COPY: ATI Mental Health Exam Review

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Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Therapy is the only treatment option.

The client is at greatest risk for suicide during the first weeks of an MDD episode. (correct)

Medication is not needed for the client.

The client has a strong support system.

Which of the following findings should the nurse expect in a 25-year-old client who has a new diagnosis of dysthymic disorder?

Presence of manifestations for at least 1 year.

Presence of symptoms for less than 6 months.

Presence of manifestations for at least 2 years. (correct)

Presence of manifestations for at least 2 months.

Which of the following interventions should the nurse include in the care plan for a client who has bipolar disorder and is experiencing a manic episode? (Select all that apply)

Offer concise explanations. (correct)

Use a firm approach with communication. (correct)

Encourage the client to engage in group activities.

Establish consistent limits. (correct)

Allow the client to make decisions.

ECT is effective for clients who are experiencing severe mania.

True Signup and view all the answers

What should the nurse say to a client who states, 'I am very rich, and I feel I must give my money to you'?

I am here to provide care and cannot accept this from you. Signup and view all the answers

What is the priority nursing action for a client who has bipolar disorder?

Monitor for escalating behavior. Signup and view all the answers

Which statements about relapse prevention in bipolar disorder should the nurse include in the teaching? (Select all that apply)

Anhedonia is a clinical manifestation of a depressive relapse. Signup and view all the answers

How should the nurse respond to a client experiencing auditory hallucinations saying, 'The voices won't leave me alone!'? (Select all that apply)

It must be scary to hear voices. Signup and view all the answers

Which of the following findings should the nurse document as positive symptoms in a client who has schizophrenia? (Select all that apply)

Use of clang associations Signup and view all the answers

What statement indicates the client is experiencing depersonalization?

I am no one, and everyone is me. Signup and view all the answers

What is the first action the nurse should take for a client reporting hearing voices telling her to 'kill your doctor'?

Initiate one-to-one observation of the client. Signup and view all the answers

What should the nurse ask when the client seems distracted while speaking with him?

Are you seeing something on the ceiling? Signup and view all the answers

It is important to practice limit-setting to help prevent client manipulation.

True Signup and view all the answers

What statement is expected from a client who has avoidant personality disorder?

I'm scared that you're going to leave me. Signup and view all the answers

Which defense mechanism is exemplified by the client saying, 'The nurse on the evening shift is always nice! You are the meanest nurse ever!'?

Splitting Signup and view all the answers

What findings should the nurse expect in a client with antisocial personality disorder? (Select all that apply)

Blames others for his past and current problems. Signup and view all the answers

Which personality characteristics should the nurse include in the teaching on personality disorders? (Select all that apply)

Difficulty understanding why it is inappropriate to have a personal relationship with staff. Signup and view all the answers

What should the nurse teach a client about donepezil for early stage Alzheimer's disease?

You can expect the progression of cognitive decline to slow with donepezil. Signup and view all the answers

What should the nurse say to a client with major neurocognitive disorder attempting to wander out of the building?

I am your nurse. Let's walk together to your room. Signup and view all the answers

Which suggestions should the nurse make to decrease the client's risk for injury who has Alzheimer's disease? (Select all that apply)

Place the client's mattress on the floor. Signup and view all the answers

What action should the nurse take when a caregiver discusses concerns about a client with Alzheimer's disease?

Provide information on resources for respite care. Signup and view all the answers

Which findings should the nurse expect in a client with delirium related to an acute UTI? (Select all that apply)

Restlessness. Signup and view all the answers

What should the nurse include in a presentation about substance use in older adults?

Older adults are at an increased risk for substance use following retirement. Signup and view all the answers

Which findings should the nurse expect in a client with alcohol use disorder experiencing withdrawal? (Select all that apply)

Vomiting. Signup and view all the answers

What should the nurse identify as the priority intervention for a client experiencing benzodiazepine withdrawal?

Implement seizure precautions. Signup and view all the answers

What medication should the nurse anticipate administering to a client with alcohol use disorder to maintain abstinence?

Disulfiram. Signup and view all the answers

Which statements by a family member indicate understanding of the teaching about a client with substance use disorder? (Select all that apply)

Eliminating any codependent behavior will promote her recovery. Signup and view all the answers

Which questions should the nurse include when obtaining a nursing history from a client with anorexia nervosa? (Select all that apply)

Would you describe your current eating habits? Signup and view all the answers

What statement indicates a client with anorexia nervosa is experiencing cognitive distortion catastrophizing?

Life isn't worth living if I gain weight. Signup and view all the answers

Which findings are expected for a client with bulimia nervosa with purging behavior? (Select all that apply)

Hypokalemia. Signup and view all the answers

What nursing action should be included in a care plan for a client with anorexia nervosa with binge-eating and purging behavior?

Implement one-to-one observation during meal times. Signup and view all the answers

What response should the nurse make to a client who has bulimia nervosa and has stopped purging behavior but is afraid of gaining weight?

I understand you have concerns about your weight, but first, let's talk about your recent accomplishments. Signup and view all the answers

Which risk factors for somatic symptom disorder should be included in teaching? (Select all that apply)

History of childhood abuse. Signup and view all the answers

Which finding should the nurse identify as placing a client at risk for conversion disorder?

Death of a child 2 months ago. Signup and view all the answers

Which findings should the nurse expect in a client with illness anxiety disorder? (Select all that apply)

Avoidance of health care providers. Signup and view all the answers

What action should the nurse include in the care plan for a client with conversion disorder?

Discuss alternative coping strategies with the client. Signup and view all the answers

What statement should the nurse expect from a client with factitious disorder imposed on another?

I needed to make my son sick so that someone else would take care of him for a while. Signup and view all the answers

What information should the nurse provide to a client who has a new prescription for diazepam for generalized anxiety disorder?

Report confusion as a potential indication of toxicity. Signup and view all the answers

What is the nurse's priority action for a client with benzodiazepine toxicity due to an overdose?

Identify the client's level of orientation. Signup and view all the answers

What statement indicates the client understands the use of fluoxetine for treatment of generalized anxiety disorder?

I will need to discontinue this medication slowly. Signup and view all the answers

Which findings should the nurse report to the provider as indications of serotonin syndrome after a client has received an initial dose of fluoxetine? (Select all that apply)

Hallucinations. Signup and view all the answers

What measures can manage the client's bruxism who is taking paroxetine for PTSD? (Select all that apply)

Changing to a different class of antianxiety medication. Signup and view all the answers

What statement indicates an understanding of the teaching about a new prescription for amitriptyline?

I may feel drowsy for a few weeks after starting this medication. Signup and view all the answers

Which of the following statements by the newly licensed nurse indicates an understanding of the teaching regarding mental status exams? (Select all that apply)

To assess affect, I should observe the client's facial expression. Signup and view all the answers

What is an example of a psychobiological intervention when caring for a client with a mental health disorder?

Monitor the client for adverse effects of the medications. Signup and view all the answers

What should a nurse identify as the priority during an initial client interview?

Identify the client's perception of her mental health status. Signup and view all the answers

What finding should a nurse expect when assessing a stuporous client?

The client arouses briefly in response to a sternal rub. Signup and view all the answers

Which information is appropriate to include in a discussion about the DSM-5? (Select all that apply)

The DSM-5 assists nurses in planning care for clients who have mental health disorders. Signup and view all the answers

Which client requires a temporary emergency admission to a mental health facility?

A client who has borderline personality disorder and assaulted a homeless man with a metal rod. Signup and view all the answers

A nurse decides to put a client in seclusion overnight due to staffing issues. This action is an example of which tort?

False imprisonment. Signup and view all the answers

What action should a nurse take upon learning a client has hidden a sharp knife under their mattress?

Report the incident to the health care team, but do not inform the client of the intention to do so. Signup and view all the answers

Which documentation statements should a nurse include about a client in mechanical restraints? (Select all that apply)

Client received chlorpromazine 15 mg by mouth at 1000. Signup and view all the answers

What should a nurse do first after overhearing a newly licensed nurse discussing a client's hallucinations?

Tell the nurse to stop discussing the behavior. Signup and view all the answers

What response should a nurse give to a mother concerned about her child's behavior?

I understand you're concerned. Let's discuss what concerns you specifically. Signup and view all the answers

What defense mechanism is a client using if they deny their coughing is related to lung cancer?

Denial. Signup and view all the answers

What level of anxiety is indicated in a client reporting feeling shaky and nervous?

Moderate. Signup and view all the answers

Which actions should a nurse take when caring for a client experiencing moderate anxiety? (Select all that apply)

Demonstrate a calm manner while using simple and clear directions. Signup and view all the answers

What should a nurse say to a client at risk for suicide following a loss?

Losing someone close to you must be very upsetting. Signup and view all the answers

Which characteristics should be included in a discussion about nurse-client relationships? (Select all that apply)

A termination date is established. Signup and view all the answers

What indicates transference behavior in a client during therapy?

The client accuses the nurses of telling him what to do just like his ex-girlfriend. Signup and view all the answers

What action should a nurse include in the plan of care for the termination phase of a nurse-client relationship?

Discussing ways to use new behaviors. Signup and view all the answers

What statement should a nurse make when orienting a new client to community meetings?

You and the other clients will meet with staff to discuss common problems. Signup and view all the answers

Which client should a nurse visit first based on reported symptoms?

A client who says he is hearing a voice that tells him he is not worth living anymore. Signup and view all the answers

What intervention should a nurse plan as tertiary prevention for depression among older adults?

Establishing rehabilitation programs to decrease the effects of depression. Signup and view all the answers

Which services do community mental health programs provide? (Select all that apply)

Individual counseling programs Signup and view all the answers

What follow-up care is appropriate for a client needing supervision after discharge?

Attending a partial hospitalization program. Signup and view all the answers

What client might be considered for referral to an assertive community treatment (ACT) group?

A client who loves at home and keeps forgetting to come in for his monthly antipsychotic injection for schizophrenia. Signup and view all the answers

What indicates understanding of classical psychoanalysis for a client with an anxiety disorder?

The therapist will focus on my past relationships during our sessions. Signup and view all the answers

What indicates understanding of the free association technique in therapy?

I should say the first thing that comes to my mind. Signup and view all the answers

Which cognitive reframing techniques should a nurse implement for a client with anxiety? (Select all that apply)

Monitoring thoughts Signup and view all the answers

What type of treatment is indicated by a nurse who informs a client that disulfiram can cause nausea and vomiting if alcohol is consumed?

Aversion therapy. Signup and view all the answers

What should a nurse do when assisting with systematic desensitization for a client with a fear of elevators?

Gradually expose the client to an elevator while practicing relaxation techniques. Signup and view all the answers

What demonstrates democratic leadership in group settings?

Observes group techniques without interfering with the group process. Signup and view all the answers

Which activities should a nurse include in the initial phase of group therapy for bereavement? (Select all that apply)

Discuss termination of the group Signup and view all the answers

What does a hidden agenda in a group refer to?

When members use meetings to discuss personal interests instead of the group's purpose. Signup and view all the answers

What indicates manipulation by an adolescent during a family therapy session?

The adolescent plans ways to make his sister look bad to gain parental privileges. Signup and view all the answers

What is an individual role in group dynamics as identified by a nurse?

A member who brags about accomplishments. Signup and view all the answers

What should be included in a discussion about stress during an educational seminar?

Excessive stressors cause the client to experience distress. Signup and view all the answers

Which effects should be identified as acute stress responses? (Select all that apply)

Depressed immune system Signup and view all the answers

What statement indicates understanding of stress-reduction techniques?

Cognitive reframing will help me change my irrational thoughts to something positive. Signup and view all the answers

What recommendation should a nurse make to a client experiencing stress due to pressure from a significant other?

Use assertiveness techniques. Signup and view all the answers

What demonstrates effective communication when discussing workload stress with a coworker?

When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities. Signup and view all the answers

What indicates understanding of client education regarding ECT?

I will receive a muscle relaxant to protect me from injury during ECT. Signup and view all the answers

What understanding of TMS is indicated by a newly licensed nurse?

I will schedule the client for daily TMS treatments for the first several weeks. Signup and view all the answers

What findings should a nurse expect when assessing a client immediately following an ECT procedure? (Select all that apply)

Confusion Signup and view all the answers

Which indication for ECT should be included in a nurse's discussion?

Bipolar disorder with rapid cycling. Signup and view all the answers

What adverse effects should a nurse monitor for in a client who has undergone surgical implantation of a VNS device? (Select all that apply)

Voice changes Signup and view all the answers

What is an underlying reason for the repetitive behavior observed in a client with OCD?

Attempt to reduce anxiety. Signup and view all the answers

What action should a nurse take when caring for a client experiencing a panic attack?

Stay with the client and remain quiet. Signup and view all the answers

Which findings should a nurse expect when assessing a client with generalized anxiety disorder? (Select all that apply)

Excessive worry for 6 months Signup and view all the answers

What should the nurse's first action be for a client with body dysmorphic disorder?

Assessing the client's risk for self-harm. Signup and view all the answers

What should a nurse say to a client with acute stress disorder experiencing severe anxiety?

Tell me about how you are feeling right now. Signup and view all the answers

What findings should a nurse expect in a client with PTSD? (Select all that apply)

Difficulty concentrating on tasks Signup and view all the answers

What strategies should a nurse use to prevent developing a trauma-related disorder after a mass casualty incident? (Select all that apply)

Take advantage of offered counseling Signup and view all the answers

What information should a nurse expect to collect during an admission history for a client with acute stress disorder?

The client expresses a sense of unreality about the traumatic event. Signup and view all the answers

What indicates derealization in a client?

The client states that the furniture in the room seems to be small and far away. Signup and view all the answers

What intervention should be included in the care plan for a client with dissociative fugue?

Work with the client on grounding techniques. Signup and view all the answers

What factors put a client at risk for depression? (Select all that apply)

Gender Signup and view all the answers

What is the nurse's priority action when admitting a client with major depressive disorder and comorbid anxiety disorder?

Placing the client on one-to-one observation. Signup and view all the answers

What indicates understanding of premenstrual dysphoric disorder (PMDD) in a client?

I am aware that my PMDD causes me to have rapid mood swings. Signup and view all the answers