1. A nurse is assisting with obtaining consent for a client who has been declared
legally incompetent . Which of the following actions should the nurse take ? -
CORRECT ANSWER Request that the client's guardian sign the consent
2. A nurse in a mental health facility is reviewing a client's med...
1. A nurse is assisting with obtaining consent for a client who has been declared
legally incompetent . Which of the following actions should the nurse take ? -
CORRECT ANSWER Request that the client's guardian sign the consent
2. A nurse in a mental health facility is reviewing a client's medical record . Which of
the following actions should the nurse take first ? ( Click on the exhibit button for
additional information about the client There are re 3 tabs that contain separate
categories of data ) - CORRECT ANSWER a . Teach the client about nutritional
needs b . Initiate 0.9 % sodium chloride with 40 mEq potassium chloride c .
Administer acetaminophen 500 mg PO d . Encourage the client to attend group
therapy sessions
3. A nurse is assessing a client who has delirium . Which the following findings
requires immediate intervention by the nurse ? - CORRECT ANSWER Rapid
mood swings
4. A nurse is reviewing the medication administration record of a client who has
major depressive disorder and a new prescription for selegiline . The nurse should
recognize that which of the following client medications is contraindicated when
taken with selegiline ? - CORRECT ANSWER Fluoxetine
5. A nurse in a long - term care facility is assessing a client who has dementia .
Which of the following findings should the nurse identify as a risk for this client ? -
CORRECT ANSWER The room has an area rug
6. A nurse is providing behavioral therapy for a client who has obsessive -
compulsive disorder . The client repeatedly checks that the doors are locked at night
. Which of the following instructions should the nurse give the client when using
thought stopping technique ? - CORRECT ANSWER Snap a rubber band on
your wrist when you think about checking the locks "
7. A nurse is providing teaching about relapse prevention to a client who has
schizophrenia . Which of the following statements by the client indicates an
understanding of the teaching ? - CORRECT ANSWER " I should let my
counselor know if I am having trouble sleeping
8. A nurse is assessing a client for negative manifestations of schizophrenia . Which
of the following findings should the nurse expect ? - CORRECT ANSWER
Anergia
9. A nurse is preparing for an interprofessional team meeting regarding a newly
admitted client who has major depressive disorder . Which of the following findings
obtained during the initial assessment is the priority to report to other disciplines ? -
CORRECT ANSWER Psychomotor retardation
10. A nurse is preparing to administer methylphenidate 25 mg PO to a school age
child who has ADHD . Available is methylphenidate 10mg / 5ml . liquid . How many
ml . should the nurse administer ? Round to nearest tenth ) - CORRECT ANSWER
12.5
11. A nurse is caring for a school age child who has a fractured arm . The child has
other injuries that cause the nurse to suspect abuse . Which of the following actions
is appropriate for the nurse to take when assessing the child's situation ? -
CORRECT ANSWER Ask clarifying questions as the child explains how the
injuries occurred
12. A nurse in an inpatient mental health facility is assessing a client who has
schizophrenia and is taking haloperidol . Which of the following clinical findings is the
nurse's priority ? - CORRECT ANSWER High fever
, ATI mental health 2019 C proctored Graded A+
13. A nurse is caring for a client who has Alzheimer's disease . Which of the
following findings should the nurse expect ? - CORRECT ANSWER Failure to
recognize familiar objects
14. A nurse in a mental health facility is interviewing a new client . Which of the
following outcomes must occur if the nurse is to establish a therapeutic nurse - client
relationship ? - CORRECT ANSWER The nurse maintains confidentiality unless
the client's safety is compromised
15. A nurse is teaching a client who has a new prescription for disulfiram . Which of
the following statements by the client indicates an understanding of the teaching ? -
CORRECT ANSWER " I can continue to eat aged cheese and chocolate "
16. A nurse is planning care for a client who has narcissistic personality disorder .
Which of the following actions is appropriate for the nurse to include in the plan of
care ? - CORRECT ANSWER Remain neutral when communicating with the
client
17. A nurse is reviewing the laboratory report of a client who is taking
carbamazepine for bipolar disorder . Which of the following laboratory results should
the nurse report to the provider ? - CORRECT ANSWER Platelets 90,000 / mm3
18. A nurse is developing a teach plan for the family of an older adult client who is to
receive transcranial magnetic stimulation . Which of the following information should
the nurse include in the teaching plan ? - CORRECT ANSWER The client might
have a headache after treatment
19. A nurse is obtaining a medical history from a client who is requesting a
prescription for bupropion for smoking cessation . Which of the following assessment
findings in the client's history should the nurse report to the provider ? - CORRECT
ANSWER Recent head injury
20. A nurse is developing a plan of care for a client who has paranoid personality
disorder . Which of the following actions should the nurse include in the plan ? -
CORRECT ANSWER Isolate the client from social or group interactions
21. A nurse is caring for a client who receives lamotrigine daily for bipolar disorder
and reports a rash on his arm . Which of the following actions should the nurse take
? - CORRECT ANSWER Withhold the next dose of the medication
22. A nurse is caring for a client who begins yelling and pacing around the room .
Which of the following actions should the nurse take ? ( select all that apply ) -
CORRECT ANSWER b . Identify the client's stressors
d . Talk to the client using short , simple sentences
23. A nurse is developing a plan of care for a school - age child who has autism
spectrum disorder . Which of the following interventions should the nurse include in
the plan ? - CORRECT ANSWER Use a reward system for appropriate behavior
24. A nurse is caring for a client who has post - traumatic stress disorder . Which of
the following clinical findings is associated with this disorder ? - CORRECT
ANSWER Depersonalization
25. A nurse is teaching a client about the use of cognitive reframing for stress
management . Which of the following statements by the client indicates an
understanding of the teaching ? - CORRECT ANSWER " I will practice replacing
negative thoughts with positive self - statements . "
26. A nurse is caring for a client who has schizophrenia and has been taking
chlorpromazine for 5 years . Which of the following assessment tools should the
nurse use to determine if the client is experiencing adverse effects of the medication
? - CORRECT ANSWER Abnormal Involuntary Movement Scale ( AIMS )
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