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ATI Mental Health Practice A Questions and Answers 100% Pass

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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

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ATI Mental Health Practice A with
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A nurse is assessing a client who recently used cocaine. Which of the following findings should

the nurse expect? ✔✔Hypertension




A nurse is caring for a group of clients. Which of the following findings should the nurse report?

✔✔A client who is taking lamotrigine and has developed a rash




A nurse on a mental health unit is admitting a client who is anxious and tells the nurse,. "I hear

voices telling me what to do." Which of the following actions should the nurse take? ✔✔Ask the

client what the voices are saying.




A nurse is communicating with a client in an inpatient mental health facility. Which of the

following actions by the nurse demonstrates the use of active listening? ✔✔Attention to body

language




A client who has paranoid schizophrenia is attending a treatment planning conference with a

family member. During the discussion of the medication adherence portion of the plan, a nurse

notices that the family member seems distracted. Which of the following actions should the

, nurse take? ✔✔Ask the family member if they have any thoughts or questions about the

treatment plan.




A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse

should identify that which of the following findings indicates a potential psychiatric emergency?

✔✔The client reports command hallucinations.




A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following

medications should the nurse administer first? ✔✔Diazepam 5 mg IV bolus




A nurse is reviewing the electronic medical record of a client who has schizophrenia and is

taking clozapine. Which of the following findings is the priority for the nurse to notify the

provider? ✔✔The client reports an inability to breathe easily.




A nurse in a community health center is counseling a family of two parents and two children.

Which of the following statements by a family member indicates manipulative behavior? ✔✔"If

you do my homework for me, I won't bother you for the rest of the day."

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