Mental Health ATI Practice Exam B.

A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? - Answer - Spending adequate time with a client who is verbally abusive. The nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings?a. Amenorrhab. Lanugoc. Cold Extremitiesd. Tooth erosion - Answer - Tooth erosion -A client who has bulimia nervosa is likely to have dental caries and tooth erosion caused by frequent exposure to gastric acid from vomiting. Nurse in mental health facility teaching newly licensed nurse of mechanical restraints. Understands teaching? - Answer - Apply restraints when other means have failed -According to the Patient Self-Determination Act, clients have a right to be free from restraints or seclusion unless the safety of the client or others is at risk. De-escalation methods for controlling behavior should be attempted prior to initiating restraints Increased risk for depression? a. married b. promotion c. has COPD d. male - Answer - c -The nurse should identify that clients who have a chronic medical illness are at an increased risk for the development of depression. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? - Answer - Rhinorrhea -The nurse should expect the client who is experiencing opioid withdrawal to have rhinorrhea and flu-like manifestations such as yawning, sneezing, and abdominal pain A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of the following statements should the charge nurse make? - Answer - "clients who are admitted involuntarily maintain the right to give informed consent for procedures" -Clients who are admitted involuntarily maintain the right to give informed consent for treatment. They also have the right to give informed consent for procedures. A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team? - Answer - Giving away possessions -Giving away possessions indicates that this client is at greatest risk for suicide. Therefore, this is the priority finding for the nurse to report to the treatment team. A nurse is teaching the guardians of a client about their adolescent child diagnosis of bulimia nervosaWhich of the following statements made by the guardians indicates an understanding of their child's illness? - Answer - "It is important for our child to have regular dental check ups" -For a client who has bulimia nervosa, repeated vomiting erodes tooth enamel and predisposes the teeth to caries. Thus, the nurse should teach the guardians that regular dental checkups are important for a client who has bulimia nervosa A nurse is providing teaching to the partner of a client who is in a rehabilitation programFor alcohol use disorder. The nurse should identify that which of the following statements by the client partner indicates an understanding of the teaching? - Answer - "I will not take charge of my partners work responsibilities." A nurse is caring for an older adult client who begins to cry and states, " I knew God would punish me and I deserve this horrible sickness!"Which of the following responses should the nurse make? - Answer - "Let's talk about what is upsetting you" A nurse on a mental health unit observes a client who has acute mania hit another client.Which of the following actions should the nurse take first? a. call provider for restraint b. prepare to administer benzodiazepine IM c. call for a team of staff members to help with the situation d. check the client who was hit for injuries - Answer - c. call for a team of staff members to help with the situation -The greatest risk is injury to the client and others. Therefore, the first action the nurse should take is to call for assistance to prevent further injury to themselves or others. A nurse in a providers office is interviewin