UPDATED mental health proctored ATI WITH COMPLETE SOLUTIONS

a nurse is obtaining a medical hx from a pt. who is requesting a prescription for bupropion for smoking cessation. which of the following assessment findings in the pts. hx should the nurse report to the provider? A. Recent head injury b. hypothyroidism c. herpes infection d. knee arthroplasty 1 month ago - correct answersA. Recent head injury - risk for seizures a nurse is planning care for a pt. who has narcissistic personality disorder. which of the following actions is appropriate for the nurse to include in the plan of care? A. request an anti-psychotic med from the provider b. ask the client to sign a no suicide contract c. remain neutral when communicating with the client d. provide the client with high cal. finger foods - correct answersc- remain neutral when communicating with the client a nurse is preparing for an inter professional team meeting regarding client who has major depressive disorder. which of the following findings obtained during the initial assessment is a priority to report to other disciplines? A. significant weight loss b. neglected hygiene c. psychomotor retardation d. problem solving skills - correct answersb. neglected hygiene a nurse in a mental health facility is reviewing a client's medical record. which of the following actions should the nurse take first? A. initiate 0.9 sodium chloride with 40 mil equivalent potassium chloride b. encourage the client to attend group therapy sessions c. teach the client about nutritional needs d. administer acetaminophen 500 mg PO - correct answersd. administer acetaminophen 500 mg PO a nurse is providing care for a client who demonstrates prolonged depression related to the loss of her significant other 6 months ago. which of the following actions should the nurse take? A. suggest that the client avoids social interactions that remind her of her partner b. discourage the client from reliving the event surrounding her loss c. explain that it could take a year or more to learn to live with the loss d. have the client maintain an unstructured daily routine - correct answersc. explain that it could take a year or more to learn to live with the loss a nurse is teaching a client who has a new prescription for disulfiram. which of the following statements by the client indicates an understanding of the teaching? A. I can continue to eat age cheese and chocolate b.i can wear my cologne on special occasions c. when I bake my favorite cookies, I can use pure vanilla extract for flavoring d. if I cut myself I can clean the wound with isopropyl alcohol - correct answersA. I can continue to eat age cheese and chocolate a nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations which of the following actions should the nurse take first? A. focus the client on reality based topics b. monitor the client for indications of anxiety c. ask the client what she/he is hearing d. encourage the client to listen to music - correct answersc. ask the client what she/he is hearing a nurse is assessing a client who has delirium. which of the following findings requires immediate intervention by the nurse? A. rapid mood swings b. inappropriate speech patterns c. command hallucinations d. impaired memory - correct answersc. command hallucinations a nurse in an ED is assessing a client who recently reported using ...... which of the following clinical manifestations should the nurse report? A. lethargy b. brady c. hypertension d. hypotension - correct answersc. hypertension a nurse is teaching a client about cognitive reframing for stress management. which of the following client statements indicates understanding of the teaching A. I will practice replacing negative thoughts with positive self thoughts b. I will progressively relax each one of my muscle groups when feeling stressed c. I will focus on a mental image while concentrating on my breathing d. I will learn how to voluntarily control my b/p and HR - correct answersA. I will practice replacing negative thoughts with positive self thoughts a nurse in a inpatient mental health facility is assessing a client who has Schizophrenia and is taking haloperidol. which of the following clinical findings is the nurses priority? A. high fever b. urinary hesitancy c. insomnia d. headache - correct answersA. high fever a nurse is interviewing a client who was recently sexually assaulted. the client cannot recall the attack. the nurse should identify the client is using which of the following defense mechanisms? A. Suppression b. reaction formation c. sublimation repression - correct answersA. Suppression