ATI Mental Health Proctored Exam 9 2024

A school nurse is assessing a school-age child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post-traumatic stress disorder (PTSD)? - Lack of interest in an upcoming holiday 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 is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine? - WBC count 2,500/mm3 (5,000- 10,000/mm3) A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? - "It is easier to talk about my feelings now." During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and 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. 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. A nurse is caring for a client who has impaired cognition. A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client. - Anticipated- approach from front, give directions to the client, decrease sensory, assign client to a room contra- use a vest, ensure the bed is kept, keep the lights off non- provide the client with high A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information about relapse should the nurse include? - Early identification of changes, such as decreased social involvement, is important. A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client? - Set realistic limits on the client's behavior. A nurse in a community health center is teaching families of clients who have posttraumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? - Experiences feelings of isolation A nurse in an inpatient mental health facility is caring for a client. The client begins pacing with their fists clenched and is verbally abusing the staff. Which of the following actions should the nurse take? - Ensure security personnel are available in the background to assist if the client's behavior escalates. A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? - A client was administered one-half of the prescribed dose of medication. A nurse in a community health center is working with a group of clients who have post-traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? -