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N288 ATI MENTAL HEALTH 2 LEARNING SYSTEM RN 3 QUESTION AND ANSWERS

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N288 ATI MENTAL HEALTH 2 LEARNING SYSTEM RN 3 QUESTION AND ANSWERS

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N288 ATI MENTAL HEALTH 2 LEARNING SYSTEM RN 3
QUESTION AND
ATI Mental Health ANSWERS
2 Learning System RN 3.0
1. A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the
following factors should the nurse identify as increasing the client's risk for depression.
A. The client is an only child.
B. The client lives in an urban setting.
C. The client is married.
D. The client is female.
ANS: D (female primary risk for depression)
2. A nurse is caring for a client who has an obsessive-compulsive disorder. The client engages in repeated
handwashing daily. Which of the following should the nurse recognize as the purpose of the client's behavior?
A. Relieving anxiety
B. Gaining attention
C. Avoiding daily responsibilities
D. Responding to auditory hallucinations

ANS: A (Ritualistic & compulsive behaviors, such as repeated handwashing are associated w/OCD)

3. A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. Which of the following findings
should the nurse expect?
A. Bradycardia ((alcohol withdrawal)
B. Increased somnolence (alcohol withdrawal)
C. Slurred speech (alcohol intoxication)
D. Headache

ANS: D

4. A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating
rhyming syllables such as, "Me, see, bee, tree." The nurse recognizes that the client is demonstrating which of
the following positive manifestations of schizophrenia?
A. Clang association (rhyming)
B. Echolalia (repeating words by imitation)
C. Magical thinking (+ schizophrenia)
D. Word salad
ANS: A
5. A nurse is assessing a client who has been taking thioridazine hydrochloride for several days. The client
reports hand tremors, drooling, and rigid extremities. Which of the following actions should the nurse take?
A. Reassure the client that these effects are expected
B. Administer diazepam (anxiety)
C. Encourage deep breathing and relaxation
D. Administer benztropine (counteracts adverse extrapyramidal effects)
ANS: D
6. A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following actions should
the nurse take when dealing with the client's ritualistic behaviors?
A. Plan the client's schedule to allow time to perform rituals.
B. Verbalize disapproval of ritualistic behavior.
C. Place the client in protective isolation.
D. Increase stimuli in the client's immediate surroundings.
ANS: A
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, 7. A nurse is assessing a client who has an anxiety disorder and is taking a benzodiazepine. For which of the following
adverse effects should the nurse monitor the client?
A. Seizures (Benzo for seizures)
B. Dizziness
C. Polyuria (S/E od lithium)
D. Insomnia (adverse effect of benzo)

ANS: B

8. A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings
indicates that the client is experiencing a relapse?
A. Weight gain
B. Ritualistic behavior (OCD)
C. Anhedonia (not on mania)
D. Pressured speech (relapse in mania)

ANS: D

9. A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of
the following actions should the nurse take first?
A. Identify the cause of the anxiety.
B. Instruct the client to take slow, deep breaths.
C. Teach the client how to use positive self-talk.
D. Explain the physical manifestations of anxiety to the client.
ANS: B (safety and risk reduction priority setting framework)
10. A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse should
teach the client that which of the following over-the-counter medications can cause a hypertensive crisis when
taken concurrently with phenelzine?
A. Acetaminophen
B. Ranitidine
C. Naproxen
D. Pseudophedrine
ANS: D (interacts with MAOI)
11. A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following
is the priority information the nurse should include in the teaching?
A. "This medication can affect your ability to drive or handle mechanical equipment."
B. "You should avoid drinking beverages that contain caffeine with this medication."
C. "You should avoid taking antacids within 2 hours of taking this medication."
D. "This medication should be taken with or shortly after meals."
ANS: A

12. The nurse in the emergency department is assessing a client who has cocaine intoxication. Which of the following
findings should the nurse expect?
A. Pinpoint pupils
B. Drowsiness
C. Nystagmus (PCP angel dust)
D. Hypervigilance

ANS: D (Paranoid behavior is an expected fin ding who has cocaine intoxication)

This study source was downloaded by 100000842568006 from CourseHero.com on 04-27-2022 00:33:45 GMT -05:00


https://www.coursehero.com/file/110334277/ATI-MH-2docx/

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