mental health ATI 2021 questions and answers 100% graded A+

a nurse is caring for a group of clients. for which of the following situations should the nurse complete an incident report? A. a client refuses electroconvulsive therapy after signing the consent form. B. a client who was voluntarily admitted left the unit against medical advice C. a client was administered one-half of the prescribed dose of medication D. a client was placed in restraints after attempts to de-escalate aggressive behaviors failed C an incident report is a recording of any occurrence that does not meet the standards of care. the nurses should report medication errors using the facilities incident or occurrence form a nurse is caring for a group of clients. which of the following findings is the nurse required to report? A. a client who has bipolar disorder and tested positive for genital herpes simplex virus reports having multiple sexual partners B. a client who has depression reports having a lack of interest in assisting their partner in the care of their children C. a client who has borderline personality disorder threatened to harm their roommate D. an adolescent client who has anorexia nervosa has a BMI of 17 C 00:11 01:14 a nurse is caring for a client who has borderline personality disorder. which of the following goals is the priority when planning care for this client? A. the client will take prescribed medications as scheduled B. the client will express their feeling of frustration C. the client will refrain from self-mutilation D. the client will participate in group therapy C a nurse is discussing the home care of a client who has advanced alzheimers disease with the clients partner, who is planning to go out of town for several days. which of the following resources should the nurse recommend to the caregiver? A. respite care B. partial hospitalization C. adult day care program D. geropsychiatric unit A respite care programs allow the client to stay in a nursing facility for a set number of days, allowing the caregivers to go on vacation or have some time to themselves 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? A. move the client to a room near the nurses station B. limit visitors until the client is oriented to the environment C. tell the client that their partner is deceased D. talk with the client about activities they enjoyed with their partner D talking about positive experiences can help distract the client from their disorientation a nurse is admitting a client who has schizophrenia to an acute care setting. when the nurse questions the client regarding their admission, the client states "i'm red, in the head, and i'm going to bed!" the nurse should document the clients speech pattern as which of the following? A. clang association B. word salad C. neologism D. echolalia A clang associations often rhyme a nurse is assessing a client who has schizophrenia. which of the following findings should the nurse document as a negative symptom of this disorder? A. delusions B. neologisms C. anhedonia D. echopraxia C a nurse is delegating client care to a LPN and an assistive personnel. which of the following tasks should the nurse assign the LPN? A. obtain the weight of a client who has bipolar disorder and is experiencing mania B. assess the nutritional intake of a client who has anorexia nervosa and has refused to eat for the past 2 days C. monitor the cardiovascular status of a client who is experiencing serotonin syndrome D. change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds D it is within the LPNs scope of practice to change the dressing, cleanse the wound, and collect data regarding the healing of the wound a nurse is assessing a school-age child who has conduct disorder. which of the following characteristics should the nurse expect the child to demonstrate? A. feelings of remorse B. extended periods of depression C. deficits in intellectual functioning D. aggression towards animals D a nurse in a mental health clinic is planning care for a client who has a new prescription for olanziapine. which of the following interventions should the nurse identify as the priority? A. advise the client to take frequent sips of water B. instruct the client to avoid driving during the initial therapy C. consult a dietician for a calorie-controlled diet plan D. recommend that the client exercise regularly B a nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. when the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. which of the following actions should the nurse take? A. do not administer the lorazepam B. request a rescription for IV lorazepam C. request that another nurse attempt to administer the lorazepam D. place the lorazepam in the clients food A a nurse is caring for a client who has schizophrenia and is expressing psychosis. the nurse should identify that which of the following findings indicates a potential psychiatric emergency? A. the client is exhibiting echolalia B. the client reports command hallucinations C. the client reports loss of motivation D. the client is exhibiting blunted affect B