurse plan the take?.

Maintain Close Observation Of Client.

A nurse in interviewing an older adult client about possible anger by her caregiver. which of the following techniques should the nurse use?

Maintain a Non Judgmental Tone.

A nurse is planning care for a client with Generalized Anxiety Disorder. At which of the following levels should the nurse plan to teach relaxation techniques?

Mild

A nurse is planning care for a client to undergo ECT. Which of the following actions should the nurse include in care?

Monitor The Patients Cardiac Rhythm.

a client who has a recent diagnosis of Bipolar Disorder is placed in a room with a client with Severe Depression, the Bipolar client states "The man in my room never sleeps, which keeps me up too" whihc of the following is the appropriate action.

Move The Client with Bipolar To A Private Room.

A nurse in an acute substance is assessing a client who received treatment in the Emergency department for Heroin Overdose. Which of the following findings should the nurse expect for Heroin Withdrawls.

Muscle Aches.

A nurse is preparing to discharge an older adult client who attempted suicide to his home where he lives alone and has difficulty performing ADL's. Which of the following referrals should the nurse initiate? (Select All That Apply)

Occupational Therapy, Meal Delivery Services, Physical Therapy, Home Health Services.

A nurse in a substance abuse treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer Methadone for a client who has which of the following addictions?

Opiates.

A nurse is developing a plan of care with a client with Anorexia Nervosa. The nurse should realize that which of the following actions is Contraidnicated for the client?

Permitting The Client To Spend Time Alone After Meals.

A healthcare professional is taking care of a patient who is taking Venlafaxine to treat major depression. The healthcare professional should recognize that the following drug can cause serotonin syndrome when patient take them congruently with Venlafaxine?

Phenelzine(Nardil)

A nurse is admitting a client with major depressive disorder and a new prescription for Tranylcypromine. which of the following over the counter medications that the client reports taking should alert the nurse to a potential adverse reaction?

Phenylephrine(Sudafed)

When caring for a patient who is taking Risperidone(Risperdal) for Schizophrenia. The healthcare professional should monitor for which of the following adverse effects of the drug?

Polyuria.

A Nurse in a mental health unit is planning care for a client who is being treated for self-inflicted injuries. the nurse should identiy which of the following interventions as prioity when planning care for this client?

Promoting And Maintain Clients Safety.

A nurse in an acute mental health facility is caring for a client who is experiencing an Acute Manic Episode. whihc of the following actions is a Nursing Priotity?

Protect the Client From Impulsive Behavior.

A nurse is planning care for a client who had Bipolar Disorder and is experiencing a Manic Episode. Which of the following interventions should the nurse include in a plan of care?

Provide the Client With High Calorie Finger Foods.

A nurse is providing teaching to a client who has a new prescription for Disulfiram the management of Alcohol Dependance. Which of the following dietary choices should the nurse instruct the client to avoid?

Pure Vanilla Extract.

A nurse is caring for a client who has Antisocial Personality Disorder and is receiving behavioral therapy through operant conditioning. Which if the following client behaviors indicates the effectiveness of the therapy?

Refrains From Manipulating Others In Orrder To Gain Dining Room Privlages.

A nurse is planning care for a preschool age child who has ADHD, Which of the following interventions should the nurse Identify as Priority?

Remove Unnecessary Equipment From Child's Surroundings.

the nurse is creating a plan of care for a client who has been placed in seclusion after threatening to hurt others on the unit. Which one of the following interventions should the nurse include in the plan of care?

Renew The Clients Prescription Every 4 Hours.

A nurse is assessing a client who experienced a sexual assault 6 monthes ago. whihc of the following findings should the nurse report to the provider as an indication of rape trauma syndrome?

Report Of Intense Guilt.

A nurse is caring for a client in a mental health facility, the nurse overhears a staff member make a derogatory comment to the client. Which of the following actions should the nurse take?

Report The Incident To The Charge Nurse.

A nurse on an acute care unit is providing postoperative care for an elderly patient who developed Delirium. Which of the following actions should the nurse take?

Request Prescription For Anti-anxiety Medication.

A nurse in the Emergency Department is assessing a client who is suffering from Heronin Intoxication. which of the following finding should the nurse expect?

Respiratory Depression.

when reviewing the indications for various antidepressants, a healthcare professional should understand that Bupropion Hydrochloride(Wellbutrin) is an appropriate choice for which of the following?

SAD, Nicotine, And Depression.

A nurse is preparing to administer Benzodiazepine to a client with Generalized Anxiety Disorder. The nurse should tell the client to expect with of the following adverse reactions?

Sedation.

A healthcare professional is collecting data from a patient who is taking Bupropion Hydrochloride (Wellbutrin) to treat depression. The healthcare professional notes that the patient had a recent history of head injury. She should recognize that the drug is inappropriate for the patient because of the increased risk of the following?

Seizure Activity

Soon after beginning Fluoxetine(Prozac), A patient is admitted to the emergency department with agitation and confusion. The healthcare professional should suspect the following?

Serotonin Syndrome.

A Nurse in an acute care facility is reviewing the medical records for a group of clients. The nurse should expect a prescription for Memantine for whihc of the following diagnosis?

Sever Alzheimer's Disease.

A nurse is caring for a client with Schizophrenea, and was prescribed a conventional antipsychotic, which of the following means the nurse should administer Benzotropin?

Shuffling Gait.

A nurse on the mental health unit is caring for a group of clients, which of the following is an example of the ethical principal of justice?

Spending Adequte Time With A Clients Who Is Argumentative.

A nurse in an outpatient mental health setting is collecting 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?

St. Johns Wart

The Nurse is interviewing a client with Anorexia Nervosa, Which if the following should the nurse expect?

Strenuous Exercise Routines.

A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's. The nurse should conclude that the members of the group need further teaching when she identifies the following as manifestations of Alzeheimer's.

Sudden Confusion.

A Nurse is working with a group of parent's who have just lost a child. Which of the following actions should the nurse take?

Suggest Forming A Weekly Support Group For Parents Who Have Lost A Child.

A health care professional is caring for a young adult who is taking Fluoxetine(Prozac) to treat depression. the healthcare professional should tell the patient and family to report which of the following?

Suicidal Thoughts.

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 adverse effect of Methylphenidate?

Tachycardia.

A nurse is caring for a client with Alzheimer's who becomes agitated when offered assistance with morning care. Which of the following actions should the nurse take?

Talk To The Client Two Arms Lengths Away.

A nurse is caring for a client with Major Depressive Disorder and is severly withdrawn. Which of the following techniques should the nurse impliment to comunicate with the Cliet?

Talk To The Client Using Simple And Concert Statements.

A nurse is planning care for a client with a physical dependacne of Alprazolam and must discontinue the medication. Which of the following should the nurse include in the plan?

Taper The Medication Slowly Over The Next Few Weeks.

A nurse is assessing a client with stage 4 Alzheimer's Disease, which of the following findings whould the nurse expect?

The Client Is Able To Identify The Names Of Family Members.

While observing a group therapy, a nurse recognizes that a client is behaving in a way suggestive of Dependent Personality Disorder. Which of the following behaviors is consistent with this condition?

The Client Needs Excessive External Imput To Make Everyday Decisions.

The nurse is discussing a 12 step program with a client who had alcohol use disorder and is in an acute care facility undergoing detoxification. which of the following information should the nurse use in teaching?

The Client Should Obtain a Sponsor Before Discharge for an Increased Chance of Recovery.

A healthcare professional is caring for a patient who is taking Lithium Carbonate(Lithobid) to treat bipolar disorder. which of the following diagnostic tests should the healthcare professional reccomend periodically for the Patient.

Thyroid Function Tests.

A healthcare professional should monitor an older adult patient who is taking Alprazolam(Xanax) for which of the following adverse effects?

Tolerance, Anxiety, Sedation, and Respiratory Depression.

A Nurse is assessing a client with Bulimia Nervosa, the nurse should expect which findings?

Tooth Erosion.

A healthcare professional is caring for a patient who is about to begin taking Lithium Carbonate(Lithobid) to treat bipolar disorder. the healthcare professional should caution the patient to watch for which of the following indications of Lithium Toxicity?

Tremors, Confusion, Nausea, Muscle Weakness.

A nurse is caring for a child with conduct disorder that is behaving in a destructive manner by throwing objects and kicking others, what kind of nursing interventions are priority?

Use Therapeutic Holding Technique.

The nurse is reviewing the medication of a client who has Bipolar Disorder and a new prescription for Lithium. The nurse should identify that it is safe to administer whihc of the following medications while on Lithium.

Valproic Acid.

A Nurse is reviewing laboratory results for a client who has schizophrenia and is taking Clozapine. which of the following labratory values are contraindicated for reciving Clozapine?

WBC 2500/mm3

A Nurse is providing teaching to a client who is to begin undergoing light therapy at home for seasonal affective disorder. which of the following should the nurse include in teaching?

Wear Sunglasses Outdoors.

while talking with a patient about taking Chlorpromazine, which of the following instructions should the healthcare professional include?

Wear Sunscreen when Exposed To Sunlight.

A healthcare professional is caring for a patient who has been taking Alprazolam(Xanax) for an extended period of time to treat anxiety. The healthcare professional should recognize that stopping alprazolam therapy suddenly can result in which of the following?

Withdrawal Symptoms.

A nurse is providing teaching to a client who is starting Valporic Acid, which of the following instructions should the nurse include in teaching?

You Should Have Your Liver Function Levels Monitored Regularly.

A Nurse is teaching a client who has Agoraphobia about Systematic Desensitaion. whihc of the collowing comment shaould the nurse inclue in teaching?

You Will Slowly Be Exposed to Increasing Levels Of Public Spaces.