QUESTION EXAM WITH VERIFIED ANSWERS & DETAILED RATIONALES |
NGN NURSING REVIEW | UPDATED ATI MENTAL HEALTH STUDY GUIDE
FOR LEVEL 2 & LEVEL 3 SUCCESS
A NURSE IN A MENTAL HEALTH CLINIC IS CARING FOR A CLIENT WHO HAS BIPOLAR DISORDER
AND REPORTS THAT THEY STOPPED TAKING LITHIUM 2 WEEKS AGO. THE NURSE SHOULD
RECOGNIZE WHICH OF THE FOLLOWING AS AN EXPECTED ADVERSE EFFECT THAT MIGHT HAVE
CAUSED THE CLIENT TO SPOT TAKING THE MEDICATION?
1. SORE THROAT
2. PHOTOPHOBIA
3. HAND TREMORS
4. CONSTIPATION
ANS: 3. HAND TREMORS
- FINE HAND TREMORS ARE AN EXPECTED ADVERSE EFFECT OF LITHIUM AND CAN INTERFERE
WITH PERFORMANCE OF ADLS, CAUSING THE CLIENT TO STOP TAKING THE MEDICATION.
*DIARRHEA IS AN EARLY MANIFESTATION OF LITHIUM TOXICITY
A NURSE IS UPDATING THE PLAN OF CARE FOR A CLIENT WHO HAS BULIMIA NERVOSA AND IS
5% ABOVE THEIR IDEAL BODY WEIGHT. WHICH OF THE FOLLOWING INTERVENTIONS SHOULD
THE NURSE INCLUDE IN THE PLAN?
1. INCLUDE A LIQUID SUPPLEMENT WITH MEALS.
2. IDENTIFY THE CLIENT'S TRIGGER FOODS.
3. ALLOW THE CLIENT AT LEAST 1 HR FOR EACH MEAL.
, 4. WEIGH THE CLIENT AT BEDTIME EACH DAY.
ANS: 2. IDENTIFY THE CLIENT'S TRIGGER FOODS.
- THE NURSE SHOULD IDENTIFY THE TRIGGER FOODS THAT INITIATE THE CLIENT'S BINGE AND
ASSIST THE CLIENT TO UNDERSTANDING THEIR THOUGHTS AND BEHAVIOR THAT RELATE TO THE
FOOD.
THE NURSE SHOULD LIMIT THE CLIENT'S MEAL TIMES TO ABOUT 30 MIN TO PREVENT PUTTING
EXCESSIVE FOCUS ON FOOD.
THE NURSE SHOULD WEIGH THE CLIENT IMMEDIATELY AFTER THEY WAKE UP AND VOID AND
PRIOR TO ORAL INTAKE. THE NURSE SHOULD WEIGH THE CLIENT DAILY FOR THE FIRST WEEK
AND THEN THREE TIMES PER WEEK.
*THE NURSE SHOULD INCLUDE A LIQUID SUPPLEMENT FOR A CLIENT WHO IS BELOW THEIR
IDEAL BODY WEIGHT AND MIGHT NOT BE ABLE TO EAT SOLID FOODS AT FIRST OR MIGHT NEED
THE ADDITIONAL NUTRITION TO GAIN WEIGHT.
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?
1. "IT WILL BE BETTER FOR YOU TO KEEP BUSY TO AVOID THINKING ABOUT YOUR CHILD'S
DEATH."
2. "YOU WILL COMPLETE THE GRIEVING PROCESS ABOUT A YEAR AFTER YOUR CHILD'S DEATH."
3. "THE GRIEF PROCESS WILL START ONCE YOUR CHILD ACTUALLY DIES."
4. "IT IS NOT UNCOMMON TO FEEL ANGRY TOWARD YOURSELF OR OTHERS."
ANS: 4. "IT IS NOT UNCOMMON TO FEEL ANGRY TOWARD YOURSELF OR OTHERS."