ATI RN Mental Health 2024 A ,question well done

RN is admitting client who has a alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? A. I put in extra hours at work so I won't think about drinking B. I know that wine is good for my heart, so that's why I drink some each evening C. I make up for my drinking by taking my partner on nice vacations D. I am able to go to work every day, so I don't have a problem - answersA. I put in extra hours at work so I won't think about drinking A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? A. Gather supplies for endotracheal intubation B. Administer a beta blocker intravenously C. Position the client in a low-Fowler's position D. Place a cooling blanket over the client - answersA. Gather supplies for endotracheal suctioning (Indicates respiratory depression) A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? A. St. John's wort B. Saw palmetto C. Echinacea D. Ginkgo - answersA. St. John's wort A nurse is caring for a client who is undergoing ECT and will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? A. Succinylcholine will enhance the therapeutic effects of this treatment B. Succinylcholine is given to reduce muscle movements during therapy C. Succinylcholine will decrease the anxiety level that you might experience with this treatment D. Succinylcholine is used as a general anesthetic to make sure you are sleeping during the procedure - answersB. Succinylcholine is given to reduce muscle movements during therapy A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? A. Polyphagia B. HTN C. Decreased temp. D. Depressed mood - answersb. Hypertension 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? A. If you do my homework for me, I won't bother you for the rest of the day B. Mom is always upset C. It's not the children's fault, it's mine D. It's your fault that we're having problems as a family - answersA. If you do my homework for me, I won't bother you for the rest of the day A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lbs. Available is chlorpromazine syrup 10 mg/5 ml. How many ml should the nurse administer? - answers14 ml 110 lb -- kg = 50 kg 50 kg*0.55 mg = 27.5 mg 27.5 mg*(5 ml/10 mg) = 14 ml A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan? A. Promote the use of music to compete with the client's auditory hallucinations B. Inform the client that the auditory hallucinations are not real C. Avoid asking the client if they are experiencing auditory hallucinations D. Instruct the client on the use of voice recognition regarding the auditory hallucinations - answersA. Promote the use of music to compete with the client's auditory hallucinations Competing reality-based stimulation such as the use of music or television during auditory hallucinations can assist in limiting the effect the hallucinations have on the client's stress level 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? A. Call the family member to the side to inquire if they have questions or concerns about the treatment plan B. Advise the family member that this treatment plan has been developed specifically for the client to follow C. Ask the family member if they have any thoughts or questions about the treatment plan D. Document that the family member does not support the medication treatment plan - answersC. Ask the family member if they have any thoughts or questions about the treatment plan A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? A. Controls anger outbursts to avoid being placed in seclusion