2023 NGN ATI Mental Health Practice A & B New Latest Version, Exams of Nursing

Download 2023 NGN ATI Mental Health Practice A & B New Latest Version and more Exams Nursing in PDF only on Docsity! 2023 NGN ATI Mental Health Practice A & B New Latest Version with All Questions and 100% Correct Answer A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weights 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. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 14 mL A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client? -------- Correct Answer -------- Set realistic limits on the client's behavior A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as the priority? -------- Correct Answer -------- Remove unnecessary equipment from the child's surroundings. A nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide attempt. Which of the following interventions should the nurse identify as the priority? --------- Correct Answer ---------- Arrange one-to-one observation of the client. A nurse is caring for a client in a mental health facility. The nurse overhears another staff member make derogatory comments to the client. Which of the following actions should the nurse take? --------- Correct Answer ---------- Report the occurrence to the charge nurse. A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder? --------- Correct Answer ---------- Anhedonia A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication? --------- Correct Answer ---------- Hand tremors A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for flings indicating lithium toxicity? --------- Correct Answer ---------- A client who has a sodium level of 128 mEq/L A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following? --------- Correct Answer ---------- Clang association A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? --------- Correct Answer ---------- A client was administered one-half of the prescribed dose of medication. A charge nurse is preparing an education session for a group of newly licensed nurses to review client rights under the law. Which of the following statements should the nurse make? --------- Correct Answer ---------- "In the event a client threatens harm to others, medications can be administered without consent." A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment? --------- Correct Answer ---------- Orthostatic hypotension A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which of the following interventions should the nurse include in the plan of care? --------- Correct Answer ---------- Encourage the client to drink 125 mL of fluid each hour while awake. A nurse is caring for a client who is experiencing a situational crisis. Which of the following findings should the nurse expect? --------- Correct Answer ---------- The client recently lost a grandparent in a motor vehicle crash. A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching? --------- Correct Answer ---------- "You might experience difficulties with sexual functioning while taking this medication." A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? --------- Correct Answer ---------- "Succinylcholine is given to reduce muscle movements during therapy." A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following is the priority action by the nurse? --------- Correct Answer ---------- Provide frequent high-calorie snacks. During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in their bed. The client reports that a bomb was placed in their room by a family member during visiting hours. Which of the following actions should there nurse take? -- ------- Correct Answer ---------- Assess the client for evidence of a perceptual disturbance. A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? --------- Correct Answer ---------- Emotional lability A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect? -------- Correct Answer -------- Inappropriate dress A nurse is caring for a group of clients. Which of the following findings is the nurse required to report? -------- Correct Answer -------- A client who has borderline personality disorder threatened to harm their roommate A nurse is caring for a group of clients. For which of the following situations should the nurse complete the incident report? -------- Correct Answer -------- A client was administered one-half of the prescribed dose of medication. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? -------- Correct Answer -------- Do not administer the lorazepam A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for findings indicating lithium toxicity? -------- Correct Answer -------- A client who has a sodium level of 128 mEq/L A nurse is caring for a client who has a recent diagnosis of mild Alzheimer's disease. The client's partner asks the nurse about expected manifestations. The nurse should teach the partner to expect which of the following manifestations to occur first? -------- Correct Answer -------- Frequently misplaces objects A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the potential intervention is anticipated, nonessential or contraindicated for the client. -------- Correct Answer -------- Decrease sensory stimulation: anticipated Give directions to the client slowly and in moderate tone of voice: anticipated Ensure the bed is kept at a working height for the nurse: contraindicated Provide the client with a high-calorie protein drinks hourly: nonessential Use a vest restrain to keep the client in a medical recliner: contraindicated Keep the lights off in the clients bedroom and bathroom at night: contraindicated Assign the client to a room near the nurses station: anticipated When addressing the client, approach them from the front when possible: anticipated A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take? -------- Correct Answer -------- Talk with the client about activities they enjoyed with their partner. A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? -------- Correct Answer -------- Respite care During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors? -------- Correct Answer -------- The client is interested in what the nurse is saying. A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan? -------- Correct Answer -------- Promote the use of music to compete with the client's auditory hallucinations. A nurse is caring for a client who is undergoing electroconvulsive therapy and will receive succinycholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? -------- Correct Answer -------- "Succinylcholine is given to reduce muscle movements during therapy." A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment? -------- Correct Answer -------- Orthostatic hypotension A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? -------- Correct Answer -------- Refrains from manipulating others to earn dining room privileges. The client is at greatest risk for _________ as evidence by _____. -------- Correct Answer -------- Violent behavior Agitation A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? -------- Correct Answer -------- "It is not uncommon to feel angry toward yourself or others." A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which of the following information should the nurse include in the teaching? ------ -- Correct Answer -------- Avoid looking directly at the light during treatment. A nurse assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? -------- Correct Answer -------- Emotional liability A nurse is assessing a school-age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate? -------- Correct Answer -------- Aggression towards animals A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following? -------- Correct Answer -------- provide frequent high-calorie snacks The client is at greatest risk for _________ as evidence by _____. -------- Correct Answer -------- Hypertensive crisis Consuming foods high in tyramine A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? -------- Correct Answer -------- "If you do my homework for me, I won't bother you for the rest of the day." A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Which of the following client statements indicates understanding of the teaching about the medication? -------- Correct Answer -------- "I should eat a regular diet with normal amounts of salt and fluids." A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? SATA -------- Correct Answer -------- -Feelings of hopelessness -Anhedonia -Flat facial expressions A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? -------- Correct Answer -------- "It is easier to talk about my feelings now." The nurse is assessing a client. Select 5 findings that require a follow up. -------- Correct Answer -------- -Nausea and vomiting -Temperature -LOC -BAC -Respiratory rate For each of the clients assessment findings click to specify if the finding is consistent with alcohol toxicity or major depressive disorder. -------- Correct Answer -------- Mental status: both LOC: alcohol toxicity Respiratory rate: Alcohol toxicity Weight change: major depressive disorder N/V: alcohol toxicity A client who has a diagnosis of depression is attending a group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? -------- Correct Answer -------- Allow the client time to formulate an answer A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? --------- Correct Answer ---------- Hypertension A nurse is caring for a group of clients. Which of the following findings should the nurse report? --------- Correct Answer ---------- A client who is taking lamotrigine and has developed a rash A nurse on a mental health unit is admitting a client who is anxious and tells the nurse,. "I hear voices telling me what to do." Which of the following actions should the nurse take? --------- Correct Answer ---------- Ask the client what the voices are saying. A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening? --------- Correct Answer ---------- Attention to body language 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, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? --------- Correct Answer ---------- Ask the family member if they have any thoughts or questions about the treatment plan. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? --------- Correct Answer ---------- The client reports command hallucinations. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first? --------- Correct Answer ---------- Diazepam 5 mg IV bolus A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to notify the provider? --------- Correct Answer ---------- The client reports an inability to breathe easily. A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? --------- Correct Answer ---------- "If you do my homework for me, I won't bother you for the rest of the day." A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? --------- Correct Answer ---------- Shuffling gait A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? -- ------- Correct Answer ---------- Change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds. While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition? --------- Correct Answer ---------- The client needs excessive external input to make everyday decisions. A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as the priority? --------- Correct Answer ---------- Remove unnecessary equipment from the child's surroundings. A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? --------- Correct Answer ---------- St. John's wort A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? (Select all that apply.) --------- Correct Answer ---------- Feelings of hopelessness Anhedonia Flat facial expression A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client? --------- Correct Answer - --------- The client will refrain from self-mutilation. A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which of the following information should the nurse include in the teaching? ------ --- Correct Answer ---------- Avoid looking directly at the light during treatment. A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? --------- Correct Answer ---------- Interview the client in a private setting. A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? --------- Correct Answer ---------- Respite care A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? --------- Correct Answer ---------- Refrains from manipulating others to earn dining room privileges A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? --------- Correct Answer ---------- Gather supplies for endotracheal intubation A nurse is caring for client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? --------- Correct Answer ---------- "It is not uncommon to feel angry toward yourself or others." A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take? --------- Correct Answer ---------- Talk with the client about activities they enjoyed with their partner. A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect? --------- Correct Answer ---------- Inappropriate dress A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan? --------- Correct Answer ---------- Promote the use of music to compete with the client's auditory hallucinations. A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? --------- Correct Answer ---------- "I am able to go to work every day, so I don't have a problem." A nurse is reviewing the medical record of a client who has anorexia nervosa. Which of the following findings should the nurse identify as an indication the client requires hospitalization? --------- Correct Answer ---------- Total body fat 8.7% A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? --------- Correct Answer ---------- Allow the client time to formulate an answer.