ATI Mental Health C Proctored Exam (2019)

ATI Mental Health C

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 is providing crisis intervention for a client who is involved in violent mass

casualty situation in the community. Which of the following actions should the nurse

take during the initial session with a client?

a) Identify the clients usual coping style

b) Help the client focus on a wide variety of topics regarding crisis

c) Tell the client that his life will soon return to normal

d) Encourage the client to display anger towards the cause of the crisis

A nurse is caring for a client who is schizophrenia experiencing auditory hallucinations.

Which of the following actions should the nurse take first?

a) Encourage the client to listen to music

b) Monitor the client for indications of anxiety

c) Ask the client what she is missing

d) Focus the client on reality-based topics

A nurse is planning to lead a support group for clients who have alcohol use disorder.

One of the group members is a client who speaks a different language than the nurse.

The nurse should ask which of the following individuals to assist with communication?

a) A family member of the client

b) Another client who speaks the same language as the client

c) A translator of the same gender as the client

d) A unit secretary who speaks the same language as the client

A nurse in an emergency department is assessing a client who reports recently using

cocaine. Which of the following clinical manifestations should the nurse expect?

a) Lethargy

b) Hypothermia

c) Hypertension

d) Bradycardia

A nurse is caring for a client who has severe depression and is scheduled to receive

electro convulsive therapy. The nurse should recognize of the client will receive

succinylcholine to prevent which of the following adverse effects?

a) Muscle distress

b) Aspiration

c) Elevated blood pressure

d) Decreased

A nurse and an outpatient clinic is assessing a client who has anorexia nervosa. Which of

the following indicates a need for hospitalization?

a) Temp 35.6 C (96.1)

b) HR 56/min

c) Weight 10?low ideal weight

d) Potassium 3.8 mEq/L

A nurse is caring for a client who is under observation for suicidal ideation's and has

verbalized a suicide plan. The client demands privacy and to be left alone. Which of the

following statement should the nurse make?

a) "Since you were trying to follow the treatment plan, we can submit your request

to the provider"

b) "We are concerned about you I need to keep you safe"

c) "Until your medication has reached therapeutic levels, you will need constant

observation"

d) "If you complete a contract that states you will not harm herself, you can be

alone"

A nurse on a mental health unit is leading a therapy session for a group of clients. One

client challenge is a nurse and she has no empathy for others in the group. Which of the

following actions should the nurse take?

a) Request the client leave the therapy session immediately

b) Place the client in seclusion

c) Reassign the client to another group

d) Ask the client privately what is causing the anger

A nurse in a mental health clinic is assessing a client who has borderline personality

disorder. Which of the following findings should the nurse expect?

a) Inability to maintain employment

b) Intense efforts to avoid abandonment

c) Avoidance of interpersonal relationships

d) Reluctance to discard worthless objects

A nurse in a long-term care facility is assessing an older adult for depression. Which of

the following findings should the nurse expect?

a) Rapid mood swings

b) Sun downing

c) Insomnia

d) Rambling speech

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