NURSING 4764 ATI Mental Health 2019 B Practice All In One Solution

Mental Health 2019 B Practice 1) A nurse is assessing a family’s dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issu e? -An adolescent family member who questions parental authority An adolescent who questions parental authority is demonstrating appropriate behavior for developmental age. -Mental Health 2019 B Practice 1) A nurse is assessing a family’s dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issu e? -An adolescent family member who questions parental authority An adolescent who questions parental authority is demonstrating appropriate behavior for developmental age. -. The nurse should assist the client with behavioral change during the working phase of the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a different action first. -Determine coping strategies that the client has used in the past. The nurse should determine what coping strategies the client used in the past during the working phase of the nurse-client relationship. However, evidence-based practice indicates that the nurse should take a different action first. 3) A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse’s suspicion of delirium? -Slow onset Delirium has an acute onset. Dementia is a slow, progressive decline. -Aphasia Aphasia is a manifestation of dementia. -Confabulation Confabulation is a manifestation of dementia. -Easily distracted Extreme distractibility is a hallmark manifestation of delirium. 4) A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client’s plan of care? -Offer the client various choices for meal selection. The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by limiting the choices the client is asked to make. -Assign different nursing personnel for each shift. The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by providing consistent nursing personnel. -Permit the client to perform daily rituals to decrease anxiety. The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by permitting the client to perform daily rituals. -Maintain an environment that has low lighting. The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by providing a well-lit environment. 5) A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? -Encourage the client to participate in group therapy. The nurse should maintain a low-stimuli environment for a client who is experiencing mania. The nurse should dim the lights, decrease noise, and limit the number of people the client is around. -Instruct the client to avoid napping during the day. The nurse should encourage the client to take frequent rest periods throughout the day. Clients experiencing mania are at risk of exhaustion that can be life threatening. -Offer the client high-calorie finger foods frequently. The nurse should frequently offer the client high-calorie foods that can be eaten while the client is on the go. Clients experiencing mania might be unable to sit down for meals and can experience weight loss and dehydration. -Decrease the client's daily fiber intake. The nurse should encourage the client to eat foods and snacks that are high in fiber. Clients experiencing mania can experience dehydration and nutritional deficiencies from decreased intake, which can lead to constipation