ATI mental health retake (focused review)
A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. When assessing the client, which of the following purposes describes the function of the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) scale?
Determine the client's severity of alcohol withdrawal and adjust care accordingly
A nurse is caring for a client who is experiencing alternating periods of elevated and depressed mood. which of the following medications should the nurse anticipate the provider to prescribe?
mood stabilizer
A nurse is educating a newly licensed nurse about opiate withdrawal. Which of the following findings should the nurse instruct the newly licensed nurse to monitor for?
muscle aches
A nurse is meeting with a new client at a substance use disorder clinic. During the meeting, the nurse observes that the patient is anxious, fidgeting in their chair, and sweating profusely. Which of the following types of data describes the client's actions?
objective
A nurse is caring for a client who is experiencing disruptions in sleep, appetite, and reports having a depressed mood. Which of the following medications should the nurse anticipate the provider to prescribe?
selective serotonin reuptake inhibitor
e is caring for a client who has mood dysregulation, decreased sex drive, and decreased sleep. Which of the following neurotransmitters I the nurse identify as being responsible for the client's manifestations?
serotonin
A nurse is caring for a client who is prescribed citalopram and is being monitored for activation syndrome. Which of the following findings should the nurse identify as an indicator of activation syndrome?
suicidal ideations
The nurse is providing education to the client regarding phenelzine. which of the following 3 statements indicate that the client needs further instruction?
they can drink imported beer, eat overripe bananas, and should expect an increase in blood pressure.
Methylphenidate
used for ADHD in children and adults
Desipramine, imipramine, clomipramine
used for children with: depression autism ADHD panic disorder, separation anxiety social phobia OCD
Atomoxetine and bupropion
used to treat ADHD in children and adults
A nurse is providing education to a client about the process of neurotransmission. Which of the following statements about neurotransmission should the nurse make?
"Neurotransmitters are chemical components that allow neurons to communicate with each other."
Alcohol withdrawal
Benzodiazepines
treat seizures with
Diazepam
A nurse is providing education to the partner of a client who exhibits poor muscle function, poor memory, and poor concentration. Which of the following statements should the nurse make when explaining the client's findings to the partner?
"A dysfunction in acetylcholine receptors may be a cause for motor movement dysfunction." The nurse should identify that acetylcholine regulates the sleep-wake cycle and is a primary neurotransmitter for muscle functioning.
A nurse is caring for a client who is scheduled for transcranial magnetic stimulation. When preparing the client for the procedure, which of the following statements should the nurse make?
"This procedure is effective when combined with psychotherapy."
A nurse on an inpatient mental health unit is teaching a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information presented?
"All sharp objects should be removed from the client's room."
I nurse is educating a newly licensed nurse about manifestations of alcohol withdrawal. Which of the following statements by the newly li nurse indicates an understanding of the teaching?
"An increase in the release of the neurotransmitter glutamate causes an elevated heart rate."
A nurse is educating a group of high school students about mental illness. Which of the following statements should the nurse make about etiology of a mental illness?
"Developing a mental illness seems to be related to both genetic and environmental factors."
A nurse is providing education to the family of a client who is experiencing psychosis. Which of the following statements should the nurse make when explaining the role of glutamate in this disorder?
"Glutamate is responsible for affective and cognitive functioning."
A nurse is caring for a client who has persistent depressive disorder. When educating the client about their illness, which of the following statements should the nurse make?
"Persistent depressive disorder is a mild chronic form of depression."
A nurse is educating a newly licensed nurse about the purpose of neurotransmitters. Which of the following statements by the newly licensed nurse indicates an understanding of the education?
"Serotonin is responsible for regulating sleep and body temperature."
A nurse is educating a client about mental illness treatment and the client asks, "Why do some medications that treat mental illness take a few weeks to become effective?" Which of the following statements should the nurse make?
"The brain has to establish a new neuronal pathway in response to medications."
A nurse is facilitating a new parent health and wellness group. One of the group members states, "I have a history of mental illness in my family. Will my child be affected?" Which of the following responses should the nurse make?
"There are genetic factors of mental health that may put your child at a higher risk of developing manifestations of mental illness."
A nurse is discussing findings of depression with a group of clients. Which of the following client statements indicates an understanding of the information?
"Thyroid problems can cause depression."
A nurse is providing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?
"Your provider will likely schedule you for several treatments over a period of weeks."
A nurse on a mental health unit is using the SAD PERSONS scale to assess the risk of suicide among several clients. Which of the following clients should the nurse identify as having the highest risk?
A 15 year old male client
A nurse is caring for a client who is experiencing diaphoresis, palpitations, and a sense of impending doom. Which of the following medicati should the nurse anticipate the provider to prescribe?
Benzodiazepine The nurse should identify that benzodiazepines are used to treat acute anxiety by regulating the function of the neurotransmitter gamma-aminobutyric acid (GABA).
A nurse is caring for a client who was admitted with suicidal ideation. The client tells the nurse they have several guns in their home. Which of the following types of interventions is the priority for the nurse to initiate?
Create a protective environment
A nurse is caring for a client who recently began taking methylphenidate, a central nervous system stimulant. Which of the following topics should the nurse prepare to discuss with the client?
Foods that are known to be high in caffeine should be avoided.
A nurse is caring for a client who is experiencing opiate withdrawal. which of the following findings should the nurse expect to observe?
Goose flesh and diarrhea
A nurse in an emergency department is caring for a client who has acute haloperidol toxicity. Which of the following findings should the nurse identify as consistent with neuroleptic malignant syndrome?
Hyperthermia and elevated creatine kinase
A nurse is reviewing the serum lithium report for a client who has bipolar disorder. Which of the following manifestations should the nurse expect the client to be experiencing with a lithium level of 2.2 mEq/L?
Jerking motor movements
A nurse is working with a provider to determine which laboratory tests should be ordered for a client who is suspected of chronic alcohol use. nurse should identify that which of the following sets of laboratory data might indicate chronic alcohol use?
Liver panel, compressive metabolic panel, BAL/BAC, magnesium
A nurse is caring for a client who has a diagnosis of bipolar disorder and recently began lithium therapy. Which of the following manifestations should the nurse identify as indicative of early lithium toxicity?
Nausea and coarse tremors
A nurse is reviewing a client's risk for substance use disorder. Which of the following information about ingestion routes accurately describes substance addiction potential?
Smoking or injecting a substance increases the potential for addiction
A nurse is preparing a presentation for high school students about the causes of mental illness. Which of the following should the nurse include in the presentation?
Stress has been identified as a potential cause of mental illness
A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder. Which of the following behaviors should the nurse expect the client to exhibit?
The client is demonstrating risky behavior
A school nurse is preparing a presentation for high school students on the relationship between substances and depression. Which of the following substances should the nurse plan to include as a contributing factor in the development of substance-induced depressive disorder?
amphetamines
neurotransmitter that has inhibitory and excitatory properties -regulates sleep wake cycle -primary neurotransmitter for muscle functioning
acetylcholine
A nurse is creating a presentation about depression for a community health fair. The nurse should plan to report that depression is more prevalent among which of the following demographics?
adult females
treat hallucinations with
chlorpromazine
A nurse is caring for a client who has been taking risperidone and reports experiencing muscle spasms in their neck and difficulty opening t mouth. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
diphenhydramine The nurse should anticipate the provider prescribing diphenhydramine for the client. Diphenhydramine is an anticholinergic medication that is effective in treating extrapyramidal symptoms (EPS) of acute dystonia, such as muscle spasms in the neck and difficulty opening the mouth.
A nurse is caring for a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. Which of the following is characteristic of the client's manifestations?
mania
A nurse is caring for a client who is hospitalized for gallbladder removal surgery. On their first postoperative day, the client has agitation, a high temperature, increased respirations, irritability, and confusion. The nurse should recognize that the client may be experiencing withdrawal from which of the following substances?
alcohol
A nurse is caring for a child who is exhibiting tantrums, dysfunction in school, trouble with peers, and suicidal ideation. Which of the following should the nurse identify as being consistent with the client's findings?
disruptive mood dysregulation disorder
A nurse is providing education to a group of clients about neurotransmitters. Which of the following neurotransmitters should the nurse include that is implicated in the reward pathway of the brain and addiction?
dopamine
A nurse in a mental health clinic is taking a medical history on a client. The nurse should identify that which of the following factors in the client' history increases their risk for mental illness?
early exposure to violence