A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints d. Adminis...
a nurse is caring for a school aged child who has conduct disorder and is being physically aggressive toward other children in the unit which of the following actions should the nurse take first a
1. 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
a. "It is not uncommon to feel angry toward yourself or others
Reason: Feelings of blame and anger towards oneself or others are an expected
reaction when a client is experiencing a loss.
2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which
of the following instructions should the nurse include in the teaching
a. "Take this medication with food
Reason: Lithium can cause GI distress and should be taken with food. Recommended
sodium intake 1500mg/day. Recommended 2000-3000ml/day fluids.
3. A nurse is planning care for four clients in a mental health facility. Which of the
following clients is at the greatest risk for injury when performing ADLs
a. A client who has severe Alzheimer's disease
Reason: Alzheimer's clients are typically confused with memory difficulties, tend to
wander and need ADL assistance.
4. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above
his ideal body weight. Which of the following interventions should the nurse include in the
plan
a. Identify the client's trigger foods
Reason: Nurse should identify trigger foods that initiate the client's binge and assist
the client to understand his thoughts and behavior that relate to the food
5. A nurse who works with newborns is assessing the potential for abuse or neglect. Which of
the following family groups should the nurse identify as the highest potential for future
child abuse
a. A family where one or both parents witnessed intimate partner violence in the
home as children
Reason: Parents who witnessed intimate partner violence as a child are more likely
to become abusive.
6. A nurse is performing an admission assessment on a client and notices that the client
appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of
the following actions should the nurse take first
, ATI MENTAL HEALTH PROCTORED EXAM -RETAKE GUIDE
a. Inform the client that her admission is confidential
Reason: According to EBP, Nurse should inform client about confidentiality during
orientation phase of nurse-client relationship
7. A nurse is caring for four clients in an inpatient mental health facility. Which of the
following clients can give informed consent
a. A 35-year-old client who has major depressive disorder
Reason; Client who has major depressive disorder is capable of making health care
decisions unless determined legally incompetent
8. A nurse is admitting a client who has schizophrenia to an acute care setting. When the
nurse questions the client regarding his 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
a. Clang association
Reason: Clang associations often rhymes or contains a string of words that can
have the same beginning sound.
9. A nurse is educating 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
a. Language delay
10. A nurse in a mental health unit is admitting a client who is anxious because he often
hears voices telling him what to do. Which of the following actions should the nurse take
a. Ask the client what the voices are saying
11. A nurse is caring for an older adult client who begins to cry and states, "I knew God would
punish me and I deserve this horrible sickness!" Which of the following responses should
the nurse make
a. "Let's talk about what is upsetting you
Reason: The nurse us acknowledging the client's concerns and is showing a desire to
understand what the client is thinking and feeling
12. A nurse is talking with a client who is beginning chemotherapy. The client tells the nurse that
she is mourning the loss of her hair. Which of the following actions should the nurse take
first
a. Discuss the importance of hair with the client
Reason: anticipatory grieving begins with acknowledging the importance of the
expected loss
13. A nurse is providing care for a client who has bipolar disorder and is experiencing acute
mania. The client's morning lithium level is 1.5 mEq/L. Which of the following
laboratory
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