Mental Health ATI mastery Test Bank/ Solution guide, Updated 2021/2022
Clinical finding of anorexia nervosa - Amenorrhea- what to look for?
Clinical finding of bulimia - Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - Increased serum amylase levels
What ...
Mental Health ATI mastery Test Bank/
Solution guide, Updated 2021/2022
Clinical finding of anorexia nervosa - Amenorrhea- what to look for?
Clinical finding of bulimia - Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - Increased serum amylase levels
What lab value would you expect to see in a client with alcoholic cardiomyopathy -
Increased CPK- enzyme released when tissue is damaged
Common behavior associated with dependent personality disorder - Needing excessive
external input from others to make everyday decisions
Characteristic of avoidant personality disorder - Difficulty starting new relationships,
unless he feels accepted. Are unwilling to get involved socially unless one feels
accepted.
What is part of healthy adolescent behavior - Exhibiting a realistic self-concept
What age group displays an egocentric approach to problem solving - Pre schoolers
What age group demonstrates distrust of others - Infants
What is a common characteristic of autism spectrum disorder - Language delays
What disorder is associated with fears of abandonment - Separation anxiety disorder
What places a client with schizo at greatest risk of self-directed injury or harm to others -
Command hallucinations
Example of active listening - Attention to body language (identifying verbal and
nonverbal communication)
How much percentage of weight loss must occur in order for a pt to be required
hospitalization - Over 30% within 6 months
What clinical finding of a pt with anorexia nervosa requires hospitalization - Temp of
96.1 degrees - severe hypothermia due to loss of SQ tissue or dehydration
How offer should a pt in seclusion be offered food?
,( Prescribed haloperidol and seclusion, what should be included in plan of care?) -
Every hour
also document behavior every 15-30 min
vitals every 1 to 2 hrs;
keep communication w/client direct and brief;
obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review Rx
every 24 hr
What is an early indication of depression - Decreased social involvement
Signs of heroin intoxication - Constricted pupils & decreased BP
Adverse effects of imipramine- for depression - Urinary retention, tinnitus, weight gain &
tachycardia, Tricyclic -Anticholergic Effect
Signs of PTSD & Priority action - Distressing dreams, difficulty concentrating &
exaggerated startle response, (not delusions and compulsions).
safety; making the client feel safe
What is a sign of lithium toxicity? Side Effects that cause patients to stop taking it? -
Coarse hand tremors- prevents them from doing ADLs.
What lab does a nurse need to evaluate for a pt taking risperidine - Blood glucose- can
cause DM to develop
What kind of foods should a pt on tranyclopromine avoid - Foods high in tyramine, such
as some cheeses, avocados, and bologna
Clinical findings of mild anxiety - Restlessness, irritability, nail biting & fidgeting.
Feels restless & irritable before taking exam. what level of anxiety?
Clinical findings of severe anxiety - Difficulty sleeping, light headedness, nausea,
tremors & sense of impending doom
Clinical findings of panic anxiety - Hyperactivity, severe tremors & uncoordinated
impulsive behavior
Indication of complicated grief - Difficulty carrying on normal activities following a loss. I
feel so empty without my wife, its hard to get up every morning.
,What med should be prescribed to a pt experiencing alcohol withdrawals -
Chlordiazepoxide
What med should be prescribed to a pt to assist in alcohol abstinence - Disulfiram
Taking tranylcypromine. What is good food choice? - Roasted chicken
Hx of gambling dependence and participates in support group. What is the purpose of
attending the group? - Provide assurance that others have similar problems
Haloperidol what should be reported? - Shuffling gait
Autonomy - The right of self goverment
Discharged from inpatient detoxification program and plans to attend AA. What
statement indicates understanding of teaching? - I will use peer support to maintain my
abstinence
Bereavement support group, one member is silent after several sessions. What should
nurse do To encourage participation? - Divide the group into pairs to discuss topic, then
summarize the discussion to the group
Conduct disorder is being destructive , throwing things and kicking others. What
intervention is highest? - Use a therapeutic holding technique.
Exhibits anger, aggression and violent behavior, what is priority? - Create a large
personal space
Borderline personality disorder. Priority care goal? - The client will refrain form self
mutilation.
Situational crisis - The client recently lost grandparent in a MVA. unexpected event,
changes that results when a person faces an event or situation that causes a disruption
in his or her life.
Code of ethics for RN - The right to treatment ensures individualized care
Suspects abuse for an elderly client - Check the client for other sings and symptoms of
abuse
Valproic acid, what should be monitored to determine effectiveness of med? - The client
has decreased episode of pressured speech. Decreased insomnia, grandiose thoughts,
and hyperactivitiy.
Bipolar client is bragging and dominating the conversion in group therapy. What should
the nurse do? - Tell the client to calm down or he will be dismissed form the session.
, What is expected with chronc stress? - Viral infection
Client wants to use herbals instead of pharmaceuticals. What classifications is the
medicine practice? - Alternative medicine
Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What is first
priority? - Identify the client's nutritional status.
Personality disorder and demonstrates manipulative behavior. What intervention should
be included in plan of care? - Institute consequences for manipulative behavior.
Clint is being d/c to nursing home. States why do I have to go to 'that place'? What is
appropriate nursing response? - Did your doctor or anyone else talk to you about going
to the nursing home?
Client sits quietly and calmly after a traumatic assault. What behavior is this? - Denial
What is appropriate to include in plan of care for client with schizophrenia? - Limit the
number of questions asked during the assessment.
Client becomes upset and breaks a chair. What should the nurse do first? - Administer
an antianxiety medication
Tertiary interventions for suicide. - I should provide counseling for the family following
the suicide of a client
Client was alert X3, but is now restless and confused. What interventions are
appropriate? - Move the client to a room closer to the nurses station
Client has delirium tremens. What actions should be done first? - Raise the bed side
rails
Hypochondriasis, what supports this? - Constant worry about the underdiagnosed
presence of a terminal illness
Continuous pacing at a rapid pace being treated for anxiety. What intervention is
appropriate? - Talk calmly to the client
Histrionic personally disorder. Priority intervention? - Promote appropriate behavior
during group therapy session.
Adjustment disorder. Expected finding? - Parents divorced two months ago
Coronary artery disease. Afraid of dying form heart attack. Nursing response? - Tell me
more about these fears of dying from a heart attack?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller dennys. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.