Mental Health ATI, 334 Mental Health ATI, Mental Health ATI Practice Assessment B (1,569 Questions and Answers)

Mental Health ATI, 334 Mental Health ATI, Mental Health ATI Practice Assessment B (1,569 Questions and Answers) . A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. "You should avoid taking over-the-counter acetaminophen while on donepezil." B. "You can expect the progression of cognitive decline to slow with donepezil." C. "You will be screened for underlying kidney disease prior to starting donepezil." D. "You should stop taking donepezil if you experience nausea or diarrhea." - ANSWER-B. Donepezil slows the cognitive deterioration of Alzheimer's disease. Clients should avoid NSAIDs, not acetaminophen. Clients should be screened for heart and pulmonary disease. The client should not abruptly stop the medication. ."All or Nothing" Thinking - ANSWER-"If I eat any dessert, I will gain 50 lbs" .14 mL 110 lb x (1 kg/2.2 lb) = 50 kg 50 kg x 0.55 mg = 27.5 mg 27.5 mg x(5 mL/10 mg) = 14 mL - ANSWER-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) .A charge nurse is developing an educational program about schizophrenia. Which of the following manifestations should the nurse include as a negative symptom of schizophrenia - ANSWER-Thought blocking R: thought block is a - symptom of schizo. It is a sudden interruption in pt thought processes usually due to internal stimuli .A charge nurse is developing an educational program about schizophrenia. Which of the following manifestations should the nurse include as a negative symptom of schizophrenia - ANSWER-Thought blocking R: thought block is a - symptom of schizo. It is a sudden interruption in pt thought processes usually due to internal stimuli. client may abruptly stop talking midsentance .A charge nurse is developing an educational program about schizophrenia. Which of the following manifestations should the nurse include as a negative symptom of schizophrenia? - ANSWER-Thought blocking .A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first generation antipsychotics? (Select all that apply) A. Auditory hallucinations B. Withdrawal from social situations C. Delusions of grandeur D. Severe agitation E. Anhedonia - ANSWER-A, C, & D. Positive symptoms of schizophrenia such as auditory hallucinations, delusions of grandeur, and severe agitation are treated with first gen antipsychotics. B & E are negative symptoms and are best treated with second gen antipsychotics. .A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." - ANSWER-A. Counting backward by sevens is an appropriate technique to assess a client's cognitive ability. B. Observing a client's facial expression is appropriate when assessing affect. C. Writing a sentence is an indication of language ability. Remote language is tested by asking the client to state a fact from his past that his verifiable (date of birth). Abstract thinking is tested by asking the client to interpret something. .A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? a. "this medication increases the release of serotonin and norepinephrine." b. "i will need to monitor the client for hyponatremia while taking this medication." c. "this medication is contraindicated for clients who have an eating disorder." d. "sexual dysfunction is a common adverse effect of this medication." - ANSWER-A .A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? A. "This medication increases the release of serotonin and norepinephrine." B. "I will need to monitor the client for hyponatremia while taking this medication." C. "This medication is contraindicated for clients who have an eating disorder." D. "Sexual dysfunction is a common adverse effect of this medication." - ANSWER-A. Mirtazapine provides relief from depression by increasing the release of serotonin and norepinephrine. Hyponatremia is an adverse effect of venlafaxine. Bupropion is contraindicated for clients who have an eating disorder. Sexual dysfunction is an adverse effect of SSRIs. .A charge nurse is discussing the characteristics of a nurse‑client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply.) - ANSWER-It is goal-directed. Behavioral change is encouraged. A termination date is established. .A charge nurse is discussing the care of a client who has MDD with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "Care during the continuation phase focuses on treating continued manifestations of MDD." B. "The treatment of MDD during the maintenance phase lasts for 6-12 weeks." C. "The client is at greatest risk for suicide during the first weeks of an MDD episode." D. "Medication and psychotherapy are most effective during the acute phase of MDD." - ANSWER-C. The client is at greatest risk for suicide during the acute phase of MDD. Care in the continuation phase focuses on relapse prevention. The maintenance phase of treatment can last for a year or more. Med therapy and psychotherapy are used during the continuation phase. .A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply) A. The needs of both participants are met. B. An emotional commitment exists between the participants. C. It is goal-directed. D. Behavioral change is encouraged. E. A termination date is established. - ANSWER-C, D, & E. A therapeutic nurse-client relationship is goal-directed, encourages positive behavioral change, and has an established termination date. It should focus on the client only. An emotional commitment is a characteristic of an intimate or social relationship rather than a therapeutic relationship. .A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - ANSWER-for major depressive disorders TMS is commonly prescribed daily for a period of 4 to 6 weeks. .A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "TMS is indicated for clients who have schizophrenia spectrum disorders." B. "I will provide postanesthesia care following TMS." C. "TMS treatments usually last 5-10 minutes." D. "I will schedule the client for daily TMS treatments for the first several weeks." - ANSWER-D. TMS is commonly prescribed daily for a period of 4-6 weeks. TMS is not indicated for schizophrenic patients. Postanesthesia care is not necessary after TMS. The procedures lasts 30-40 min. .a charge nurse is leading a peer group discussion about family and community violence. Which of the following statements by a member of the group indicates an understanding of teaching?a."Children older than 3 are at greater risk for abuse"B."Substance use disorder does not increase the risk for violence."C."entering an intimate relationship increases the risk for violence."d."Pregnancy increases the risk for violence toward the intimate partner." - ANSWER-D .A charge nurse is leading a peer group discussion about family and community violence. Which of the following statements by a member of the group indicates an understanding of the teaching? A. "Children older than 3 are at greater risk for abuse." B. "Substance use disorder does not increase the risk for violence." C. "Entering an intimate relationship increases the risk for violence." D. "Pregnancy increases the risk for violence toward the intimate partner." - ANSWER-D. Pregnancy tends to increase the likelihood of violence toward the intimate partner. Children younger than 3 are at an increased risk for abuse. Substance use disorder increases the risk for violence. Vulnerable persons are at an increased risk for violence when they try to leave the relationship. .A charge nurse is planning a teaching session regarding the code of ethics for registered nurses. Which of the following information should the nurse include in the teaching - ANSWER-The right to treatment ensures individualized care R: The Hospitalization of the Mentally Ill Act of 1964 requires that pt admitted to an inpatient mental health facility have a right to individualized tx .A charge nurse is planning a teaching session regarding the code of ethics for registered nurses. Which of the following information should the nurse include in the teaching - ANSWER-The right to treatment ensures individualized care R: The Hospitalization of the Mentally Ill Act of 1964 requires that pt admitted to an inpatient mental health facility have a right to individualized tx .A charge nurse is planning a teaching session regarding the code of ethics for registered nurses. Which of the following information should the nurse include in the teaching? - ANSWER-The right to treatment ensures individualized care .A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (Select all that apply) A. Difficulty in getting along with other members of a group B. Belief in the ability to become invisible during times of stress C. Display of defense mechanisms when routines are changed D. Claiming to be more important than other persons E. Difficulty understanding why it is inappropriate to have a personal relationship with staff - ANSWER-A, C, & E. Difficulty with social and professional relationships, maladaptive response to stress, difficulty understanding personal boundaries are characteristics seen in all personality disorders. B & D do not occur in all personality disorders. .A charge nurse is reviewing Kugler-Ross: Five Stages of Grief with a group of newly licensed nurses. Which of the following stages should the charge nurse include in the teaching? (Select all that apply) A. Disequilibrium B. Denial C. Bargaining D. Anger E. Depression - ANSWER-B, C, D, & E. Denial, bargaining, anger, and depression are stages of the Kulber-Ross five stages of grief. Disequilibrium is the second stage of Bowlby's four stages of grief. .A client in a true manic state will... - ANSWER-Not stop moving, and does not eat or drink, or sleep. This can become a medical emergency .A client says she is experiencing increased stress because her significant other is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation? A. Learn to practice mindfulness B. Use assertiveness techniques C. Exercise regularly D. Rely on the support of a close friend - ANSWER-B. Assertive communication allows the client to assert her feelings and then make a change in the situation. .A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? A. Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince him to admit to hiding the knife. B. Keep the client's communication confidential, but watch the client and his roommate closely. C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others. D. Report the incident to the health care team, but do not inform the client of the intention to do so. - ANSWER-C. The information presented by the client is a serious safety issue that the nurse must report to the health care team, using the ethical principle of veracity. .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, the nurse notices that the family member seems distracted. Which of the following actions should the nurse take - ANSWER-Ask the family member if she has any thoughts or questions about the treatment plan .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, the nurse notices that the family member seems distracted. Which of the following actions should the nurse take - ANSWER-Ask the family member if she has any thoughts or questions about the treatment plan (involves fam to communicate) .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, the nurse notices that the family member seems distracted. Which of the following actions should the nurse take? - ANSWER-Ask the family member if she has any thoughts or questions about the treatment plan .A community health nurse is leading a discussion about rape with a neighborhood task force. Which of the following statements by a neighborhood citizen indicates an understanding of the teaching? A. "Rape is a crime of passion." B. "Acquaintance rape often involves alcohol." C. "Young adults are the typical victims of sexual assault." D. "The majority of rapists are unknown to the victims." - ANSWER-B. Alcohol and other substances are often associated with date or acquaintance rape. Rape is a crime of violence, aggression, anger, and power. Individuals of all ages are affected by sexual assault and can be male or female. The majority of perpetrators are known to the vulnerable persons. .A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression - ANSWER-substance use disorder not male gender (female) , marriage (single), hyperthyroidism (actually hypo) .A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression - ANSWER-Substance use disorder .A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression? - ANSWER-Substance use disorder .A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? A. Educating clients on health promotion techniques to reduce the risk of depression B. Performing screenings for depression at community health programs C. Establishing rehabilitation programs to decrease the effects of depression D. Providing support groups for clients at risk for depression - ANSWER-C. Rehabilitation programs are an example of tertiary prevention, which deals with prevention of further problems in clients already diagnosed with mental illness. A & D are primary prevention. B is secondary prevention. .A home health nurse is making a visit to a client who has Alzheimer's disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury? (Select all that apply) A. Install childproof door locks. B. Place rugs over electrical cords. C. Mark cleaning supplies with colored tape. D. Place the client's mattress on the floor. E. Install light fixtures above stairs. - ANSWER-A, D, & E. Door locks that are difficult to open reduce the risk of the client wandering. Placing the client's mattress on the floor and installing lights above stairs reduce the risk for falls. Rugs are a fall hazard. Cleaning supplies should be in locked cupboards. .a member of the family with little power is blamed for problems within the family - ANSWER-scapegoating .A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment C. Assault D. Battery - ANSWER-B. Secluding a client for the convenience of the staff is false imprisonment.