ATI Mental Health C

70 Q & A

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A nurse is reviewing the medication administration record of a client who has major

depressive disorder and a new prescription for selegiline. The nurse should recognize

that which of the following client medications is contraindicated when taken with

selegiline?

a. Warfarin

b. Fluoxetine

c. Calcium carbonate

d. Acetaminophen

A nurse in a long-term care facility is assessing a client who has dementia. Which of the

following findings should the nurse identify as a risk for this client?

a. Outside doors have locks

b. The bed is in the low position

c. Hallways are long distances

d. The room has an area rug

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A nurse is providing behavioral therapy for a client who has obsessive-compulsive

disorder. The client repeatedly checks that the doors are locked at night. Which of the

following instructions should the nurse give the client when using thought stopping

technique?

a. "Ask a family member to check the locks for you at night"

b. "Keep a journal of how often you check the locks each night"

c. "Snap a rubber band on your wrist when you think about checking the locks"

d. "Focus on abdominal breathing whenever you go to check the locks"

A nurse in an inpatient mental health facility is assessing a client who has schizophrenia

and is taking haloperidol. Which of the following clinical findings is the nurse's priority?

a. Insomnia

b. Urinary hesitancy

c. Headache

d. High fever

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings

should the nurse expect?

a. Failure to recognize familiar objects

b. Altered level of consciousness

c. Excessive motor activity

d. Rapid mood swings

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A nurse in a mental health facility is interviewing a new client. Which of the following

outcomes must occur if the nurse is to establish a therapeutic nurse-client relationship?

a. The nurse is seen as an authority figure

b. A written contract is established to clarify the steps of the treatment plan

c. The nurse maintains confidentiality unless the client's safety is compromised

d. The nurse is seen as a friend

A nurse is teaching a client who has a new prescription for disulfiram. Which of the

following statements by the client indicates an understanding of the teaching?

a. "If I cut myself, I can clean the wound with isopropyl alcohol"

b. "I can wear my cologne on special occasions"

c. "When I bake my favorite cookies, I can use pure vanilla extract for flavoring"

d. "I can continue to eat aged cheese and chocolate"

A nurse is planning care for a client who has narcissistic personality disorder. Which of

the following actions is appropriate for the nurse to include in the plan of care?

a. Ask the client to sign a no-suicide contract

b. Remain neutral when communicating with the client

c. Request an antipsychotic medication from the provider

d. Provide the client with high-calorie finger foods

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A nurse is reviewing the laboratory report of a client who is taking carbamazepine for

bipolar disorder Which of the following laboratory results should the nurse report to the

provider?

a. Urine specific gravity 1.029

b. Platelets 90,000/mm

C. Urine pH 5.6

d. RBC 4.7/mm

A nurse is providing teaching about relapse prevention to a client who has schizophrenia.

Which of the following statements by the client indicates an understanding of the

teaching?

a. "I should avoid being around others if I think I'm having a relapse"

b. "I should let my counselor know if I am having trouble sleeping"

с. "I shouldn't worry about the voices because they are a part of my illness"

d. "I should increase my carbohydrate intake to maintain my energy level"

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A nurse is assessing a client for negative manifestations of schizophrenia. Which of the

following findings should the nurse expect?

a. Echopraxia

b. Delusions

c. Anergia

d. Tangentiality

A nurse is preparing for an interprofessional team meeting regarding a newly admitted

client who has major depressive disorder. Which of the following findings obtained

during the initial assessment is the priority to report to other disciplines?

a. Poor problem-solving skills

b. Markedly neglected hygiene

с. Significant weight loss

d. Psychomotor retardation

A nurse is preparing to administer methylphenidate 25 mg PO to a school age child who

has ADHD. Available is methylphenidate 10mg/5ml liquid. How many ml should the

nurse administer? (Round to nearest tenth)

- 12.5 

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