NURS 6512C MENTAL HEALTH ATI PROCTORED EXAM 1 2021 Graded A+

  A client who has bulimia nervosa is likely to have caused by frequent exposure to gastric acid from vomiting. dental caries and tooth erosion Extreme distractibility is a hallmark manifestation of . delirium Criteria for hospitalization is weight loss over 30% of total body weight in months. 6 Severe hypothermia, a temperature lower than due to loss of subcutaneous tissue or dehydration, requires hospitalization. 96.8° F Fine hand tremors are an expected adverse effect of and can interfere with the client's ADLs, causing the client to stop taking the medication. lithium The nurse should encourage the client to drink of fluid each waking hour to maintain hydration. 125 mL An initial response to amitriptyline can develop in 1 week. For a client who has been severely depressed with suicidal ideation, the energy to carry out a plan is . more possible after 1 week of treatment. A client who is experiencing is expected to have hypertension, tachycardia, and a fever greater than 38.3° C (101° F). alcohol withdrawal A client who is experiencing alcohol withdrawal can experience profuse sweating and pupils dilated Benztropine is used to treat parkinsonism manifestations, such as . shuffling gait St. John's wort is an herbal preparation that decreases the reuptake of serotonin. The nurse should advise the client that taking St. John's wort with another medication that also inhibits the reuptake of serotonin, such as , places the client at risk for paroxetine is common in clients who have depression. The nurse should allow the client time to comprehend and formulate an answer to the question. Slowed response time The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate, and elevated blood pressure. acts rapidly to prevent seizures, stabilize vital signs, and decrease the intensity of withdrawal manifestations IV diazepam Clients who have can disrupt the therapeutic milieu for other clients. Therefore, the nurse should move this client to aprivate room. bipolar disorder The nurse should documentthe client's behavior every while the client is in seclusion. 15 to 30 min The nurse should assess the client's behavior frequently during seclusion and shouldrenew the prescription for seclusion for an adult client every , for a maximum of 24 hr. 4 hr Normal levels of sodiumand fluid need to be maintained to ensure adequate excretion of . lithium The nurse should monitor the child for , which is an adverse effect of methylphenidate. tachycardia Clients who have need excessive input from others to make everyday decisions. dependent personality disorder Emotional lability The rapid transition from one emotion to another and is a primary feature of borderline personality disorder. Clients who have borderline personality disorder react to situations with emotional responses that are out of proportion to the circumstances. The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Therefore, the priority intervention is to . remove unnecessary equipmentfrom the child's surroundings. The seizure induced during ECT can stress the client's heart. Therefore, the nurse should plan to monitor the client's during ECTvia an electrocardiogram. cardiac rhythm The nurse should frequentlyoffer the client, high-calorie foods that can be eaten while the client is on the go. Clients experiencing might be unable to sit down for meals and can experience weight loss and dehydration. mania A sodium level of 128 mEq/Lshould alert the nurse that the client is at risk for because renal excretion of lithium is decreased in the presence of a low sodium level. lithium toxicity Clozapine can cause agranulocytosis, which can be fatal due to overwhelming infection. The nurse should identify a WBC count below as a possible manifestation of agranulocytosis and should withhold the medication and notify the provider. 3000/mm3 This is an example of secondary prevention. By , the nurse can identify individuals who are at risk for intimate partner abuse in the community and can take the necessary steps to address individual client needs. establishing screening programs Positive symptoms of schizophrenia usually appear suddenly and are alterations in behavior, perception, speech, and thought. are examples of positive symptoms. Delusions and an inability to think abstractly A child who has autism spectrum disorder usually has a . language delay. is a manifestation of depression, and early identification of findings can lead to early intervention. Decreased social involvement The client experiences a situational crisis when . an unexpected event occurs The Hospitalization of the Mentally Ill Act of 1964 requires that clients admitted to an inpatient mental health facility have a right to . Individualized treatment The nurse should expect the client who is experiencing opioid withdrawal to have and flu-like manifestations such as yawning, sneezing, and abdominal pain. rhinorrhea Fluoxetine is a selective serotonin reuptake inhibitorthat can cause such as anorgasmia and impotence. sexual dysfunction ECT can be used when: • There is a need for rapid, definitive response for a client who is suicidal. • Bipolar disorder with rapid cycling. • Mania and have not responded to medication therapy. During acute mania, the client is extremely active and , which can lead to relapse. does not sleep Low weight, electrolyte imbalances, starvation, and dehydrationcauses . orthostatic hypotension According to evidence-based practice, the nurse should first inform the client about during the orientation phase of the nurse-client relationship. confidentiality A stage IV pressure ulcer on an older adult client who is bedbound can indicate physical neglect and warrants . mandatory reporting