COPY: ATI Mental Health Exam Review
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Questions and Answers

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.

    <p>True (A)</p> 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'?

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

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

    <p>Monitor for escalating behavior. (C)</p> 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)

    <p>Anhedonia is a clinical manifestation of a depressive relapse. (B), Difficulty sleeping can indicate a relapse. (C), Participating in psychotherapy can help prevent a relapse. (D)</p> 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)

    <p>It must be scary to hear voices. (A), When did you start hearing the voices? (C), Are the voices telling you to hurt yourself? (E)</p> 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)

    <p>Use of clang associations (A), Delusion of persecution (B), Auditory hallucination (C)</p> Signup and view all the answers

    What statement indicates the client is experiencing depersonalization?

    <p>I am no one, and everyone is me.</p> 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'?

    <p>Initiate one-to-one observation of the client.</p> Signup and view all the answers

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

    <p>Are you seeing something on the ceiling?</p> Signup and view all the answers

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

    <p>True (A)</p> Signup and view all the answers

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

    <p>I'm scared that you're going to leave me.</p> 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!'?

    <p>Splitting (D)</p> Signup and view all the answers

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

    <p>Blames others for his past and current problems. (B), Attempts to convince other clients to give him their belongings. (D)</p> Signup and view all the answers

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

    <p>Difficulty understanding why it is inappropriate to have a personal relationship with staff. (B), Difficulty in getting along with other members of a group. (C), Display of defense mechanisms when routines are changed. (D)</p> Signup and view all the answers

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

    <p>You can expect the progression of cognitive decline to slow with donepezil.</p> 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?

    <p>I am your nurse. Let's walk together to your room.</p> 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)

    <p>Place the client's mattress on the floor. (A), Install light fixtures above stairs. (B), Install childproof door locks. (C)</p> Signup and view all the answers

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

    <p>Provide information on resources for respite care.</p> 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)

    <p>Restlessness. (A), Family report of personality changes. (B), Hallucinations. (D)</p> Signup and view all the answers

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

    <p>Older adults are at an increased risk for substance use following retirement.</p> 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)

    <p>Vomiting. (A), Restlessness. (B), Fine tremors of both hands. (C)</p> Signup and view all the answers

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

    <p>Implement seizure precautions.</p> Signup and view all the answers

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

    <p>Disulfiram.</p> 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)

    <p>Eliminating any codependent behavior will promote her recovery. (A), She needs to discuss her feelings about substance use to help her recover. (B)</p> 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)

    <p>Would you describe your current eating habits? (A), Can you discuss your feelings about your appearance? (C), What is your relationship like with your family? (D)</p> Signup and view all the answers

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

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

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

    <p>Hypokalemia. (C), Slightly elevated body weight. (D)</p> 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?

    <p>Implement one-to-one observation during meal times. (D)</p> 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?

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

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

    <p>History of childhood abuse. (B), Female gender. (C), Anxiety disorder. (D)</p> Signup and view all the answers

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

    <p>Death of a child 2 months ago.</p> Signup and view all the answers

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

    <p>Avoidance of health care providers. (A), History of childhood abuse. (B), Depressive disorder. (C), Obsessive thoughts about disease. (D)</p> Signup and view all the answers

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

    <p>Discuss alternative coping strategies with the client.</p> Signup and view all the answers

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

    <p>I needed to make my son sick so that someone else would take care of him for a while.</p> 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?

    <p>Report confusion as a potential indication of toxicity.</p> Signup and view all the answers

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

    <p>Identify the client's level of orientation.</p> Signup and view all the answers

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

    <p>I will need to discontinue this medication slowly.</p> 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)

    <p>Hallucinations. (B), Agitation. (C), Diaphoresis. (E)</p> Signup and view all the answers

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

    <p>Changing to a different class of antianxiety medication. (A), Use of a mouth guard. (B)</p> Signup and view all the answers

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

    <p>I may feel drowsy for a few weeks after starting this medication.</p> 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)

    <p>To assess affect, I should observe the client's facial expression. (A), To assess cognitive ability, I should ask the client to count backward by sevens. (B), To assess language ability, I should instruct the client to write a sentence. (C)</p> Signup and view all the answers

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

    <p>Monitor the client for adverse effects of the medications.</p> Signup and view all the answers

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

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

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

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

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

    <p>The DSM-5 assists nurses in planning care for clients who have mental health disorders. (B)</p> Signup and view all the answers

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

    <p>A client who has borderline personality disorder and assaulted a homeless man with a metal rod.</p> 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?

    <p>False imprisonment.</p> Signup and view all the answers

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

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

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

    <p>Client received chlorpromazine 15 mg by mouth at 1000. (B), Client shouted obscenities at assistive personnel. (C)</p> Signup and view all the answers

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

    <p>Tell the nurse to stop discussing the behavior.</p> Signup and view all the answers

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

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

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

    <p>Denial.</p> Signup and view all the answers

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

    <p>Moderate.</p> Signup and view all the answers

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

    <p>Demonstrate a calm manner while using simple and clear directions. (A)</p> Signup and view all the answers

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

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

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

    <p>A termination date is established. (C)</p> Signup and view all the answers

    What indicates transference behavior in a client during therapy?

    <p>The client accuses the nurses of telling him what to do just like his ex-girlfriend.</p> 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?

    <p>Discussing ways to use new behaviors.</p> Signup and view all the answers

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

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

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

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

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

    <p>Establishing rehabilitation programs to decrease the effects of depression.</p> Signup and view all the answers

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

    <p>Individual counseling programs (A), Educational groups (B), Medication dispensing programs (C)</p> Signup and view all the answers

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

    <p>Attending a partial hospitalization program.</p> Signup and view all the answers

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

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

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

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

    What indicates understanding of the free association technique in therapy?

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

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

    <p>Monitoring thoughts (A), Priority restructuring (C)</p> 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?

    <p>Aversion therapy.</p> Signup and view all the answers

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

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

    What demonstrates democratic leadership in group settings?

    <p>Observes group techniques without interfering with the group process.</p> 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)

    <p>Discuss termination of the group (B), Establish an expectation of confidentiality within the group (C)</p> Signup and view all the answers

    What does a hidden agenda in a group refer to?

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

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

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

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

    <p>A member who brags about accomplishments.</p> Signup and view all the answers

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

    <p>Excessive stressors cause the client to experience distress.</p> Signup and view all the answers

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

    <p>Depressed immune system (A), Chronic pain (C)</p> Signup and view all the answers

    What statement indicates understanding of stress-reduction techniques?

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

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

    <p>Use assertiveness techniques.</p> Signup and view all the answers

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

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

    What indicates understanding of client education regarding ECT?

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

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

    <p>I will schedule the client for daily TMS treatments for the first several weeks.</p> 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)

    <p>Confusion (B)</p> Signup and view all the answers

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

    <p>Bipolar disorder with rapid cycling.</p> 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)

    <p>Voice changes (A)</p> Signup and view all the answers

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

    <p>Attempt to reduce anxiety.</p> Signup and view all the answers

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

    <p>Stay with the client and remain quiet.</p> Signup and view all the answers

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

    <p>Excessive worry for 6 months (A)</p> Signup and view all the answers

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

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

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

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

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

    <p>Difficulty concentrating on tasks (B), Recurring nightmares (C)</p> 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)

    <p>Take advantage of offered counseling (B), Debrief with others following the incident (C)</p> 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?

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

    What indicates derealization in a client?

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

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

    <p>Work with the client on grounding techniques.</p> Signup and view all the answers

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

    <p>Gender (B), History of chronic asthma (C), Age (D)</p> 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?

    <p>Placing the client on one-to-one observation.</p> Signup and view all the answers

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

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

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