ATI Capstone: Mental Health, ATI Mental health
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A nurse in a psychiatric unit is caring for several clients.
Which of the following clients should the nurse
recommend for group therapy?
A client who has been taking amitriptyline for 3 months for
depression
A client exhibiting psychotic behavior
A client admitted 12 hr ago for acute mania
A client who is experiencing alcohol intoxication -
Answers-A client who has been taking amitriptyline for 3
months for depression;
Psychotherapy groups provide clients with the opportunity
to enhance their personal relationships, increase self-
awareness, and try new behaviors in a safe social setting.
Amitriptyline can take 4 to 8 weeks to become effective;
therefore, this client should be experiencing improvement
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in depressive manifestations and be ready to interact in a
group setting.
A nurse in an emergency department is assessing a client
for suspected cocaine intoxication. The nurse should know
that which of the following manifestations is consistent
with cocaine intoxication?
Nystagmus
Dilated pupils
Hypersomnia
Depression - Answers-Dilated pupils;
Dilated pupils are a finding of cocaine intoxication due to
the stimulation of the sympathetic nervous system.
A nurse in the emergency department is preparing to care
for a client who has signs of alcohol intoxication. Which of
the following should the nurse plan to include in the client's
care? (Select all that apply.)
Contact the laboratory to obtain a blood sample.
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Prepare the client for a CT scan.
Check the client's pupil reactivity.
Obtain a urine specimen.
Perform a developmental screening test. - Answers-
Contact the laboratory to obtain a blood sample.
Prepare the client for a CT scan.
Check the client's pupil reactivity.
Obtain a urine specimen;
Contact the laboratory to obtain a blood sample is correct.
A blood sample allows for a blood alcohol level test to be
performed.Prepare the client for a CT scan is correct. A CT
scan or other neurological tests is performed to rule out
brain injury or head trauma.Check the client's pupil
reactivity is correct. Checking for pupil reactivity provides
information about a client's neurological status.Obtain a
urine specimen is correct. A urine specimen is needed to
perform a urine toxicology screen.Perform a
developmental screening test is incorrect. A
developmental screening test is appropriate when needing
information about a child or adolescent's maturational or
developmental level.
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A nurse is preparing to administer diphenhydramine 50 mg
PO every 6 hr to a client who has acute dystonia. The
available medication is diphenhydramine 25 mg tablets.
How many tablets should the nurse administer per dose? -
Answers-2 tablets
A nurse is assessing a parent who lost a 12-year-old child
in a car crash 2 years ago. Which of the following findings
indicates the client is exhibiting manifestations of
prolonged grieving?
Leaves the child's room exactly as it was before the loss
Volunteers at a local children's hospital
Talks about the child in the past tense
Visits the child's grave every week after worship services -
Answers-Leaves the child's room exactly as it was before
the loss;
Grieving becomes dysfunctional when the client is unable
to resume regular activities of daily living or experience
emotions other than sadness or depression. An example
of dysfunctional grieving is making the loved one's room a
shrine for more than a year.