ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANS 100% CORREC, Exams of Nursing

Download ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANS 100% CORREC and more Exams Nursing in PDF only on Docsity! ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable? A) The client spends more time by himself B) The client doesn't engage in delusional thinking C) The client doesn't harm himself or others D) The client demonstrates ability to meet his own self-care needs The client with schizophrenia is commonly socially isolated and withdrawn; therefore, having the client spend more time by himself wouldn't be a desirable outcome. Rather, a desirable outcome would specify that the client spend more time with other clients and staff on the unit. Delusions are false personal beliefs. Reducing or eliminating delusional thinking using talking therapy and antipsychotic medications would be a desirable outcome. Protecting the client and others from harm is a desirable client outcome achieved by close observation, removing any dangerous objects, and administering medications. Because the client with schizophrenia may have difficulty meeting his or her own self-care needs, fostering the ability to perform self-care independently is a desirable client outcome. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? A) Take the medication 1 hour before a meal. B) Decrease the dosage if signs of illness decrease C)Apply a sunscreen before being exposed to the sun. D) Increase the dosage up to 50 mg twice per day if signs of illness don't decrease. Because haloperidol can cause photosensitivity and precipitate severe sunburn, the nurse should instruct the client to apply a sunscreen before exposure to the sun. The nurse also should teach the client to take haloperidol with meals — not 1 hour before — and should instruct the client not to decrease or increase the dosage unless the physician orders it. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A) Dismantling the showerhead and showing the client that there is nothing in it B) Explaining that other clients are complaining about the client's body odor C) Asking a security officer to assist in giving the client a shower D) Accepting these fears and allowing the client to take a sponge bath ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ By acknowledging the client's fears, the nurse can arrange to meet the client's hygiene needs in another way. Because these fears are real to the client, providing a demonstration of reality (as in option A) wouldn't be effective at this time. Options B and C would violate the client's rights by shaming or embarrassing the client. Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to prevent which adverse reaction? A) Hypertension B) Respiratory arrest C) Tourette Syndrome D) Retinal pigmentation Retinal pigmentation may occur if the thioridazine dosage exceeds 800 mg per day. The other options don't occur as a result of exceeding this dose. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A client with paranoid personality disorder is admitted to a psychiatric facility. Which remark by the nurse would best establish rapport and encourage the client to confide in the nurse? A) "I get upset once in a while, too." B) "I know just how you feel. I'd feel the same way in your situation." C) "I worry, too, when I think people are talking about me." D) "At times, it's normal not to trust anyone." Sharing a benign, nonthreatening, personal fact or feeling helps the nurse establish rapport and encourages the client to confide in the nurse. The nurse can't know how the client feels. Telling the client otherwise, as in option B, would justify the suspicions of a paranoid client; furthermore, the client relies on the nurse to interpret reality. Option C is incorrect because it focuses on the nurse's feelings, not the client's. Option D wouldn't help establish rapport or encourage the client to confide in the nurse. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ The etiology of schizophrenia is best described by: A) genetics due to a faulty dopamine receptor. B) environmental factors and poor parenting. C)structural and neurobiological factors. D) a combination of biological, psychological, and environmental factors. A reliable genetic marker hasn't been determined for schizophrenia. However, studies of twins and adopted siblings have strongly implicated a genetic predisposition. Since the mid-19th century, excessive dopamine activity in the brain has also been suggested as a causal factor. Communication and the family system have been studied as contributing factors in the development of schizophrenia. Therefore, a combination of biological, psychological, and environmental factors are thought to cause schizophrenia. A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms? ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A) benztropine (Cogentin) B) dantrolene (Dantrium) C)clonazepam (Klonopin) D) diazepam (Valium) Benztropine is an anticholinergic drug administered to reduce extrapyramidal adverse effects in the client taking antipsychotic drugs. It works by restoring the equilibrium between the neurotransmitters acetylcholine and dopamine in the central nervous system (CNS). Dantrolene, a hydantoin drug that reduces the catabolic processes, is administered to alleviate the symptoms of neuroleptic malignant syndrome, a potentially fatal adverse effect of antipsychotic drugs. Clonazepam, a benzodiazepine drug that depresses the CNS, is administered to control seizure activity. Diazepam, a benzodiazepine drug, is administered to reduce anxiety. A client with a diagnosis of paranoid schizophrenia comments to the nurse, "How do I know what is really in those pills?" Which of the following is the best response? ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A) Say, "You know it's your medicine." B) Allow him to open the individual wrappers of the medication. C) Say, "Don't worry about what is in the pills. It's what is ordered." D) Ignore the comment because it's probably a joke. Option B is correct because allowing a paranoid client to open his medication can help reduce suspiciousness. Option A is incorrect because the client doesn't know that it's his medication and he's obviously suspicious. Telling the client not to worry or ignoring the comment isn't supportive and doesn't offer reassurance. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ medication C) Risk for injury related to a severely decreased level of consciousness D) Risk for injury related to electrolyte disturbances Antipsychotic medications may cause neutropenia and granulocytopenia, life-threatening blood dyscrasias, that warrant a nursing diagnosis of Ineffective protection related to blood dyscrasias. These medications also have anticholinergic effects, such as urine retention, dry mouth, and constipation. Urinary frequency isn't an approved nursing diagnosis. Although antipsychotic medications may cause sedation, they don't severely decrease the level of consciousness, eliminating option C. These drugs don't cause electrolyte disturbances, eliminating option D. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A client with persistent, severe schizophrenia has been treated with phenothiazines for the past 17 years. Now the client's speech is garbled as a result of drug-induced rhythmic tongue protrusion. What is another name for this extrapyramidal symptom? A) Dystonia B) Akathisia C) Pseudoparkinso nism D) Tardive dyskinesia An adverse reaction to phenothiazines, tardive dyskinesia refers to choreiform tongue movements that commonly are irreversible and may interfere with speech. Dystonia refers to involuntary contraction of a muscle group. Akathisia is restlessness or inability to sit still. Pseudoparkinsonism describes a group of symptoms that mimic those of Parkinson's disease. An adverse reaction to phenothiazines, tardive dyskinesia refers to choreiform tongue movements that commonly are irreversible and ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ may interfere with speech. Dystonia refers to involuntary contraction of a muscle group. Akathisia is restlessness or inability to sit still. Pseudoparkinsonism describes a group of symptoms that mimic those of Parkinson's disease. A) Meeting all of the client's physical needs B) Giving the client an opportunity to express concerns C) Administering lithium carbonate (Lithonate) as prescribed D) Providing a quiet environment where the client can be alone Because a client with catatonic schizophrenia can't meet physical needs independently, the nurse must provide for all of these needs, including adequate food and fluid intake, exercise, and elimination. This client is incapable of expressing concerns; however, the nurse should try to verbalize the message conveyed by the client's nonverbal behavior. Lithium is used to treat mania, not catatonic schizophrenia. Despite the client's mute, unresponsive state, the nurse should provide nonthreatening stimulation and should spend time with the client, not leave the client alone all the time. Although aware of the environment, the client doesn't interact with it actively; the nurse's support and presence can be reassuring. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ noncompliance. Chlorpromazine, also an antipsychotic agent, must be administered daily to maintain adequate plasma levels, which necessitates compliance with the dosage schedule. Imipramine, a tricyclic antidepressant, and lithium carbonate, a mood stabilizer, are rarely used to treat clients with chronic schizophrenia. Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions? A) Antipsychotic-induced akathisia and anxiety B) The manic phase of bipolar illness as a mood stabilizer C) Delusions for clients suffering from schizophrenia D) Obsessive-compulsive disorder (OCD) to reduce ritualistic behavior Propranolol is a potent beta-adrenergic blocker and produces a sedating effect; therefore, it's used to treat antipsychotic induced akathisia and anxiety. Lithium (Lithobid) is used to stabilize clients with bipolar illness. Antipsychotics are used to treat delusions. Some antidepressants have been effective in treating OCD. Every day for the past 2 weeks, a client with schizophrenia stands up ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ during group therapy and screams, "Get out of here right now! The elevator bombs are going to explode in 3 minutes!" The next time this happens, how should the nurse respond? A) "Why do you think there is a bomb in the elevator?" B) "That is the same thing you said in yesterday's session." C) "I know you think there are bombs in the elevator, but there aren't." D) "If you have something to say, you must do it according to our group rules." Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, "Get out of here right now! The elevator bombs are going to explode in 3 minutes!" The next time this happens, how should the nurse respond? A 26-year-old client is admitted to the psychiatric unit with acute onset of schizophrenia. His physician prescribes the phenothiazine chlorpromazine (Thorazine), 100 mg by mouth four times per day. Before administering the drug, the nurse reviews the client's medication history. Concomitant use of which drug is likely to ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ increase the risk of extrapyramidal effects? A) guanethidine (Ismelin) B) droperidol (Inapsine) C) lithium carbonate (Lithonate) D) Alcohol When administered with any phenothiazine, droperidol may increase the risk of extrapyramidal effects. The other options are incorrect ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered? A) To reduce psychotic symptoms B) To reduce extrapyramidal symptoms C)To control nausea and vomiting D) To relieve anxiety ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ Benztropine is an anticholinergic medication, administered to reduce the extrapyramidal adverse effects of chlorpromazine and other antipsychotic medications. Benztropine doesn't reduce psychotic symptoms, relieve anxiety, or control nausea and vomiting. A client is admitted to the psychiatric unit with a tentative diagnosis of psychosis. Her physician prescribes the phenothiazine thioridazine (Mellaril) 50 mg by mouth three times per day. Phenothiazines differ from central nervous system (CNS) depressants in their sedative effects by producing: A) deeper sleep than CNS depressants. B) greater sedation than CNS depressants. C) a calming effect from which the client is easily aroused D) more prolonged sedative effects, making the client more difficult to arouse Shortly after phenothiazine administration, a quieting and calming effect occurs, but the client is easily aroused, alert, and responsive and has good motor coordination. A woman is admitted to the psychiatric emergency department. Her ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ significant other reports that she has difficulty sleeping, has poor judgment, and is incoherent at times. The client's speech is rapid and loose. She reports being a special messenger from the Messiah. She has a history of depressed mood for which she has been taking an antidepressant. The nurse suspects which diagnosis? A) Schizophrenia B) Paranoid personality C) Bipolar illness D) Obsessive-compulsive disorder (OCD) Bipolar illness is characterized by mood swings from profound depression to elation and euphoria. Delusions of grandeur along with pressured speech are common symptoms of mania. Schizophrenia doesn't exhibit mood swings from depression to euphoria. Paranoia is characterized by unrealistic suspiciousness and is often accompanied by grandiosity. OCD is a preoccupation with rituals and rules. A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital. Nursing assessment should include careful observation of the client's: ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ of a physician. Important teaching for clients receiving antipsychotic medication such as haloperidol (Haldol) includes which of the following instructions? (Choose all that apply) A) Use sunscreen because of photosensitivity B) Take the antipsychotic medication with food C) Have routine blood tests to determine levels of the medication D) Abstain from eating aged cheese Positive symptoms of schizophrenia include which of the following? A) Hallucinations, delusions, and disorganized thinking B) Somatic delusions, echolalia, and a flat affect C)Waxy flexibility, alogia, and apathy D) Flat affect, avolition, and anhedonia ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ The positive symptoms of schizophrenia are distortions of normal functioning. Option A lists the positive symptoms of schizophrenia. A flat affect, alogia, apathy, avolition, and anhedonia refer to the negative symptoms. Negative symptoms list the diminution or loss of normal function. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction? A) Dystonia B) Akanesia C)Akathisia D) Tardive dyskinesia Hormonal effects of the antipsychotic medications include which of the following? A) Retrograde ejaculation and gynecomastia B) Dysmenorrhea and increased vaginal bleeding C)Polydipsia and dysmenorrhea D) Akinesia and dysphasia Decreased libido, retrograde ejaculation, and gynecomastia are all ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ clients. Tardive dyskinesia may occur after prolonged haloperidol use; the client should be monitored for this adverse reaction. Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do? A) Assume that the client is posturing. B) Tell the client to lie down and relax. C) Evaluate the client for adverse reactions to haloperidol. D) Put the client on the list for the physician to see tomorrow An antipsychotic agent, such as haloperidol, can cause muscle spasms in the neck, face, tongue, back, and sometimes legs as well as torticollis (twisted neck position). The nurse should be aware of these adverse reactions and assess for related reactions promptly. Although posturing may occur in clients with schizophrenia, it isn't the same as neck and jaw spasms. Having the client relax can reduce tension-induced muscle stiffness but not ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ drug-induced muscle spasms. When a client develops a new sign or symptom, the nurse should consider an adverse drug reaction as the possible cause and obtain treatment immediately, rather than have the client wait. A client receiving fluphenazine decanoate (Prolixin Decanoate) therapy develops pseudoparkinsonism. The physician is likely to prescribe which drug to control this extrapyramidal effect? A) phenytoin (Dilantin) B) amantadine (Symmetrel) C)benztropine (Cogentin) D) diphenhydramine (Benadryl) An antiparkinsonian agent, such as amantadine, may be used to control pseudoparkinsonism; diphenhydramine or benztropine may be used to control other extrapyramidal effects. Phenytoin is used to treat seizure activity. Important teaching for a client receiving risperidone (Risperdal) would include advising the client to: ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A) double the dose if missed to maintain a therapeutic level. B) be sure to take the drug with a meal because it's very irritating to the stomach. C) discontinue the drug if the client reports weight gain. D) notify the physician if the client notices an increase in bruising. notify the physician if the client notices an increase in bruising. Rationale: Bruising may indicate blood dyscrasias, so notifying the physician about increased bruising is very important. Don't double the dose. This drug doesn't irritate the stomach, and weight gain isn't a problem. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A client begins clozapine (Clozaril) therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The nurse instructs her to return for weekly white blood cell (WBC) counts to assess for which adverse reaction? A) Hepatitis B) Infection C)Granulocytopenia D) Systemic dermatitis ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ lozapine can cause life-threatening neutropenia or granulocytopenia. To detect this adverse reaction, a WBC count should be performed weekly. Hepatitis, infection, and systemic dermatitis aren't adverse reactions of clozapine therapy. Which nonantipsychotic medication is used to treat some clients with schizoaffective disorder? A) phenelzine (Nardil) B) chlordiazepoxide (Librium) C) lithium carbonate (Lithane) D) imipramine (Tofranil) Lithium carbonate, an antimania drug, is used to treat clients with cyclical schizoaffective disorder, a psychotic disorder once classified under schizophrenia that causes affective symptoms, including maniclike activity. Lithium helps control the affective component of this disorder. Phenelzine is a monoamine oxidase inhibitor prescribed for clients who don't respond to other antidepressant drugs such as imipramine. Chlordiazepoxide, an antianxiety agent, generally is contraindicated in psychotic clients. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ Imipramine, primarily considered an antidepressant agent, is also used to treat clients with agoraphobia and those undergoing cocaine detoxification. A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders? A) Personality disorder B) Mood disorder C) Thought disorder D) Amnestic disorder According to the DSM-IV, schizoaffective disorder refers to clients suffering from schizophrenia with elements of a mood disorder, either mania or depression. The prognosis is generally better than for the other types of schizophrenia, but it's worse than the prognosis for a mood disorder alone. Option A is incorrect because personality disorders and psychotic illness aren't listed together on the same axis. Option C is incorrect because schizophrenia is a major thought disorder and the question asks for elements of another disorder. Clients with schizoaffective disorder aren't ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ volition, relationship to the external world, and psychomotor behavior. Loss of identity sometimes occurs but is only one characteristic of the disorder. Multiple personalities typify multiple personality disorder, a dissociative personality disorder. Mood disorders are commonly accompanied by increased or decreased self-esteem. Schizophrenia doesn't cause a disturbance in sensorium, although the client may exhibit confusion, disorientation, and memory impairment during the acute phase. The nurse is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should: A) ask the client which activity he would prefer to do first B) negotiate a time when the client will perform activities. C) tell the client specifically and concisely what needs to be done. D) prepare the client ahead of time for the activity. The client needs to be informed of the activity and when it will be done. Giving the client choices isn't desirable because he can be manipulative or refuse to do anything. Negotiating and preparing the client ahead of time also isn't therapeutic with this type of client because he may not want to ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ perform the activity. The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as: A) Delusions B) Hallucinations C)Loose associations D) Neologisms ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ Hallucinations are visual, auditory, gustatory, tactile, or olfactory perceptions that have no basis in reality. Delusions are false beliefs, rather than perceptions, that the client accepts as real. Loose associations are rapid shifts among unrelated ideas. Neologisms are bizarre words that have meaning only to the client. The nurse is aware that antipsychotic medications may cause which of the following adverse effects? A) Increased production of insulin B) Lower seizure threshold C) Increased coagulation time D) Increased risk of heart failure Antipsychotic medications exert an effect on brain neurotransmitters that lowers the seizure threshold and can, therefore, increase the risk of seizure activity. Antipsychotics don't affect insulin production or coagulation time. Heart failure isn't an adverse effect of antipsychotic agents ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ situation; and Self-care deficient: Dressing/grooming, evidenced by a disheveled appearance, are appropriate nursing diagnoses but aren't the highest priority A client's medication order reads, "Thioridazine (Mellaril) 200 mg P.O. q.i.d. and 100 mg P.O. p.r.n." The nurse should: A) administer the medication as prescribed. B) question the physician about the order. C) administer the order for 200 mg P.O. q.i.d. but not for 100 mg P.O. p.r.n. D) administer the medication as prescribed but observe the client closely for adverse effects The nurse must question this order immediately. Thioridazine (Mellaril) has an absolute dosage ceiling of 800 mg/day. Any dosage above this level places the client at high risk for toxic pigmentary retinopathy, which can't be reversed. As written, the order allows for administering more than the ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ maximum 800 mg/day; it should be corrected immediately, before the client's health is jeopardized. A nurse suspects child abuse and reports it. The mother becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate? "As a nurse, I am required by law to report suspected child abuse." A nurse is assessing an older adult client who lives with her daughter. The older client has several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first? Report the findings to a supervisor. A client on a mental health unit refuses treatment and asks to be ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to prevent him from leaving the hospital. Restraining this client would be considered which type of civil action by the nurse? False imprisonment An adolescent client in an emergency department reports being sexually assaulted just prior to admission. Which of the following actions should the nurse assessing the client take? Ask the client to describe the situation. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nursing instructor is discussing child abuse with a group of nursing students. Which of the following children should the nursing students identify as a potential victim of abuse? A child whose parents answer questions for the child. A nurse on a mental health unit is assessing a woman who has experienced intimate partner abuse. The nurse should monitor the woman for which of the following findings? Self-esteem disturbance A nurse is setting goals for a client who has terminal lung cancer and is at the end of life. Which of the following are realistic goals? The client will receive medication to minimize episodes of breakthrough pain. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A home health nurse is providing teaching to the family of a client who has dementia. The nurse should tell the family to expect which of the following manifestations? Forgetfulness A client with late-stage Alzheimer's disease is admitted to a mental health unit. During the night shift, the nurse finds the client climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take? Assist the client to the correct room A nurse in an emergency room is assessing a client who had a breathing treatment and has Alzheimer's disease. The nurse asks the client if the treatment helped. Which of the following statements by the client should the nurse document as confabulation? "It was good. The Queen of England visited me here." A nurse on the morning shift is assessing an older adult client who was admitted ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ to a mental health unit yesterday. Which of the following manifestations indicates that the client is experiencing delirium? The client attempts to climb out of bed and repeatedly states she must get home. A nurse is caring for a client with dementia on a long-term care unit following the death of her spouse of 50 years. The client states, "I want to go home. My husband is waiting for me to cook dinner." Which of the following responses by the nurse is appropriate? "Tell me what you like to cook for dinner." A nurse in a health clinic is assessing a 13-year-old female at her annual health- screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address? "None of the kids at school like me, and I don't like them either." A nurse on a mental health unit has assessed several clients who have mental health disorders. Which of the following clients should the nurse determine ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nurse is talking with a client in an acute mental health facility who has a new diagnosis of chronic kidney disease. Which of the following statements by the client should the nurse identify as an indication of anticipatory grieving? "I just can't believe that this dialysis is going to ruin my whole life." An adolescent female in an acute mental health facility has attention deficit hyperactivity disorder (ADHD). The nurse should expect which of the following findings? Impulsivity A school-age child with ADHD is being discharged from an acute mental health facility. The nurse is teaching the parents about atomoxetine. Which of the following instructions should the nurse include in the teaching? "Give the dose in the morning to help prevent insomnia." A nurse is planning care for a child in an acute mental health facility who has autism spectrum disorder. Which of the following interventions should the ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ nurse include in the plan of care? Establish a reward system for positive behavior. A nursing instructor is teaching a group of nursing students about autism. The nursing students demonstrate understanding of autism when they state that they would expect to see manifestations of autism in which of the following clients? Toddler ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A client who is suicidal declines the nurse's request to make a safety contract. Which of the following actions should the nurse identify as the priority? Assign a staff member to stay with the client at all times. A client diagnosed with major depressive disorder tells the nurse, "My family would be better off if I were gone." Which of the following is the nurse's priority response? "Are you thinking of harming yourself?" A nurse in an acute mental health facility is assessing a newly admitted adolescent following a suicide attempt. The nurse should determine that which of the following is the priority risk factor for suicide attempt? Previous suicide attempt A nurse is talking to a client 2 days after being admitted to an acute mental health facility for treatment of depression. The client leaves group, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take? ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ At discharge, a nurse on an acute mental health unit is developing a safety plan for a client who is a survivor of violence. Which of the following would the nurse address first? Recognizing signs of danger A group of nursing students is reviewing information about suicide and associated concepts. The group demonstrates understanding of the information when they identify which of the following as the probability that a person will successfully complete suicide? Lethality A nursing instructor is describing uncomplicated grief to a class. Which of the following would the instructor most likely include in the discussion? Most bereaved persons experience uncomplicated grief. A nurse is assessing a 45-year-old client who is grieving following the death of her husband eight months ago. The client reports that she has lost 25 lb. and is having difficulty sleeping. Which of the following factors indicate the client is ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ experiencing maladaptive grieving? The client's husband died eight months ago. A nurse is caring for a client who has been diagnosed with end-stage lung cancer. Which of the following responses is an indication the client is in the denial phase of the grief process? "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication." A nurse in an acute mental health facility is assessing a client who is experiencing a normal grief reaction following the loss of his spouse. Which of the following findings should the nurse expect? Insomnia A nurse is assessing a client who is experiencing grief following the unexpected death of her spouse. Which of the following statements by the client indicates she is experiencing maladaptive grieving ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ "I have started smoking again." A nurse in an acute mental health facility is caring for four clients. Which of the following clients should the nurse expect to experience anticipatory grieving? A client who is diagnosed with metastatic lung cancer. A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding? Increasing feelings of anger. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ *** (1 = elderly, 2 = school-aged children, 3 = preadolescent) A 10-year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her arm. The camp notified the parents and took the child to the emergency department according to the camp protocol for injuries. The parents arrive at the emergency department and are stressed and frantic. The 10-year-old is happy in the treatment room, eating a Popsicle and picking out the color of her cast. List in order of priority what the nurse should say to the parents? 1. "Can I contact someone to help you?" 2. "Your daughter is happy in the treatment room, eating a Popsicle and picking out the color of her cast." 3. "I'll have the doctor come out and talk to you as soon as possible." 4. "Let me help you two calm down a bit so I can take you to your daughter." 2-4-3-1 Which of the following situations best supports the diathesis-stress ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ model of mental illness development? a. the rate of suicide increases during times of national disaster and despair b. a woman feels mildly anxious when asked to speak to a large group c. a man with no prior mental health problems experiences sadness after his divorce d. a man develops schizophrenia, but his identical twin remains free of mental illness The diathesis-stress theory states that some persons are born with a biological predisposition to mental illness but that mental illness does not necessarily develop unless those susceptible persons are exposed to stressors that trigger the illness. Thus, two persons may have the same genetic profile, but one might develop a mental illness due to stressful life experiences whereas the other, despite having the same genetic makeup, has a different life experience and fails to develop the illness. ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A 14-year-old belongs to a gang that bullies and punishes other teens, engages in sexually promiscuous behaviour, attends school infrequently and argues with her parents, claiming they are just old- fashioned and don't understand her. What does the assessment data support about the patient? a. That she is exhibiting problems related to conduct and behaviour b. That she cannot accurately appraise reality c. That she is seriously and persistently mentally ill d. That she should be considered for group home placement A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The patient states, "I saw two doctors talking in the hall. They were plotting to kill me." The nurse may correctly assess this behavior as: 1. echolalia 2. an idea of reference 3. a delusion of infidelity 4. an auditory hallucination A nurse observes a catatonic patient standing immobile, facing the ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ 1. powerlessness 2. social isolation 3. risk for suicide 4. compromised family coping A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?: 1. "Are you having thoughts of suicide?" 2. "I am not sure I understand what you are trying to say." 3. "Try to stay hopeful. Things have a way of working out." 4. "Tell me more about what interested you before you became depressed." A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? Select all that apply: 1. imbalanced nutrition: more than body ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ requirements 2. disturbed thought processes 3. sleep deprivation 4. chronic confusion 5. social isolation ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ The plan of care for a patient in the manic state of bipolar disorder should include which interventions? Select all that apply: 1. touch the patient to provide reassurance 2. invite the patient to lead a community meeting 3. provide a structured environment for the patient 4. ensure that the patient's nutritional needs are met 5. design activities that require the patient's concentration The admission note indicates a patient diagnosed with major depression has anergia and anhedonia. For which measures should the nurse plan? Select all that apply: 1. channeling excessive energy 2. reducing guilty ruminations 3. instilling a sense of hopefulness 4. assisting with self-care activities 5. accommodating psychomotor retardation ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nurse is teaching a client who has depression about electroconvulsive therapy (ECT). Which of the following information should the nurse include in the teaching?: 1. temporary memory loss is the most common adverse effect of ECT 2. medications are given to prevent seizure activity during ECT 3. the greatest risk of ECT is brain damage 4. ECT is effective in the treatment of substance use disorders A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?: 1. encouraging decision-making 2. giving the client choices of activities 3. playing a game of chess with the client 4. spending time sitting with the client A nurse is caring for a client who has depression. The client refuses ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?: 1. "You really need to follow the rules of the unit and get out of bed." 2. "If you do not get out of bed you will not receive your meal." 3. "I will help you get ready and then you can rest after activities." 4. "You should rest until you feel able to join the group." A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?: 1. sit with the client and offer simple, direct information 2. have the client attend group therapy immediately 3. explain the unit policies to the client and answer any questions he might have 4. take the client on a tour of the unit and introduce him to all the staff members on duty ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nurse is evaluating teaching for a client who has newly diagnosed depression and a new prescription for Buproprion. Which of the following statements by the client indicates understanding of the teaching?: 1. "I may develop a slow heartbeat while taking Bupropion." 2. "I can drink one glass of wine with dinner each day while taking Bupropion." 3. "I may not notice a lifting of my mood for at least 2 weeks." 4. "I should watch for increased salivation and drooling while taking Bupropion." ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ whereabouts at all time 4. ask the client why her behavior has changed A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?: 1. ask the client if she has a plan to commit suicide 2. recognize the attempt at manipulation and escort the client back to her activity 3. assist the client to her room allowing her to rest before resuming activity 4. notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nurse is discussing treatment of depressive disorders with a client who has major depression. Which of the following client statements indicates an understanding of the teaching?: 1. "I need to make a voluntary choice to stop feeling depressed." 2. "I can cure my depression by thinking positive thoughts." 3. "I will attend psychotherapy to help manage my depression." 4. "I will plan on my antidepressant taking 3-5 days to be effective." A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression? 1. being married 2. pregnancy 3. male gender 4. chronic illness ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nurse is caring for a client who is to undergo electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse take prior to the scheduled ECT? (Select all that apply): 1. request an ECG 2. witness the informed consent 3. check the client's blood pressure 4. obtain a serum parathyroid hormone level 5. obtain a urine specimen -request an ECG (a baseline ECG allows the provider to identify cardiac changes that can occur during ECT) -witness the informed consent (required prior to ECT unless the client is receiving involuntary treatment) -check the client's blood pressure (a baseline blood pressure allows the provider and nurse identify cardiac stress that can occur during ECT) ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ has bipolar disorder. Which of the following findings indicates the client is at risk for suicide?: 1. the client has begun playing basketball with several other clients during the past month 2. the client identifies with problems expressed by other clients 3. the client's behavior has become impulsive in the past few weeks 4. the client states that she wants to go home to be with her children and partner A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?: 1. Fluvastatin 2. Carbamazepine 3. Lorazepam 4. Propranol ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ disorder? (Select all that apply). 1. Paroxetine 2. Lithium 3. Donepe zil 4. Valproat e 5. Carbamazepine A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client is doing calisthenics in the client dining room during lunchtime instead of eating. Which of the following statements should the nurse make?: 1. "You are already too thin and exercise is not good for you. Go sit down somewhere and eat something." 2. "Come with me. Here is a milkshake to drink." 3. "We need you to decide what activities you will do today." 4. "You will need to leave the dining room right now and go somewhere else to exercise." ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ What can be said about the comorbidity of anxiety disorders? a. Anxiety disorders generally exist alone. b. A second anxiety disorder may coexist with the first. c. Anxiety disorders virtually never coexist with mood disorders. d. Substance abuse disorders rarely coexist with anxiety disorders. Studies of patients diagnosed with post-traumatic stress disorder suggest that the stress response of which of the following is considered abnormal? a. Brain stem b. Hypothalamus-pituitary-adrenal system c. Frontal lobe d. Limbic system An obsession is defined as which of the following? a. Thinking of an action and immediately taking the action. b. A recurrent, persistent ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ thought or impulse. c. An intense irrational fear of an object or situation. d. A recurrent behaviour performed in the same manner. Which of the following is a symptom commonly associated with panic attacks? a. Obsessions b. Apathy c. Fever d. Fear of impending doom Working to help the patient view an occurrence in a more positive light is called which of the following? a. Flooding b. Desensitization c. Response prevention d. Cognitive restructuring ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ ATI MENTAL HEALTH PRACTICE- LATEST UPDATE 2021/2022 BEST GUIDE QUESTIONS & ANSWERS 100% CORRECTLY VERIFIED BEST EXAMS PREPATION GUARANTEED SUCCESS GRADED A+ Which of the following is the primary purpose of performing a physical examination before beginning treatment for any anxiety disorder? a. Protect the nurse legally b. Establish the nursing diagnosis of priority c. Obtain information about the patient's psychosocial background d. Determine whether the anxiety is primary or secondary in origin