A Nurse in a Community Health Center Is Teaching Families of Clients Who Have Posttraumatic
Exam (elaborations)
ATI Mental Health 2019 B, Consummate Questions & Answers.
ATI Mental Health 2019 B i. A nurse in a community health heart is working with a group of clients who take mail service-traumatic stress disorder. Which of the post-obit interventions should the nurse include to reduce anxiety among the group members? - Response prevention - Guided imagery - Aversion therapy - Calorie-free therapy two. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe low. The client who has low reports to the nurse, "My roommate never sleeps and keeps me up too." Which of the following actions should the nurse take? - Move the client who has bipolar disorder to a private room - Administer slumber medication to the client who has bipolar disorder - Move the client who has severe depression to a private room - Administrate sleep medication to the client who has severe depression 3. A nurse is reviewing laboratory results for a customer who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine. A. WBC 2500/mm3 B. Hbg 11.5 mg/dL C. Platelets 150,000/mm3 D. RBC 3.5 1000000/mm3 4. A nurse is caring for 4 clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? - 17 yr sometime who lives with friends - l yr onetime who has a blood alcohol level of lxxx mg/dL - 65 yr former who just received a dose of morphine - 35 yr old who has major depressive disorder 5. A nurse is facilitating a customs meeting for acute care clients. I client is constantly talking and using the majority of the group's fourth dimension. Which of the following interventions should the nurse implement? - Tell the client to talk less or adventure being removed from the meeting - Ask the group members to discuss their feelings almost the client's monopolizing behavior - Cease the group meeting and take the customer aside to discuss the disruptive behavior - Focus on other group members and ignore the client who is doing all the talking vi. A nurse in a customs wellness center is pedagogy families of clients who has postal service-traumatic stress disorder (PTSD) almost expected clinical manifestations. Which of the following manifestations should the nurse include? - Repeatedly talks almost the traumatic event - Sleeps excessively - Experiences feelings of isolation - Uses repetitive speech 7. A nurse is preparing to administer diazepam 7.v mg Iv bolus to a customer for booze withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? 1.5 mL 8. A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? - Provide educational activity about the use of positive coping mechanisms - Establish screening programs to identify at take chances clients - Refer survivors of intimate partner abuse to a legal advocacy programme - Organize rehab therapy for clients who accept experiences intimate partner abuse 9. A nurse is assessing a client for chance factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased take a chance for low? - The client is married - Recent promotion at work - COPD - Male x. A nurse is preparing to discharge to home an older adult client who attempted suicide. The customer lives lone and has difficulty performing ADL's. Which of the following referrals should the nurse initiate? Select all that apply - Occupational therapy - Meal delivery services - Speech linguistic communication pathologist - Physical therapy - Home health services 11. A nurse is receiving change of shift report for four clients. Which of the following clients should the nurse programme to come across first? - A avoidant personality disorder - Bipolar disorder and reports existence kidnapped by aliens over nighttime - Taking bupropion and reports having indisposition the past two nights - Taking clozapine and reports a sore pharynx and chills 12. A nurse in a mental health clinic is planning intendance for four clients. Which of the following tasks should the nurse delegate to the AP? - Discuss outpatient resource with a client who has PTSD - Create a plan of intendance for a client who is experiencing alcohol withdrawal - Explicate slumber hygiene to a client who has insomnia - Stay with a client who has anorexia nervosa for 1 hr subsequently mealtimes 13. A nurse on a mental health unit of measurement observes a customer who has astute mania striking another client. Which of the following actions should the nurse take offset? - Telephone call the provider to obtain an immediate prescription for restraint - Prepare to administer benzodiazepine IM - Call for a team of staff members to help with the situation - Bank check the customer who was hit for injuries xiv. A nurse is teaching a grouping of newly licensed nurses nigh the use of mechanical restraints. Which of the following information should the nurse include in the teaching? - Complete documentation virtually the clients states Q1H while they are in restraints - Maintain the client in restraints for a minimum of 4 hour - Apply restraints when other ways of managing the customer'south behavior have failed - Asking that the provider assess the client inside 8H of the application of restraints 15. A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia nervosa. Which of the following statements made by the guardians indicates an agreement of their child'south illness? - The disease will increase our kid'south risk for loftier blood pressure level - Information technology is important for our child to take regular dental check ups - We need to weigh our child daily for several weeks, so in one case per week - Bleeding during our child'south periods will increment because of the illness. 16. A nurse is teaching coping strategies to a customer who is experiencing depression related to partner violence. Which of the following statements past the client indicates an agreement of the didactics? - I will spend extra time at work to keep from feeling depressed - I will talk near my feelings with a close friend - I will be able to learn how to prevent my partner'due south attacks - I volition employ meditation instead of taking my antidepressant 17. A nurse is caring for an older developed customer who is experiencing delirium. Which of the following interventions should the nurse include in the client'south plan of intendance? - Offer the client diverse pick for meal option - Assign different nursing personnel for each shift - Let the client to perform daily rituals to decrease feet - Maintain an environment that has depression lighting 18. A nurse in a mental health dispensary is caring for a client who has PTSD afterward returning from military deployment. Which of the following in the priority action for the nurse to take? - Help the customer to identify personal areas of strength - Encourage the client to talk nigh experiences during the deployment - Stay with the client when flashbacks occur - Teach the client stress direction techniques xix. A nurse is caring for a customer who gave birth to a stillborn baby. Which of the post-obit statements should the nurse make? - You probably want to agree your baby - I'll stay with you just in case you want to talk - I know how you must be feeling - It hurts now, but things will get ameliorate shortly twenty. A nurse is caring for a child who has carry disorder and is behaving in a destructive way, throwing objects, and boot others. Which of the post-obit therapeutic nursing interventions is the priority? - Encourage expression of feelings - Support the child's attendance at an assertiveness training grouping - Asist the kid to perform relaxation breathing - Reduce environmental stimuli 21. A nurse is caring for an older developed customer who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Which of the following response should the nurse make? - Why do you lot think yous deserve this penalization - Don't worry about being punished by God - Let's talk about what is upsetting you - You shouldn't say things that will upset you lot so much 22. A nurse is performing cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the post-obit assessment findings supports the nurse's suspicion of delirium? - Slow onset - Aphasia - Confabulation - Hands distracted 23. A nurse on a med/surg unit assessing a customer who sustained injuries 12H ago following a motor vehicle crash. The client's admission claret alcohol level was 325 mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - Somnolence - BP 154/96 - Pinpoint pupils - Blood glucose 210 24. A nurse is didactics the partner of a client who has bipolar disorder how to place manifestations of acute mania. Which of the post-obit findings should the client'south partner report to the provider? - Obsessive attending to particular - Inability to sleep - Reports of fatigue - Isolation from others 25. A nurse on a mental wellness unit is caring for a grouping of clients. Which of the following actions by the nurse is an case of the upstanding principle of justice? - Assuasive a client to choose which unit of measurement activities to attend - Attempting alternative therapies instead of restraints for a customer who is antagonistic - Providing a client with accurate information about their prognosis - Spending adequate time with a customer who is verbally abusive 26. A nurse is planning intendance for a customer who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider transfer the client to a unit that is equipped to manage violent beliefs. Which of the following ethical principles should the nurse apply in this state of affairs? - Nonmaleficence - Veracity - Justice - Autonomy 27. A nurse is caring for a client who is in an abusive relationship and is assisting in the development of a safety program. Which of the following actions is the first component of a safety plan? - Develop a code worse that ways "time to get" - Identify signs of escalation of violence - Take a predetermined place to go in the outcome of violence - Proceed a hidden package of necessities 28. A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following lab findings should the nurse expect? - Increased CPK - increased LDL - Decrease fasting blood glucose - Decreased AST 29. A nurse is assessing a customer who has major depressive disorder and has been receiving amitriptyline for 1 wk. Which of the following outcomes should the nurse expect? - Rapid improvement in bear upon within thirty-sixty min afterwards taking the medication - Greater adventure of attempting suicide equally bear upon and energy improve - Onset of frequent, loose stools - Development of physiologic dependence on the medication thirty. A nurse is teaching a newly licensed nurse most nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - I will use the same plan of care and interventions for each client who has depression - Each nurse will develop a separate programme of care for each client who has depression - I volition update the plan of care as the client'south manifestations of depression change - An AP can apply the plan of care for customer teaching 31. A nurse on an acute mental health facility is receiving modify of shift written report for four clients. Which of the following clients should the nurse assess start? - A customer who does not recognize familiar people - A customer who cannot verbalize their needs - A customer who is awake and disoriented at nighttime - A client who is experiencing delusion of persecution 32. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. Which of the following interventions should the nurse include in the programme? - Include a liquid supplement with meals - Identify the customer'due south trigger foods - Allow the customer at least 1H for each meal - Weigh the client at bedtime each 24-hour interval 33. A nurse is preparing to participate in an interdisciplinary conference for a customer who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment squad? - Calling family members - Spending time lone - Giving away possessions - Excessive crying 34. A nurse at a providers office is interviewing an older adult client. Which of the following actions should the nurse program to accept? Nurse'southward Notes The customer reports a history of anxiety; diagnosed with Alzheimer'due south disease two months agone. The client's partner died half-dozen months ago. Reports decreased appetite, depression free energy levels, and insomnia for several weeks; some retentivity loss. Graphic Results SaO2 96% on room air Respiratory rate 20/min Blood pressure 112/76 mm Hg (lying) Blood pressure 104/68 mm Hg (standing) Heart rate 68/min Temperature 36° C (96.8° F) Medication Administration Tape Captopril 12.5 mg by mouth three times daily Digoxin 0.125 mg by mouth each morning time Multivitamin with iron i by rima oris daily Docusate sodium 50 mg by mouth each evening - Use a screening tool to evaluate the client for depression - Ask the provider to decrease the dose of the customer's BP med - Instruct the client to decease intake of vitamin B12 - Suggest the customer go for a brisk walk 20 min before bedtime 35. A nurse is planning care for a client who is to undergo ECT. Which of the following actions should the nurse include in the plan? - Administrate phenytoin 30 min prior to the process - Instruct the client to expect a headache following the procedure - Place the customer in four point restraints prior to the process - Monitor the client's cardiac rhythm during the procedure 36. A nurse is performing an admission assessment on a client and notices that the customer appears withdrawn and fearful. To constitute a trusting nurse client relationship, which of the following actions should the nurse take starting time? - Inform the client that this admission is confidential - Introduce the customer to other clients in the twenty-four hour period room - Asist the client in facilitating behavioral change - Determine coping strategies that the client has used in the past 37. A nurse is talking with a group of parents who accept recently experienced the death of a child. Which of the following actions should the nurse take? - Encourage the parents to avoid discussing the death with their other children to protect their feelings - Recommend each parent grieve in private to avert hindering each other'south healing - Suggest forming a weekly support group for parents who have experienced the death of a child - Advice the parents to begin counseling if they are still grieving in a few months 38. A nurse is providing teaching to the partner of a customer who is in a rehab program for alcohol use disorder. The nurse should place that which of the post-obit statements past the customer'south partner indicates an agreement of the educational activity? - I volition avoid social events until my partner has completed handling - It is important for me to focus my attending on my partner's addiction - I volition not take charge of my partner's work responsibilities - I want my partner to hope to change addictive behaviors 39. A nurse is assessing a customer who has bulimia nervosa. The nurse should expect which of the following findings? - Amenorrhea - Lanugo - Cold extremities - Tooth erosion 40. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? - Orient the customer to person, identify and time - Assist the customer with deep breathing exercises - Calm the client past using therapeutic touch - Accept the client sit lone in a quiet room 41. A nurse in a mental wellness facility is caring for a client who has schizophrenia. Which of the post-obit findings places the client at the greatest risk for self-directed injury or injuring others? - Inability to communicate with others - Feelings of absence of cocky-worth - Lack of motivation to perform daily tasks - Command hallucinations 42. A nurse in an ER is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client'due south diagnosis? - She works so difficult at ballet. Will she be able to perform? - She won't let me take the trash from her room. I'grand concerned about what she has in there - She told me she was tired, so I did her chores for her today - She is happier with her appearance now that she'due south lost some weight 43. A nurse is planning discharge education for a client who has severe schizoaffective disorder. The nurse should identify that which of the following treatment options tin can offer interdisciplinary services for the client at home? - Customs mental wellness center - Mental health mean solar day plan - Fractional hospitalization program - Assertive community treatment 44. A school nurse is assessing a school age child who experienced the traumatic loss of a parent eight mo ago. Which of the following findings should the nurse identify as an indication that the child is experiencing PTSD? - Clinging behaviors directed toward a teaching - Increased time spent sleeping - Intense focus on school work - Lack of interest in an upcoming holiday 45. A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative utilise and a fear or gaining weight. The client states, "I'thou so fatty I tin't fifty-fifty stand to look at myself." Which of the following therapeutic response demonstrates the nurse's utilize of summarizing? - You've discussed several concerns about your weight. Let's go back and talk most your conventionalities that you are fat - You're saying that you think y'all are fat and are using laxatives because you are afraid of gaining weight - You don't desire to look at yourself because y'all think you are fatty - You lot and I can work together to overcome your fears of gaining weight 46. A nurse is planning intendance for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? - Encourage the client to participate in group therapy - Instruct the customer to avert napping during the day - Offer the customer high-calorie finger foods oftentimes - Decrease the client's daily cobweb intake 47. A nurse is planning treat a client who has generalized anxiety disorder. At which of following levels of anxiety should the nurse plan to teach the client relaxation techniques? - Panic - Moderate - Severe - Balmy 48. A nurse is admitting a customer who has major depressive disorder and a new prescription for tranylcypromine. Which of the following OTC meds that the client reports taking should alert the nurse to potential adverse reaction? - Lansoprazole - Naproxen - Magnesium hydroxide - Phenylephrine 49. A nurse in an ER is caring for iv clients. Which of the following clients is the nurse required to report equally potential victim of abuse? - School age child who has bruises on the knees - Older adult client who is bedbound and had stage 4 pressure ulcer - An adolescent who has vaginal candida infection - Young developed who is meaning and has a sprained ankle 50. A charge nurse on a mental health unit of measurement is discussing customer rights with a newly licensed nurse. Which of the following statements should the charge nurse brand? - Clients tin't refuse to take meds if they are admitted involuntarily - You can notify a client's family if they are admitted involuntarily - Clients who are admitted involuntarily maintain the right to give informed consent for procedures - You tin remove a client's privileges if they are admitted involuntarily and refuse to nourish therapy sessions 51. A nurse is assisting a client who has concluding illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her disease? - I am going to club a wheelchair for when I'm unable to walk - I am going to end paying my bills since I won't be around much longer - I wish you would go take care of somebody who actually needs you - I am sure I'm going to be able to continue to treat myself without help 52. A nurse is discussing a 12 step program with a client who has alcohol use disorder and is in an astute intendance facility undergoing detoxification. Which of the following information should the nurse include in the instruction? - The plan will help the customer accept responsibility for the disorder - The customer should obtain a sponsor before discharge for an increased chance of recovery - The client volition demand to place individuals who have contributed to the disorder - The program will need a prescription from the client's provider prior to attendance 53. A nurse is educational activity the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder should the nurse include in the teaching? - Fear of abandonment - Motor and verbal tics - Hostile behavior - Language delay 54. A nurse observes a customer on a mental wellness unit pushing on the locked unit door. Which of the following statements should the nurse make? - It appears as though you would like to open the door - You volition experience more comfy after you've been here for a while - Information technology is okay to not want to be here - You really shouldn't be pushing on the door 55. A nurse is creating a programme of care for a client who has been placed in seclusion after threatening to harm others on the unit of measurement. Which of the following interventions should the nurse include in the program? - Document the client'due south behavior Q8H - Limit the client's fluid intake to 50 mL/Hr - Renew the prescription for the client Q4H - Toilet the client 4H 56. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an agin effect of methylphenidate? - weight gain - tinnitus - Tachycardia - Increased salivation 57. A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of low. Which of the following information relapse should the nurse include? - Additional acute episodes of depression are unlikely post-obit inpatient care - Early on identification of changes such as decreased social involvement is of import - Medication compliance will prevent farther need for inpatient hospitalization - It is helpful to regularly reinforce to the client that things will get better 58. A nurse is reviewing the medication assistants record for a customer who is experiencing agin effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse furnishings? - Blurred vision - Orthostatic hypotension - Dry mouth - Acute dystonia 59. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse except? - Sedation - Rhinorrhea - Bradycardia - Hypothermia threescore. A nurse is assessing a family'south dynamics during a counseling session. The nurse should recognize which of the post-obit findings equally an indication of a boundary issue? - An adolescent family unit member who questions parental authority - A family unit with three generations in the same household - Older children who are responsible for their younger siblings - 2 adults and their children from prior relationships in the aforementioned household
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