ATI mental health
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
Anhedonia
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 dystopia (anticholinergic agent to relieve acute dystopia: an extrapyramidal adverse effect of chlorpromazine)
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 interdiscplinary services for the client at home?
Assertive community treatment
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 R: active listening involves identifying verbal and nonverbal communication
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 nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 week. Which of the following outcomes should the nurse expect?
Greater risk of attempting suicide as affect and energy improve.
A nurse in a community health center is working with a group of clients who have PTSD. Which of the following interventions should the nurse include to reduce anxiety among the group members
Guided imagery
A nurse ina mental health clinic is caring for a client who has bipolar disorder and reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication
Hand tremors
A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse client relationship, which of the following actions should the nurse take first
Inform the client that this admission is confidential.
A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make?
It appears as though you would like to open the door
A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make?
It is not uncommon to feel angry toward yourself or others
A nurse is planning care for a client who is to undergo electroconvulsive therapy. Which of the following actions should the nurse include in the plan
Monitor the clients cardiac rhythm during the procedure.
A nurse is admitting a client who has major depressive disorder 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 adverse reaction
Phenylephrine (results in severe hypertension)
A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of following is the priority action by the nurse?
Provide frequent high-calorie snacksanhe
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 dining room privileges (goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative behavior is a desired response.
A nurse is planning care for a 7 y/o child who has ADHD. Which of the following interventions should the nurse identify as the priority?
Remove unnecessary equipment from the child's surroundings
A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client
Set realistic limits on the client's behavior
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 who has borderline personality disorder. Which of the following goals is the priority when planning care for this client?
The client will refrain from self-mutilation. Greatest risk to the client is injury to self and others
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. (Anticonvulsant med that is used as a mood stabilizer. Rash is a potentially life threatening adverse effect of the med
A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM?
Shuffling gait (benztropine is used to treat Parkinsonism manifestations such as shuffling gait
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?
Spending adequate time with a client who is verbally abusive
A nurse in a mental health clinic is caring for a client who has PTSD after returning from military deployment. Which of the following is the priority action for the nurse to take?
Stay with the client when flashbacks occur
A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take?
talk with the client about activities they enjoyed with their partner
