Mental Health ATI Book ?s (exam 1)

A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly-licensed nurse indicates understanding? a. This medication increases the release of serotonin and norepinephrine. b. I should tell the client about the likelihood of insomnia while taking this medication. c. This medication is contraindicated for clients who have an eating disorder. d. Sexual dysfunction is a common adverse effect of this medication

a

A nurse is caring for a client who is experiencing extreme mania due to bipolar. Prior to administration of lithium, their client's lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take? a. Administer the next lithium dose as scheduled. b. Prepare for administration of aminophylline. c. Notify the provider for a possible increase in the dose. d. Request a state repeat of the clients lithium blood level.

a

A nurse is discussing routine follow up needs with a client who has a new prescription of Vaproate. The nurse should inform the client of the need for routine monitoring for which of the following? a. AST/ALT and LDH b. Creatinine and BUN c. WBC and granulocyte counts d. Blood sodium and potassium

a

A charge nurse is discussing mental status examination with a newly nice licensed nurse. Which of the following statements by the newly-licensed nurse indicates an understanding of the teaching? (SATA). a. "To assess cognitive ability, I should ask the client to count backward by sevens" b. "To assess affect, I should have serve the client's facial expressions" c. "To assess language ability, I should instruct the client to write a sentence" d. "To assess remote memory, I should have the client repeat a list of objects" e. "To assess the client's abstract thinking, I should ask the client to identify most recent presidents"

abc

A nurse is caring for a client who takes paroxetine to treat PTSD. The client states, I grind my teeth during the night which causes mouth pain. The nurse should identify which of the following interventions to manage the bruxism? Select all that apply. a. Concurrent administration of buspirone b. administer a different SSRI c. use a mouth guard d. changing the different class of anti-anxiety med e. increasing the dose

acd

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? Select all that apply. a. Olanzapine b. Quetiapine c. Aripiprazole d. Clozapine e. Asenapine

acde

A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? Select all that apply. a. Void just before taking the medication. b. Increase the dietary intake of potassium. c. Wear sunglasses when outside. d. Change position slowly when getting up. e. Chew sugarless gum

ace

A nurse in an output mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? a. Coordinate holistic care with social services b. identify the clients perceptions of their mental health status c. include the client's family in the interview d. teach the client about their current mental health disorder

b

A nurse is caring for a client who is prescribed lithium therapy. The client tells the plan to take ibuprofen for osteoporosis pain relief. Which of the following statements should the nurse make? a. That's a good choice, ibuprofen does not interact with lithium. b. Regular aspirin would be a better choice than Ibuprofen. c. Lithium decreases the effectiveness of ibuprofen. d. The ibuprofen will make your lithium level fall too low

b

A nurse working in the ER is caring for a client with benzo toxicity. Which of the following actions is the nurse's priority? a. Administer flumazenil b. Identify the client's level of orientation c. Infuse IV fluids d. Prepare the client for gastric lavage

b

a nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? a. i can expect to experience diarrhea while taking this medication b. i may feel drowsy for a few weeks after starting this medication c. i cannot eat my fav pizza w/ pepperoni while taking this medication d. this medication will help me lose the weight that i gained over the last year

b

A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)? SATA. a. Decrease level of consciousness b. Drooling c. Involuntary arm movements d. Urinary retention e. Continual pacing

bce

A nurse is caring for a client who's taking phenelzine. For which of the following manifestations should the nurse monitor as an adverse effects of this medication? Select all that apply. a. Elevated blood glucose level b. orthostatic hypotension c. priapism d. hypomania e. bruxism

bd

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching? Select all that apply . a. Constipation b. polyuria c. rash d. muscle weakness e. tinnitus

bd

A nurse is assessing a client 4 hours after initial dose of fluoxetine. Which of the findings should the nurse report as indications for serotonin syndrome? Select all that apply. a. Hypothermia b. hallucinations c. muscle flaccidity d. diaphoresis e. agitation

bde

The nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? Select all that apply. a. The DSM-5 includes client education handouts for mental health b. The DSM-5 establishes diagnostic criteria for the individual mental disorder c. The DSM-5 indicates recommended pharmacological treatment for the mental health disorders d. The DSM-5 assist nurses in planning care for clients who have mental health disorders e. The DSM-5 indicates expected assessment findings of mental health disorders

bde

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and has a flat affect. The nurse should expect a prescription for which of the following medications? a. Chlorpromazine b. thiothixene c. Risperidone d. haloperidol

c

A nurse is caring for a client who is taking fluoxetine for panic disorder. Which of the following statements indicates the client understands the use of this medication? a. I will take my medication at bedtime b. I will follow a low-sodium diet while on this med c. I will need to discontinue this med slowly d. I will be at risk for weight loss with long-term use of this med

c

A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates an understanding of the teaching? a. I will be able to stop taking this medication as soon as I feel better. b. If I feel drowsy during the day, I will stop taking this medication and call my provider. c. I will be careful to not gain too much weight while taking this medication. d. This medication is highly addictive and must be withdrawn slowly.

c

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nursery report to the provider? a. The client has a family history of seasonal pattern depression. b. The client currently smokes 1.5 packs of cigarettes per day. c. The client had a motor vehicle crash last year and sustained a head injury. d. The client has a BMI of 25 and has gained 10 lbs over the last year

c

A nurse is admitting a patient newly diagnosed with bipolar and is scheduled to begin lithium. When collecting a medical history from the client's caregiver, which of the following statements is the priority to report to the provider? A. Current medication conditions include diabetes that is controlled with diet B. recent medications include course of prednisone for acute bronchitis C. current vaccinations include flu vaccine last month D. current medications include furosemide for congestive heart failure

d

A nurse is planning care for a client who has a mental disorder. Which of the following actions should the nurse include as a psychobiological intervention? a. Assistant client with systematic desensitization therapy b. teach the client appropriate coping mechanisms c. assess the client for comorbid health conditions d. monitor the client for adverse effects of medication

d

A nurse is teaching a client who has a new prescription for Alprazolam for generalized anxiety. Which of the following info should the nurse provide: a. 3-6 weeks of treatment is required to achieve therapeutic effect b. combining with ETOH will produce a paradoxical response c. Alprazolam has a lower risk for dependence than any other anti-anxiety meds d. report confusion as a potential indication of toxicity

d