ATI mental health practice
test A
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? - -Correct
answer-talk with the client about activities they enjoyed with their
partner
a nurse is documenting admission assessment findings for a client
who has major depressive disorder. the nurse should identify which
of the following findings as clinical manifestations? - -Correct
answer--feelings of hopelessness
-anhedonia
-flat facial expression
a nurse is admitting a client who has alcohol use disorder. which of
the following statements by the client indicates that the client is
using denial as a defense mechanism? - -Correct answer-"I am able
to go to work every day, so I don't have a problem."
a nurse is admitting a client who has anorexia nervosa and is at 60%
of ideal body weight. which of the following interventions should the
nurse include in the plan of care? - -Correct answer-encourage the
client to drink 125 mL of fluid each hour while awake.
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a nurse is caring for a client who has schizophrenia and is
experiencing psychosis. the nurse should identify that which of the
following findings indicates a potential psychiatric emergency? - -
Correct answer-the client reports command hallucinations
a client who has paranoid schizophrenia is attending a treatment
planning conference with a family member. during the discussion of
the medication adherence portion of the plan, a nurse notices that
the family member seems distracted. which of the following actions
should the nurse take? - -Correct answer-ask the family member if
they have any thoughts or questions about the treatment plan
a nurse is planning care for an adolescent who is being admitted to
an acute care unit following a suicide attempt. which of the following
interventions should the nurse identify as the priority? - -Correct
answer-arrange one-to-one observation of the client
a nurse is caring for a group of clients. which of the following findings
should the nurse report? - -Correct answer-a client who is taking
lamotrigine and has developed a rash
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? - -Correct answer-encourage frequent rest
periods throughout the day
a nurse is reviewing routine lab values for several clients who are
taking lithium carbonate. which of the following clients should the
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nurse assess further for findings indicating lithium toxicity? - -Correct
answer-a client who has a sodium level of 128 mEq/L
a nurse is discussing the home care of a client who has 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 recommend to the caregiver? - -Correct answer-respite
care
a home health nurse is assessing an older adult client whose sibling is
the primary caregiver. which of the following findings should the
nurse identify as a possible indicator of neglect? - -Correct answer-
inappropriate dress
a community health nurse is planning an education program about
depressive disorders. which of the following factors should the nurse
include as increasing the risk for depression? - -Correct answer-
substance use disorder
a nurse is admitting a female client who has anorexia nervosa. which
of the following manifestations should the nurse expect during the
admission assessment? - -Correct answer-orthostatic hypotension
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? - -
Correct answer-"it is not uncommon to feel angry toward yourself or
others."
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