Psych ATI Practice B

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? A) Community mental health center B) Mental health day program C) Partial hospitalization program D)Assertive community treatment

Assertive community treatment provides comprehensive, community-based services to clients who have severe mental illness based upon individualized needs. Services are available in any setting, including the client's home, 24 hr per day and provide crisis intervention, medication services, and advocacy.

A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? A)Allowing a client to choose which unit activities to attend B)Attempting alternative therapies instead of restraints for a client who is combative C)Providing a client with accurate information about their prognosis D) Spending adequate time with a client who is verbally abusive

By spending adequate time with a client who is verbally abusive, the nurse is demonstrating the ethical principle of justice. When the nurse spends an appropriate amount of time with each client regardless of their behavior and in keeping with their individual needs, the nurse guarantees that all clients receive equal care.

A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of the following statements should the charge nurse make? A) Clients cant refuse to take medications if they are admitted involuntarily B)You can notify a client's family if they are admitted involuntarily C)Clients who are admitted involuntarily maintain the right to give informed consent for procedures D) You can remove a client's privileges if they are admitted involuntarily and refuse to attend therapy sessions

C) Clients who are admitted involuntarily maintain the right to give informed consent for treatment. They also have the right to give informed consent for procedures.

A nurse is admitting a client who has major depressive disorder and a new prescription and 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? A) Lansoprazole B) Naproxen C)Magnesium hydroxide D) Phenylephrine

D) Phenylephrine Clients who are taking tranylcypromine, an MAOI antidepressant, should not take phenylephrine and other over-the-counter medications for sinus congestion, colds, or allergies due to their actions on the sympathetic nervous system, which can result in severe hypertension.

A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above his ideal body weight. Which of the following interventions should the nurse include in the plan A) Include a liquid supplement with meals B)Identify the client's trigger foods C)Allow the client at least 1 hr for each meal D)Weight the client at bedtime each day

Identify the client's trigger foods R: to help pt understand the thoughts and behaviors that relate to the food