ATI RN Mental Health Nursing (100% Verified Solutions) 2024 LATEST VERSIONS
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Course
ATI MENTAL HEALTH
Institution
ATI MENTAL HEALTH
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions are appropriate for the nurse to include in the assesment? correct answers A. "What is your relationship like with your family?"
C. "Would you describe your ...
ATI RN Mental Health Nursing (100% Verified Solutions)
2024 LATEST VERSIONS
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of
anorexia nervosa. Which of the following questions are appropriate for the nurse to include in the
assesment? correct answers A. "What is your relationship like with your family?"
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings about your appearance?"
Rationale: A family history of a client who has anorexia should include an assessment of family
and interpersonal relationships. You should also assess for the client's current eating habits, and
the client's perception of the issue.
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss
and a current weight of 90 lbs. Which of the following statements indicates the client is
experiencing the cognitive distortion of catastrophizing? correct answers A. "Life isn't worth
living if I gain weight."
Rationale: Catastrophizing means that the client's perception of her appearance or situation is
much worse than her current condition.
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging
behavior. Which of the following is an expected finding? correct answers B. Hypokalemia
D. Slightly elevated body weight
Rationale: A client who has a bulimia nervosa disorder will be hypokalemic, will maintain a
weight within a normal range or slightly higher; they will not have a period (amenorrhea), and a
patchy skin (mottling of skin).
A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior.
The client tells the nurse that she is afraid she is going to gain weight. Which of the following is
an appropriate response by the nurse? correct answers C. "I understand you have concerns about
your weight, but first, let's talk about your recent accomplishments."
Rationale: A nurse should focus on the patient's accomplishments, which helps promote self-
esteem and self-image.
A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-
eating and purging behavior. Which of the following nursing actions is appropriate to include in
the client's plan of care? correct answers D. Implement one-to-one observation during meal
times.
Rationale: A nurse should closely monitor the client during and after meals to prevent purging. It
may necessitate accompanying the patient to the restroom. A patient should also have a highly
structured milieu, including meal times. The client should not eat foods high in fat and gas-
,producing at the start of a treatment. A positive approach should also be used which includes
rewards, such as when completing meals or consuming a set number of calories.
A nurse is caring for a client who is on lithium therapy. The client states that he wants to take
ibuprofen for osteoarthritis pain relief. Which of the following statements by the nurse is
appropriate?
A. "That is a good choice. Ibuprofen does not interact with lithium."
B. "Regular aspirin would be a better choice than ibuprofen."
C. "Lithium decreases the effectiveness of ibuprofen."
D. "The ibuprofen will make your lithium level fall too low." correct answers B
A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic
acid (Depakote). The nurse should inform the client of the need for routine monitoring of which
of the following?
A. AST/ALT and LDH
B. Creatinine and BUN
C. WBC and granulocyte counts
D. Serum sodium and potassium correct answers A
A nurse is discussing early indications of toxicity with a client who has a new prescription for
lithium carbonate for bipolar disorder. The nurse should include which of the following in the
teaching? (Select all that apply.)
A. Constipation
B. Polyuria
C. Rash
D. Muscle weakness
E. Tinnitus correct answers B, D
A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to
administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L.
Which of the following is an appropriate action by the nurse?
A. Administer the next dose of lithium carbonate as scheduled.
B. Prepare for administration of aminophylline.
C. Notify the provider for a possible increase in the dosage of lithium carbonate.
D. Request a stat repeat of the client's lithium blood level. correct answers A
A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to
begin lithium therapy. When collecting a medical history from the client's adult daughter, which
of the following statements is the highest priority to report to the provider?
A. "My mother has diabetes that is controlled by her diet."
B. "My mother recently completed a course of prednisone for acute bronchitis."
,C. "My mother received her flu vaccine last month."
D. "My mother is currently on furosemide for her congestive heart failure." correct answers D
A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat
affect. The nurse should anticipate a prescription of which of the following medications?
A. Chlorpromazine (Thorazine)
B. Thiothixene (Navane)
C. Risperidone (Risperdal)
D. Haloperidol (Haldol) correct answers C
A nurse is caring for a client who takes ziprasidone (Geodon). The client reports difficulty
swallowing the oral medication and becomes extremely agitated with injectable administration.
The nurse should contact the provider to discuss a change to which of the following
medications? (Select all that apply.)
A. Olanzapine (Zyprexa)
B. Quetiapine (Seroquel)
C. Aripiprazole (Abilify)
D. Clozapine (Clozaril)
E. Paliperidone (Invega) correct answers C, D
A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which
of the following should the charge nurse identify as being effectively treated by conventional
antipsychotics? (Select all that apply.)
A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia correct answers A, C, D
4. A nurse is assessing a client who is currently taking perphenazine. Which of the following
findings should the nurse identify as an extrapyramidal symptom (EPS)? (Select all that apply.)
A. Decreased level of consciousness
B. Drooling
C. Involuntary arm movements
D. Urinary retention
E. Continual pacing correct answers B, C, E
A nurse is providing discharge teaching for a client who has schizophrenia and a new
prescription for iloperidone (Fanapt). Which of the following client statements indicates
understanding of the teaching?
A. "I will be able to stop taking this medication as soon as I feel better."
, B. "If I feel drowsy during the day, I will stop taking this medication and call my provider."
C. "I will be careful not to gain too much weight while taking this medication."
D. "This medication is highly addictive and must be withdrawn slowly." correct answers C
A nurse is planning a staff education program on substance use in older adults. Which of the
following is appropriate for the nurse to include in the presentation?
A.) Older adults require higher doses of a substance to achieve a desired effect.
B.) Older adults commonly use rationalization to cope with a substance use disorder
C.) Older adults are at a higher risk for substance use following retirement.
D.) Older adults develop substance use to mask signs of dementia correct answers C.) Older
adults are at a higher risk for substance use following retirement.
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which
of the following is an expected finding. SATA
A.) Bradycardia
b.) Fine tremors of both hands
C.) Hypotension
D.) Vomiting
E.) restlessness correct answers b.) Fine tremors of both hands
D.) Vomiting
E.) restlessness
A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of
the following is the priority nursing intervention?
A..) Orient the client frequently to time, place and person
B.) Offer fluids and nourishing diet as tolerated
C.) Implement seizure precautions
D.) encourage participation in group therapy sessions correct answers C.) Implement seizure
precautions
A nurse is caring for client who has alcohol use disorder. The client is no longer experiencing
withdrawal manifestations. Which of the following medications should the nurse anticipate
administering to assist the client with maintaining abstinence from alcohol?
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