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ATI Mental Health Practice A 2019 Already Passed

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a nurse is caring for a group of clients. for which of the following situations should the nurse complete and incident report? a client was administered one-half of the prescribed dose of medication a nurse is caring for a group of clients. which of the following findings is the nurse required to report? a client who has borderline personality disorder threatened to hair their roommate a nurse is caring for a client who has borderline personality disorder. which of the following goals is priority when planning care for this client? the client will refrain from self-mutilation a nurse is discussion the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? respite care 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? tell the client that their partner is deceased

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ATI Mental Health Practice A Questions
and Answers 100% Pass
A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the

following manifestations should the nurse expect? ✔✔Diaphoresis


The nurse should expect a client who is experiencing alcohol withdrawal to experience

diaphoresis, or increased sweating.




A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and

whose partner died several years ago. The client appears upset and asks the nurse when his

partner will visit again. The nurse states, "It seems like you are feeling lonely. Let's take a walk

outside and talk." Which of the following communication strategies is the nurse using?

✔✔Validation therapy


The nurse is using validation therapy as a strategy to communicate with the client. This strategy

validates the client's feelings and emotions, even when they don't coincide with reality. The

nurse should also attempt to integrate redirection techniques without the client realizing he is

being redirected.




A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for

chlorpromazine. Which of the following statements should the nurse include in the teaching?

✔✔"The voices you have been hearing should decrease"

,The nurse should instruct the client that hallucinations and agitated behavior, which are positive

symptoms of schizophrenia, are targeted by conventional antipsychotic agents, such as

chlorpromazine.




A nurse is reinforcing teaching with a client who has generalized anxiety disorder and is to start

therapy with buspirone. Which of the following statements should the nurse identify as an

indication that the client understands the information? ✔✔"I should expect some improvement of

my symptoms in about 10 days."

The nurse should instruct the client to expect some improvement of symptoms after 7 to 10 days.

However, it takes 2 to 4 weeks for buspirone to reach its full effect.




A nurse is caring for a client who has major depressive disorder (MDD). The client states, "I

have nothing to live for anymore. I just can't go on." Which of the following responses should

the nurse make? ✔✔"Are you thinking about ending your life?"


The nurse should identify that this client's safety is at risk. The client's statement is an overt

statement that indicates hopelessness, which increases the risk of suicide for a client who has

MDD. It is imperative that the nurse immediately evaluate the client for suicidal ideation.




A nurse at an outpatient mental health clinic is assisting with a group therapy session. One of the

participants is having difficulty staying seated and states loudly to the therapist ," I know more

, than you do about the people in this room!" The nurse should identify that which of the

following findings is the likely explanation for the client's behavior? ✔✔Hypomania


The nurse should suspect hypomania as the likely cause of the client's current behavior and

investigate these actions further after calmly escorting the client from the therapy session. Clients

who have hypomania exhibit excessive energy and a decreased need for sleep. These clients are

easily distracted in a group setting and have a pretentious, grandiose sense of self.




A nurse is assisting with a mental status examination for a client who has schizophrenia. Which

of the following statements should the nurse make to gather information about the client's ability

to think abstractly? ✔✔"How is an orange similar to an apple?"


Asking the client to explain similarities between objects or to explain the meaning of a common

proverb or figure-of-speech tests the client's ability to think abstractly.




A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting

behaviors at home. Which of the following actions should the nurse instruct the parent to take?

✔✔Initiate a point system for the child.


The nurse should instruct the parent to use tokens or points to reward desired behaviors and

reduce maladaptive behaviors. A point system provides an incentive for the child to increase

acceptable behaviors.

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