ATI Mental Health practice 2019 A & B Questions and 100%Correct Answers.

ATI Mental Health practice 2019 A & B Questions and 100%Correct Answers. ATI Mental Health practice 2019 A & B 1. A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? • “I am able to go to work every day, so I don't have a problem.” By insisting that their drinking is not a problem because they can go to work every day, the client is using the defense mechanism of denial. This allows the client to ignore the existence of their substance use disorder. 2. 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? • Gather supplies for endotracheal intubation. The nurse should gather supplies for endotracheal intubation because an expected finding of an unresponsive client who has alcohol toxicity is respiratory depression. 3. 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? • St. John’s Wort St. John's wort is an herbal preparation that decreases the reuptake of serotonin. The nurse should advise the client that taking St. John's wort with another medication that also inhibits the reuptake of serotonin, such as paroxetine, places the client at risk for serotonin syndrome 4. A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) Ann will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? • Succinylcholine is given to reduce muscle movements during therapy. Succinylcholine is a muscle-paralyzing agent that will decrease muscle movement during the procedure so the client is less likely to be injured. 5. A nurse is assessing a client who recently used cocaine which of the following findings should the nurse expect? • Hypertension Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body temperature, energy levels, and metabolism. 6. 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.” This is an example of manipulative behavior. It is an example of manipulation when the family member uses a behavior to get what they desire rather than directly asking for what they want. 7. A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is chlorpromazine syrup 10 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. do not use a trailing zero.) • 14 mL Step 4: Solve for X. X mL/dose = 13.75 mL/dose Step 5: Round if necessary. 13.75 mL/dose = 14 mL/dose Step 6: Determine whether the amount to administer makes sense. If there are 10 mg/5 mL and the prescription reads 0.55 mg/kg, it makes sense to administer 14 mL. The nurse should administer chlorpromazine syrup 14 mL PO. 8. 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? • 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. 9. 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. This action involves the family member and allows them a venue to communicate about the client's medication treatment plan. 10. During a client’s initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact in leaning forward. Which of the following assumptions should the nurse make based on the client’s nonverbal behaviors? • The client is interested in what the nurse is saying. The client's posture and eye contact demonstrates an interest in the interview and what the nurse is saying. 11. 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? • Refrains from manipulating others to earn dining room privileges. The goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative behavior is a desired response.