Study online at https://quizlet.com/_j5lpvl
1. a nurse is caring for an older adult client who has talk with the client about
dementia and has wandered into the day room look- activities they enjoyed with
ing for their deceased partner. which of the following their partner
actions should the nurse take?
2. a nurse is documenting admission assessment find- -feelings of hopelessness
ings for a client who has major depressive disorder. the -anhedonia
nurse should identify which of the following findings -flat facial expression
as clinical manifestations?
3. a nurse is admitting a client who has alcohol use dis- "I am able to go to work
order. which of the following statements by the client every day, so I don't have a
indicates that the client is using denial as a defense problem."
mechanism?
4. a nurse is admitting a client who has anorexia nervosa encourage the client to
and is at 60% of ideal body weight. which of the follow- drink 125 mL of fluid each
ing interventions should the nurse include in the plan hour while awake.
of care?
5. a nurse is caring for a client who has schizophrenia and the client reports com-
is experiencing psychosis. the nurse should identify mand hallucinations
that which of the following findings indicates a poten-
tial psychiatric emergency?
6. a client who has paranoid schizophrenia is attending a ask the family member if
treatment planning conference with a family member. they have any thoughts or
during the discussion of the medication adherence questions about the treat-
portion of the plan, a nurse notices that the family ment plan
member seems distracted. which of the following ac-
tions should the nurse take?
7.
, ATI mental health practice test A
Study online at https://quizlet.com/_j5lpvl
a nurse is planning care for an adolescent who is be- arrange one-to-one ob-
ing admitted to an acute care unit following a suicide servation of the client
attempt. which of the following interventions should
the nurse identify as the priority?
8. a nurse is caring for a group of clients. which of the a client who is taking lam-
following findings should the nurse report? otrigine and has devel-
oped a rash
9. a nurse is planning care for a client who is experienc- encourage frequent rest
ing acute mania. which of the following interventions periods throughout the
should the nurse include in the plan to promote sleep? day
10. a nurse is reviewing routine lab values for several a client who has a sodium
clients who are taking lithium carbonate. which of the level of 128 mEq/L
following clients should the nurse assess further for
findings indicating lithium toxicity?
11. a nurse is discussing the home care of a client who has respite care
advanced Alzheimer's disease with the client's partner,
who is planning to go out of town for several days.
which of the following resources should the nurse rec-
ommend to the caregiver?
12. a home health nurse is assessing an older adult client inappropriate dress
whose sibling is the primary caregiver. which of the fol-
lowing findings should the nurse identify as a possible
indicator of neglect?
13. a community health nurse is planning an education substance use disorder
program about depressive disorders. which of the fol-
lowing factors should the nurse include as increasing
the risk for depression?