ATI Mental Health Practice B Graded A+ 2024

ATI Mental Health Practice B A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue? a. An adolescent family member who questions parental authority b. A family with three generations in the same household c. Older children who are responsible for their younger siblings d. Two adults and their children from prior relationships in the same household A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions should the nurse take first? a. inform the client that this admission is confidential b. introduce the client to other clients in the day room c. assist the client in facilitating behavioral change d. determine coping skills strategies that the client has used in the past A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? a. slow onset b. aphasia c. confabulation d. easily distracted A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client's plan of care? a. offer the client various choices for meal selection b. assign different nursing personnel for each shift c. permit the client to perform daily rituals to decrease anxiety d. maintain an environment that has low lighting A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? a. encourage the client to participate in group therapy b. instruct the client to avoid napping during the day c. offer the client high-calorie finger foods frequently d. decrease the client’s daily fiber intake A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the client's partner report to the provider? a. obsessive attention to detail b. inability to sleep c. reports of fatigue d. isolation from others A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? a. orient the client to person, place, and time b. assist the client with deep-breathing exercises c. calm the client by using therapeutic touch d. have the client sit alone in a quiet room A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take? a. Encourage the parents to avoid discussing the death with their other children to protect their feelings. b. Recommend each parent grieve in private to avoid hindering each other's healing. c. Suggest forming a weekly support group for parents who have experienced the death of a child. d. Advise the parents to begin counseling if they are still grieving in a few months. A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of the following information should the nurse include in the teaching? a. Complete documentation about the client's status every hour while they are in restraints. b. Maintain the client in restraints for a minimum of 4 hr. c. Apply restraints when other means of managing the client's behavior have failed. d. Request that the provider assess the client within 8 hr of the application of restraints. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? a. sedation b. rhinorrhea c. bradycardia d. hypothermia A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and using the majority of the group's time. Which of the following interventions should the nurse implement? a. Tell the client to talk less or risk being removed from the meeting. b. Ask group members to discuss their feelings about this client's monopolizing behavior. c. End the group meeting and take the client aside to discuss the disruptive behavior. d. Focus on other group members and ignore the client who is doing all the talking. A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? a. amenorrhea b. lanugo c. cold extremities d. tooth erosion 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? a. response prevention b. guided imagery c. aversion therapy d. light therapy A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate? (Select all that apply.) a. occupational therapy b. meal delivery service c. speech-language pathologist d. physical therapy e. home health services A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage violent behavior. Which of the following ethical principles should the nurse apply in this situation? a. nonmaleficence b. veracity c. justice d. autonomy A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team? a. calling family members b. spending time alone c. giving away possessions d. excessive crying A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased risk for depression? a. the client is married b. the client recently received a promotion at work c. the client has COPD d. the client is a male A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative use and a fear of gaining weight. The client states, "I'm so fat I can't even stand to look at myself." Which of the following therapeutic responses demonstrates the nurse's use of summarizing? a. "You've discussed several concerns about your weight. Let's go back and talk about your belief that you are fat." b. "You're saying that you think you are fat and are using laxatives because you are afraid of gaining weight." c. "You don't want to look at yourself because you think you are fat." d. "You and I can work together to overcome your fears of gaining weight." A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? a. a 17 year old client who lives with friends b. a 50 year old client who has a blood alcohol level of 80 mg/dL c. a 35 year old client who has major depressive disorder d. a 65 year old client who just received a dose of morphine A nurse in a community health center is teaching families of clients who have post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? a. repeatedly talks about traumatic incident b. sleeps excessively c. experiences feelings of isolation d. uses repetitive speech A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness? a. "I am going to order a wheelchair for when I'm unable to walk." b. "I am going to stop paying my bills since I won't be around much longer." c. "I wish you would go take care of somebody who actually needs you." d. "I am sure I'm going to be able to continue to care for myself without help." A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make? a. "It appears as though you would like to open the door." b. "You will feel more comfortable after you've been here for a while." c. "It is okay to not want to be here." d. "You really shouldn't be pushing on the door." A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? a. Provide teaching about the use of positive coping mechanisms. b. Establish screening programs to identify at-risk clients. c. Refer survivors of intimate partner abuse to a legal advocacy program. d. Organize rehabilitation therapy for clients who have experienced intimate partner abuse.