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1. Post-traumatic Stress Child with negative moods, lack of interest in significant events.
Disorder (PTSD)
2. Lamotrigine Anticonvulsant causing life-threatening rash, a mood stabilizer.
3. Clozapine Contraindi- WBC count < 3,000 due to potential fatal agranulocytosis.
cation
4. Suicide Risk Assess- Client expressing feelings indicates positive treatment outcome.
ment
5. Nonverbal Communi- Maintaining eye contact and posture shows interest in conversation.
cation
6. Auditory Hallucina- Promote music to compete with hallucinations, reinforce reality.
tions Intervention
7. Competing Reality Using music or TV to limit the impact of auditory hallucinations.
Technique
8. Voice Dismissal Skill Commanding voices to stop, giving the client a sense of control.
9. Impaired Cognition Nurse updating plan of care for a client with cognitive deficits.
Care
10. Approaching the Anticipated. A client who is unexpectedly approached or touched from
client from the front someone out of view is easily startled, which can promote aggressive be-
havior.
11. Using a vest restraint Contraindicated. The client has the right to be free from the use of restraints
on a client in a med- except in emergencies.
ical recliner
12.
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, ATI RN Mental Health Proctored Exam 2023 A & B
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Ensuring the bed is at Contraindicated. The client's bed should be placed in the lowest position to
a working height for decrease the risk for falls.
the nurse
13. Providing high-calorie Nonessential. This is unnecessary as the client is already taking in nutrition.
protein drinks hourly
14. Giving directions Anticipated. This increases client comprehension and avoids discomfort or
slowly and in a moder- anger.
ate tone of voice
15. Decreasing sensory Anticipated. A highly stimulating environment can cause anxiety and disori-
stimulation entation in the client.
16. Keeping the lights off Contraindicated. This can increase the client's risk for falls.
in the client's bed-
room and bathroom
at night
17. Assigning the client to Anticipated. Promotes client safety by allowing frequent observation by staff.
a room near the nurs-
es' station
18. De-escalation Tech- Methods like therapeutic communication to calm agitated clients
niques
19. Incident Report Documentation of any care standard deviations, like medication errors
20. Guided Imagery Assisting clients to imagine a peaceful place to reduce anxiety
21. Alcohol Toxicity Inter- Actions for an unresponsive client include preparing for intubation
ventions
22. Cocaine Effects Expect hypertension, increased energy, and decreased appetite
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