ATI Mental Health Final

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A nurse is assessing a pt who has a new dx of anorexia. which of the following findings

should the nurse expect?

a) HTN

b) Dental erosion

c) hyperactive bowel sounds

d) bradycardia

A client diagnosed with vascular dementia is discharged to home under the care of his wife.

Which information should cause the nurse to question the client's safety?

a) The client has worked the night shift his entire career

b) The client smokes one pack of cigarettes per day

c) His wife has minimal family support

d) His wife works from home in telecommunication

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A client diagnosed with bipolar disorder: depressive syndrome... experienced anorexia,

insomnia, and recent job loss. What should be the priority nursing diagnosis be for this

patient?

a) Risk for suicide R/T hopelessness

b) Dysfunctional grieving R/T loss of employment

c) Imbalanced nutrition: less than body requirements R/T refusal to

d) Anxiety: severe R/T hyperactivity

The nurse should document the client's behavior every ______ while the client is in

seclusion.

- 15-30 min 

A nurse is caring for a client following a suicide attempt. This client has a history of

depression, substance abuse, and anorexia nervosa. Which of the following actions is the

nurse's priority?

a) Making a contract with the client for eating behavior

b) Reviewing the client's toxicology laboratory report

c) Initiating suicide precautions

d) Administering the Hamilton Depression Scale

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A client comes into your clinic with a diagnosis of depression. Which is your priority

intervention?

a) Circulation

b) Airway

c) Safety

d) Breathing

A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me

all the time and they are trying to poison my food." Which of the following statements should

the nurse make?

- You seem to be having frightening thoughts

The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an

elevated heart rate, and elevated blood pressure. ________ acts rapidly to prevent seizures,

stabilize vital signs, and decrease the intensity of withdrawal manifestations

- IV diazepam

A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the

following statements should the nurse make?

- You should have your providers and therapists’ number on you

Mental health nurse is asked by a family member to explain risk factors for alcoholism?

- Alcoholism is determined partly by genetics 

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