PN Mental Health Online Practice 2023 A Questions Fully Answered.
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Course
Ati capstone mental health assessment
Institution
Ati Capstone Mental Health Assessment
After reviewing the client's medical record, the nurse should report which of the following findings to the provider? Select the 5 findings that should be reported. - Answer When analyzing cues, the nurse should identify that the client's blood pressure. heart rate, temperature, speech pattern, ...
PN Mental Health Online Practice 2023 A
Questions Fully Answered.
After reviewing the client's medical record, the nurse should report which of the following findings to the
provider? Select the 5 findings that should be reported. - Answer When analyzing cues, the nurse
should identify that the client's blood pressure. heart rate, temperature, speech pattern, and
hallucinations are findings the nurse should report to the provider. The client's blood pressure is above
the expected reference range, indicating hypertension. The heart rate is above the expected reference
range, indicating tachycardia, The temperature is above the expected reference range, indicating a fever.
The client is exhibiting a change in speech pattern, including rapid and rambling speech. Also,
hallucinations and delusions are manifestations which can indicate alcohol withdrawal delirium, or
delirium tremens (DT). DT is an emergent condition that can be fatal.
Therefore, the nurse should report these findings to the provider.
A nurse is reviewing the medical record of a female client who has schizophrenia. For which of the
following findings should the nurse withhold the client's medications and notify the provider? (Click on
the exhibit tabs for additional information about the client. There are three tabs that contain separate
categories of data.) - Answer WBC count
A nurse is caring for a client who has visible injuries as a result of partner violence. Which of the
following actions should the nurse take? - Answer Encourage the client to develop a safety plan.
R: The nurse should encourage the client to develop a safety plan to aid in escaping further violence if
necessary.
A nurse is participating in group therapy for clients who have major depressive disorder. Which of the
following topics should the nurse include in the orientation phase of group therapy? - Answer
Confidentiality
Click to highlight the information in the client's medical record that indicates the client's condition is
deteriorating. To deselect a piece of information, click on the information again. - Answer QT
prolongation
Exercise regimen
Hematemesis
, BMI
A nurse is preparing to administer haloperidol 3 mg IM to a client. Available is haloperidol solution 5
mg/mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth.
Use a leading zero if it applies. Do not use a trailing zero.) - Answer .6
A nurse is planning to collect data from a group of clients. The nurse should expect that which of the
following clients is likely to exhibit speech pattern alterations? - Answer a client who has schizophrenia
A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which
of the following statements should the nurse make? - Answer "Have you considered participating in a
sport to help control your aggression?"
A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following
findings should the nurse expect? - Answer elevated blood pressure
A nurse is contributing to the plan of care for a client who has bipolar disorder and is experiencing
mania. Which of the following intervention: should the nurse include to improve the client's nutritional
status? - Answer Have finger foods available for the client in a quiet area.
A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting disruptive
behaviors at home, Which of the following actions should the nurse instruct the parent to take? - Answer
Initiate a point system for the child
A nurse is collecting data from a client who has dementia and whose family expresses concern about
their increasing "memory problems." Which of the following findings should the nurse identify as the
priority? - Answer The client sometimes wanders from the house.
A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and whose
partner died several years ago. The din appears upset and asks the nurse when their partner will visit
again. The nurse states, "It seems like you are feeling lonely. Let's take outside and talk." Which of the
following communication strategies is the nurse using? - Answer Validation therapy
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