ATI MENTAL HEALTH BUNDLE PACKAGE TEST

Why would you expect a patient who has been using cocaine to have HTN? Correct Answer - Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body temperature, energy levels, and metabolism. Cocaine decreases appetite Why should the RN report a rash on a patient tak...

A charge nurse is discussing mental status examination with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates and understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backwards ...

a charge nurse is discussing mental status examination with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of the teaching (select all that apply) a. to assess cognitive ability, I should ask the client to count backward by sevens...

LOC Correct Answer - Alert- responsive and fully able to respond by opening eyes and attending to a normal tone of voice and speech; answers questions spontaneously and appropriately Lethargy- client is able to open eyes and respond but is drowsy and falls asleep easily Stupor- Requires vigorous o...

A nurse at an inpatient mental health facility is caring for a client who has recently experiences a traumatic event. Client was a witness during a recent violent crime at their place of employment. Several of the client's coworkers were killed. The client has been experiencing feelings of guilt...

MSE (mental status exam) includes: Correct Answer - LOC physical appearance behavior cognitive and intellectual abilities ECT therapy Correct Answer - -Lithium, MAOIs and all seizure threshold medications should be discontinued two weeks prior to ECT. -After therapy, reorient the client a...

A Patient is admitted to the emergency department with spasms of the face and back. He recently began taking Chlorpromazine to treat schizophrenia, Which of the following adverse reactions should the health care provider suspect? Correct Answer - Acute Dystonia A healthcare professional is taking...

interviewing a client at a temporary shelter after surviving the destruction of her home by a tornado. The nurse should ask which of the following questions to determine the pt's ability to cope with this situation? Correct Answer - "To whom do you talk when when you feel overwhelmed?" Caring ...

Things you dont do or say when talking to client Correct Answer - Asking irrelevant questions Offering personal opinions Giving advice Giving false reassurance Minimizing feelings Changing the topic Asking "why" questions Offering value judgements Asking too many questions Responding ...

A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indications an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by s...

Defense mechanisms Reaction formation: Undoing: Rationalization: Dissociation: Denial: Compensation: Correct Answer - Reaction formation (demonstrating opposite behavior, I love exams) Undoing (bring home flowers) Rationalization (excuse for bad behavior) Dissociation (forgetting who you ar...

A client who has anorexia nervosa is more likely to have _____ resulting from extreme malnutrition. Correct Answer - lanugo a client who has bulimia nervosa is likely to have _______ caused by frequent exposure to gastric acid from vomiting. Correct Answer - dental caries and tooth erosion ext...

Classic Psychoanalysis Correct Answer - therapeutic process of assessing unconscious thoughts and feelings and resolving conflicts by talking to a psychoanalyst transference Correct Answer - includes feelings that the client has developed toward the therapist in relation to similar feelings towar...

A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia nervose and has a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client's diagnosis? A. "She works so hard at ballet. Will she still ...

A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? Correct Answer - Hypertension - stimulant; increases BP, HR, Temp, energy levels, and metabolism A nurse is caring for a group of clients. Which of the following findings should the ...

CH 1- Name the 5 levels of consciousness Correct Answer - CH 2- Name the 6 types of ethical nursing issues Correct Answer - CH 2- If a competent client is admitted under involuntary commitment, can they refuse treatment including medicine? what if deemed incompetent according to judge? Corre...

A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium? Correct Answer - Easily distracted A nurse is caring for a client who ...

A nurse is caring for a client in a substance use disorders clinic. The client was referred by their health care provider, who is concerned that they might have a problem with misusing prescription pain medication. Although the client has kept this appointment, they insist there is nothing wrong wit...

A nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates need for further teaching? A) "To check cognitive ability, I should ask the client to count backward by 7" B) "To check affect, I should observe ...

A nurse in a long-term mental health facility is caring for a client who has a personality disorder. The client has broken a unit rule and phone privileges are being revoked consequently. The client asked the nurse can I just make one more phone call? Which of the following responses should the nurs...

a nurse working in an acute mental health facility is caring for a 35 year old female client who has manifestations of depression. the client lives at home with her partner and two young children. she currently smokes and has a history of chronic asthma. which of the following factors put the client...

Helpful for patient's with dementia: Correct Answer - - Put a calendar on the wall - Encourage family to visit Where to refer someone for borderline personality disorder? Correct Answer - - Limit setting and consistency - Individual approach - Client will refrain from self-mutilation - CBT-D...

A nurse is admitting a client who has derealization disorder. Which of the following manifestations should the nurse expect? A. The inability to recall important personal information B. The feeling that the surroundings are unreal C. The inability to recall identity D. The presence of at least...

Reason: Why approach patient with open-ended questions? Correct Answer - This technique facilitates spontaneous responses and interactive discussion. Reason: What is the purpose for using Clarifying techniques? What are the different types of techniques? Correct Answer - This is used in determini...

A nurse in a community Health center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? Correct Answer - Guided imagery A client who has a recent diagnosis of bipolar d...

A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia nervose and has a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client's diagnosis? A. "She works so hard at ballet. Will she still ...

A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching? Correct Answer - The client should obtain a sponsor before discharge for an incr...

Defense Mechanisms Correct Answer - Altruism and sublimation are defense mechanisms that are always healthy. Other defense mechanisms can be used in a healthy manner. However, they can become maladaptive if used inappropriatly or repetitively. Altruism Correct Answer - Dealing with anxiety by rea...

Mental Status Exam components Correct Answer - GET POI -General: appearance, speech -Emotions -Thought Processes -Perceptions: hallucinations -Orientation -Impulse Control/Insight DSM5 Axis Correct Answer - Axis 1: Clinical syndrome, psychological disorder Axis 2: Personality disorder and ...

A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse assess the client? Correct Answer - Respiratory depression A nurse in a mental health facility is planning to promote the development of a thera...

It is important to ask this during assessment? Correct Answer - - Perception of own health/beliefs about illness and wellness - how the client passes time - use of substances/disorders - cultural beliefs and practices -spiritual bliefs Mental Status Exam (MSE) Correct Answer - used to describ...

A nurse enters a clients room and observes that the client is agitated and pacing rapidly. the client looks at the nurse and says back off leave me alone. which of the following statements should the nurse make? Correct Answer - I demand that you come down now your behavior is unacceptable I wil...

1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. "You should continue this medication if you develop muscle rigidity". b. "You will experience weight loss while taki...

Which is not an organization that set up the provision of care for clients in a mental health care setting? 1. American Nurses Association (ANA) 2. American Psychiatric Nurses Association 3. National Mental Health Nursing Association 4. International Society of Psychiatric Mental Health Nurses C...

Borderline Personality Disorder Correct Answer - High risk for self-harm or suicide. "Cutters" Agoraphobia Correct Answer - Clients avoid being outside and have impaired ability to work or perform duties. Acute Dystonia Correct Answer - Side effect of Thorazine. Severe spasms of tongue, neck...

RN is admitting client who has a alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? A. I put in extra hours at work so I won't think about drinking B. I know that wine is good for my heart, so that's why I dri...

risk factors for depression Correct Answer - COPD conduct disorder - destructive manner Correct Answer - reduce stimuli ethical justice Correct Answer - adequate time with verbally abusive plans for depressive disorders - understanding of teaching Correct Answer - update as manifestations c...

Always assess clients in holistic manner. Each will a require an ongoing assessment Correct Answer - observation, interviewing, physical examination, and collaboration Psychosocial history Correct Answer - perception of own health, beliefs about illness and wellness. Activity/leisure activities, ...

Level of Consciousness: Alert Correct Answer - -responsive -able to fully respond by opening eyes & attending to normal tone of voice & speech -answers questions spontaneously & appropriately Level of Consciousness: Lethargic Correct Answer - -able to open eyes & respond but is drowsy -falls a...

Set standards of care for mental health patients Correct Answer - American Nurses Association, the American Psychiatric Nurses Association, the International Society of Psychiatric-Mental Health Nurses holistic Correct Answer - mental health nurses should use the nursing process, as well as a ___...

During the data collection phase each encounter with the client involves what? Correct Answer - An ongoing data collection. Do they have peer and family support? What should we determine when obtaining a psychosocial history from a client? Correct Answer - -Determine the clients use of substances...

A nurse in mental health facility observes a client who is experiencing panic level of anxiety. Which of the following actions should the nurse take first? Correct Answer - Accompany the client to a quiet room. (Greatest risk for this client is injury due to severe anxiety. Therefore, first action n...

Mild anxiety Correct Answer - Restlessness, increased motivation, irritablity Moderate anxiety Correct Answer - agitation, muscle tightness Severe anxiety Correct Answer - inability to function, ritualistic behavior, unresponsive Panic anxiety Correct Answer - distorted perception, loss of ...

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings? Correct Answer - "You feel like you have the support needed to be successful." A nurse is ...

A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions sho...

Traits of mental health Correct Answer - Good relationships Thinking rationally Function in roles of your life Self-esteem Mental Illness Correct Answer - Depressed and unable to function in roles Lack of interest Unkempt, easily observable traits Change in behavior Cannot always think r...

Levels of consciousness Correct Answer - Alert, Lethargic, Obtunded, Stuporous, Comatose, Decorticate, Decerebrate Alert Correct Answer - patient is responsive, opens eyes spontaneously and answers questions appropriately Lethargic Correct Answer - Patient can ope his/her eyes and respond to q...

normal anxiety Correct Answer - response to stress that is essential for survival Seperation anxiety Correct Answer - The client experiences excessive fear or anxiety when separated from an individual who the client is emotionally attached -like kids going to school monophobia Correct Answer ...

therapeutic communication (don'ts, easier to remember) Correct Answer - Ask why Ask an excessive amount of question Give advice Give false reassurance Change the conversation topic Give approval or disapproval Use close-ended questions/statements Talk about yourself or your own experiences ...

alert Correct Answer - patient is responsive, opens eyes spontaneously, and answers questions appropriately lethargic Correct Answer - patient can open eyes and respond to questions but falls asleep easily obtunded Correct Answer - patient responds to light shaking, but is confused and slow to...

Alogia Correct Answer - a a lack of any real meaning or substance in what the client says Anhedonia Correct Answer - having no pleasure or joy in life; losing any sense of pleasure from activities formerly enjoyed blunted affect Correct Answer - showing little or a slow-to-respond facial expre...

What are positive symptoms? Correct Answer - related to behavior, thought, perception, and speech: agitation, bizarre behaviors, delusions, hallucinations, flight of ideas, loose association What are negative symptoms? Correct Answer - social withdrawal, lack of emotion, lack of energy, flattened...

What are cognitive symptoms of psychotic disorders Correct Answer - -disordered thinking -inability to make decisions -poor problem solving ability -difficult concentrating to perform tasks -Memory deficits Misconstrues trivial events and attaches personal significance to them, such as believ...

the client is responsive and able to fully respond by opening her eyes and attending to a normal tone of voice and speech. she answers questions spontaneously and appropriately Correct Answer - alert the client is able to open her eyes and respond but is drowsy and falls asleep readily Correct An...

a nurse working on an acute mental health unit is caring for a client who has PTSD. which of the following findings should the nurse expect? SATA a. difficulty concentrating on tasks b. obsessive need to talk about traumatic events c. negative self-image d. recurring nightmares e. diminished ...

MENTAL HEALTH ATI Correct Answer - MUST KNOWS! DEFENSE MECH OF DISPLACEMENT USED BY BULIMIA PT HOW? Correct Answer - Pt criticizes the RN at each med administration time (Because its a shift of her feelings related towards meds) DEFENSE MECH USED BY PPL WHO ARE DELUSIONAL Correct Answer - Pro...