ATI Mental Health Final Exam 1

1) A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the nurse plan to take? Maintain close observation of the client. 2) A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect? The client is able to identify the names of family members. 3) A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." Which of the following responses should the nurse make? "That must be very frightening." 4) A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority? Maintaining adequate hydration 5) A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? Sedation 6) A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client? Promoting and maintaining client safety 7) A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? Pure vanilla extract 8) A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan? Taper the medication gradually over several weeks. 9) A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings should the nurse expect during alcohol withdrawal? Insomnia 10) A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care? Diazepam 11) A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that member of the group requires further teaching when she identifies which of the following findings as a manifestation of Alzheimer's disease? Sudden confusion 12) A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which of the following manifestations is a common adverse effect of this medication? Dizziness 13) A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium? Valproic acid 14) A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse? The parent provides a history that is inconsistent with the child's injury. 15) A nurse is evaluating the plan of care for a client who has antisocial personality disorder. Which of the following client actions indicates that he is making progress with the treatment? (Select all that apply.) Assisting another client who has depression to fill out a menu Requesting a weekend pass to go home 16) A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include? "You should have your liver function levels monitored regularly while taking valproic acid" 17) A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching? "You will slowly be exposed to increasing levels of public spaces." 18) A nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse include in the teaching? Older adult clients require a lower initial dose of antidepressant medication than adult clients. ..........