ATI Mental Health Final Fall 2021/2022
A nurse in an acute mental health facility is reviewing the medication records for a
group of clients. The nurse should expect a prescription for memantine for a client
who has which of the following diagnoses?
- Alzheimer's disease
Rationale:
The nurse should expect a prescription for memantine for a client who has
moderate to severe Alzheimer's disease. Memantine, an NMDA receptor agonist, is
shown to slow the progression of manifestations and to improve cognitive
function.
A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to
the provider?
- Elevated blood pressure
Rationale:
The nurse should identify that the greatest risk to the client is an elevated blood
pressure, which increases his risk for a hypertensive crisis that can result from
taking an MAOI. The nurse should apply the safety and risk reduction priority-
setting framework when collecting data from this client. This framework assigns
priority to the factor or situation posing the greatest safety risk to the client. When
there are several risks to client safety, the one posing the greatest threat is the
highest priority. The nurse should use Maslow's hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify which risk poses the
greatest threat to the client.
A nurse is reviewing the medications of a client who has bipolar disorder and a
new prescription for lithium. The nurse should identify that it is safe to administer
which of the following medications while the client is taking lithium?
- Valproic acid
, Rationale:
Valproic acid and lithium are both indicated for the treatment of bipolar disorder. It
is safe for the nurse to administer both of these medications to the client.
A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect?
- Increased maternal alertness
Rationale:
The nurse should expect a client who has cocaine intoxication to have increased
mental alertness due to its stimulant properties.
A nurse is caring for a client who has schizophrenia. The nurse notices that the
client is pacing up and down the hall very rapidly and muttering in an angry
manner. Which of the following actions should the nurse take first?
- Approach the client in a non threatening manner
Rationale:
The first action the nurse should take is to approach the client calmly, in a non
threatening manner, to create a non threatening environment. The nurse should
apply the least restrictive priority-setting framework when caring for this client.
This framework assigns prior to nursing interventions that are least restrictive to
the client, as long as those interventions do not jeopardize client safety. Least
restrictive interventions promote client safety without using restraints. The nurse
should only use physical or chemical restraints when the safety of the client, staff,
or others is at risk.
A nurse in an acute mental health facility is participating in a nursing staff
discussion about the legal aspects of involuntary admissions. Which of the
following information should the nurse include?
- An involuntary admission is justified if the client is a danger to others
Rationale:
A nurse in an acute mental health facility is reviewing the medication records for a
group of clients. The nurse should expect a prescription for memantine for a client
who has which of the following diagnoses?
- Alzheimer's disease
Rationale:
The nurse should expect a prescription for memantine for a client who has
moderate to severe Alzheimer's disease. Memantine, an NMDA receptor agonist, is
shown to slow the progression of manifestations and to improve cognitive
function.
A nurse is collecting data from a client who takes an MAOI for the treatment of
depression. Which of the following findings is the priority for the nurse to report to
the provider?
- Elevated blood pressure
Rationale:
The nurse should identify that the greatest risk to the client is an elevated blood
pressure, which increases his risk for a hypertensive crisis that can result from
taking an MAOI. The nurse should apply the safety and risk reduction priority-
setting framework when collecting data from this client. This framework assigns
priority to the factor or situation posing the greatest safety risk to the client. When
there are several risks to client safety, the one posing the greatest threat is the
highest priority. The nurse should use Maslow's hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify which risk poses the
greatest threat to the client.
A nurse is reviewing the medications of a client who has bipolar disorder and a
new prescription for lithium. The nurse should identify that it is safe to administer
which of the following medications while the client is taking lithium?
- Valproic acid
, Rationale:
Valproic acid and lithium are both indicated for the treatment of bipolar disorder. It
is safe for the nurse to administer both of these medications to the client.
A nurse is collecting data from a client who has cocaine intoxication. Which of the
following findings should the nurse expect?
- Increased maternal alertness
Rationale:
The nurse should expect a client who has cocaine intoxication to have increased
mental alertness due to its stimulant properties.
A nurse is caring for a client who has schizophrenia. The nurse notices that the
client is pacing up and down the hall very rapidly and muttering in an angry
manner. Which of the following actions should the nurse take first?
- Approach the client in a non threatening manner
Rationale:
The first action the nurse should take is to approach the client calmly, in a non
threatening manner, to create a non threatening environment. The nurse should
apply the least restrictive priority-setting framework when caring for this client.
This framework assigns prior to nursing interventions that are least restrictive to
the client, as long as those interventions do not jeopardize client safety. Least
restrictive interventions promote client safety without using restraints. The nurse
should only use physical or chemical restraints when the safety of the client, staff,
or others is at risk.
A nurse in an acute mental health facility is participating in a nursing staff
discussion about the legal aspects of involuntary admissions. Which of the
following information should the nurse include?
- An involuntary admission is justified if the client is a danger to others
Rationale:
