ATI Mental Health A Rationales(Top 2024/2025 EXAM REVIEW PAPERS / GRADED A+/ 100% Accurate)

ATI Mental Health A Rationales Why would you expect a patient who has been using cocaine to have HTN? - Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body temperature, energy levels, and metabolism. Cocaine decreases appetite Why should the RN report a rash on a patient taking Lamotrigine? - Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify that a rash is a potentially life-threatening adverse effect of the medication and report this finding immediately. If a patient is taking clozapine and they have a WBC count of 7500/mm should this be reported? - Clozapine can result in agranulocytosis, a potentially fatal disorder that increases the client's risk for infection. However, a WBC count of 7,500/mm3 is within the expected reference range. A patient is taking valproate, should their platelet count of 150,000 be reported? - Valproate is a medication used in the treatment of bipolar disorder. The nurse should identify that decreased platelets is an adverse effect of the medication. However, a platelet count of 150,000/mm3 is within the expected reference range. A patient who is taking lithium, level is 1.2, should this be reported? - Lithium is a medication used for mood stabilization for clients who have bipolar disorder. The nurse should identify that the lithium toxicity can result in serious complications, including death. However, a lithium level of 1.2 mEq/L is within the therapeutic range. Therapeutic range is: 0.5-1.5 What are signs of lithium toxicity? - vomiting, diarrhea, drowsiness, slurred speech, decreased coordination, and *muscle weakness*. If a mental health patient is hearing voices, why should you ask them what they are saying? - It is important for the nurse to ask the client directly about the hallucinations to determine if the client or others are at risk for injury. Why should a RN not tell a mental health patient the voices they are hearing are not real? - the nurse should avoid negating the client's hallucination. If a mental health patient is hearing voices should an RN touch them to provide comfort? - The nurse should avoid touching the client without first asking for the client's permission. Touching the client violates one's personal space and can increase, rather than decrease, feelings of anxiety. If a mental health patient is hearing voices, should they go to a quiet room? - No, The nurse should instruct the client to listen to music or use other auditory distractions when the voices are talking. How can the RN demonstrate they are using active listening? - Use of active listening involves identifying verbal and nonverbal communication by the client, which includes attention to body language. At a treatment confrence for schizoprenia, if the family member is not paying attention what should the RN do? - Ask the family member if they have any thoughts or concerns This action involves the family member and allows them a venue to communicate about the client's medication treatment plan. What is echolalia? - common in schizophernia, repeating someone elses words What is avolition? - Loss of motivation, common in schizo