Mental Health Final Exam 1 ATI Questions

A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of

the following treatment approaches should the nurse plan to take?

Maintain close observation of the client.

A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should

the nurse expect?

The client is able to identify the names of family members.

A nurse is caring for a client who reports that the television set in the room is really a two-way radio and

states, "voices are coming from the TV and everything we say in this room is being recorded." Which of

the following responses should the nurse make?

"That must be very frightening."

A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute

mania. Which of the following client goals should the nurse identify as the priority?

Maintaining adequate hydration

A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The

nurse should tell the client to expect which of the following adverse effects?

Sedation

A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted

injuries. The nurse should identify which of the following interventions as the priority when planning

care for this client?

Promoting and maintaining client safety

A nurse is providing teaching to a client who has a new prescription for disulfiram for the management

of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to

avoid?

Pure vanilla extract

A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue

the medication. Which of the following actions should the nurse include in the plan?

Taper the medication gradually over several weeks.

A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The

client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings

should the nurse expect during alcohol withdrawal?

Insomnia

A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following

medications should the nurse expect to administer during this phase of the client's care?

Diazepam

A nurse is speaking to a community group about the diagnosis and treatment of clients who have

Alzheimer's disease. The nurse should conclude that member of the group requires further teaching

when she identifies which of the following findings as a manifestation of Alzheimer's disease?

Sudden confusion

A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for

buspirone. The nurse should inform the client that which of the following manifestations is a common

adverse effect of this medication?

Dizziness

A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for

lithium. The nurse should identify that it is safe to administer which of the following medications while

the client is taking lithium?

Valproic acid

A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the

following findings should the nurse identify as a possible indication of physical abuse?

The parent provides a history that is inconsistent with the child's injury.

A nurse is evaluating the plan of care for a client who has antisocial personality disorder. Which of the

following client actions indicates that he is making progress with the treatment? (Select all that apply.)

Assisting another client who has depression to fill out a menu

Requesting a weekend pass to go home

A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following

instructions should the nurse include?

"You should have your liver function levels monitored regularly while taking valproic acid"

A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the

following comments should the nurse include in the teaching?

"You will slowly be exposed to increasing levels of public spaces."

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