NEXT GEN ATI RN MENTAL HEALTH 2019 WITH NGN 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+||BRAND NEW!!

NEXT GEN ATI RN MENTAL HEALTH 2019 WITH NGN

100 QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES|ALREADY GRADED A+||BRAND

NEW!!

A nurse in a mental health clinic is caring for a client who has bipolar disorder and

reports that they stopped taking lithium 2 weeks ago. The nurse should recognize

which of the following as an expected adverse effect that might have caused the

client to stop taking the medication?

A. Sore throat

B. Photophobia

C. Hand tremors

D. Constipation - ANSWER- C. Hand tremors

Rationale:

Fine hand tremors are an expected adverse effect of lithium and can interfere with

performing ADL's, causing the client to stop taking the medication.

A nurse is caring for a client in an outpatient psychiatric clinic who has been

applying selegiline 12mg transdermal patch once daily. Complete the following

sentence by using the list of options. - ANSWER- The client is at risk of

developing hypertensive crisis due to consuming foods high in tyramine.

Rationale: Selegiline is a MAOI medication used to treat depression. Foods that

contain tyramine, such as aged cheese, yeast, and smoked or aged meats should not

be consumed because this can cause a hypertensive crisis. Other manifestations of

hypertensive crisis include chest pain, severe headache, nausea and vomiting,

tachycardia, palpitations, and fever.

A nurse is admitting a female client who has anorexia nervosa. Which of the

following manifestations should the nurse expect during the admission assessment?

A. Diarrhea

B. Heavy menstrual bleeding

C. Tachycardia

D. Orthostatic hypotension - ANSWER- D. Orthostatic hypotension

Rationale: Low weight, electrolyte imbalances, starvation, and dehydration cause

orthostatic hypotension.

A home health nurse is assessing an older adult client whose sibling is the primary

caregiver. Which of the following findings should the nurse identify as a possible

indicator of neglect?

A. Increased confusion

B. Sleep disturbances

C. Cluttered environment

D. Inappropriate dress - ANSWER- D. Inappropriate dress

Rationale: Clothing that is soiled or clothing that is not appropriate for weather

conditions is a possible indicator of neglect.

A nurse is discussing the home care of a client who has advanced Alzheimer's

disease with the client's partner, who is planning to go out of town for several days.

Which of the following resources should the nurse recommend to the caregiver?

A. Respite care

B. Partial hospitalization

C. Adult day care program

D. Geropsychiatric unit - ANSWER- A. Respite care

Rationale: Respite care programs allow the client to stay in a nursing facility for a

set number of days, allowing the caregivers to go on vacation or have some time to

themselves.

A nurse is assessing a school-aged child who has conduct disorder. Which of the

following characteristics should the nurse expect the child to demonstrate?

A. Feelings of remorse

B. Extended periods of depression

C. Deficits in intellectual functioning

D. Aggression toward animals - ANSWER- D. Aggression toward animals

Rationale: The nurse should identify that aggression toward people and animals is

an expected characteristic of a child who has conduct disorder.

A nurse is caring for a client who has schizophrenia and is experiencing psychosis.

The nurse should identify that which of the following findings indicates a potential

psychiatric emergency?

A. The client is exhibiting echolalia

B. The client reports command hallucinations

C. The client reports loss of motivation

D. The client is exhibiting blunted affect - ANSWER- B. The client reports

command hallucinations

Rationale: The nurse should identify that command hallucinations can indicate a

potential psychiatric emergency for a client who has schizophrenia. Command

hallucinations can direct the client to harm themselves or others.

A nurse is caring for a client who has borderline personality disorder. Which of the

following goals is the priority when planning care for this client?

A. The client will take prescribed medications as scheduled

B. The client will express feelings of frustration

C. The client will refrain from self-mutilation

D. The client will participate in group therapy - ANSWER- C. The client will

refrain from self-mutilation

Rationale: The greatest risk to the client is injury to self and others. Therefore, the

priority goal is for the client to refrain from self-mutilation.

A client who has a diagnosis of depression is attending group therapy. During the

group meeting, the nurse asks each member to identify one goal for the day. When

it is the client's turn, they do not respond. Which of the following actions should

the nurse take before repeating the request to the client?

A. Allow the client time to formulate an answer

B. Prompt the client to give a response

C. Move on to the next client

D. Offer the client a suggestion for a goal - ANSWER- A. Allow the client time to

formulate an answer

Rationale: Slowed response time is common in clients who have depression. The

nurse should allow the client to comprehend and formulate an answer to the

question.

A nurse is caring for a group of clients. Which of the following findings should the

nurse report?

A. A client who is taking clozapine and has a WBC count of 7,500/mm3

B. A client who is taking lamotrigine and has developed a rash

C. A client who taking valproate and has a platelet count of 150,000/mm3

D. A client who taking lithium and has a lithium level of 1.2,Wq/L - ANSWER- B.

A client who is taking lamotrigine and has developed a rash.

Rationale: Lamotrigine is an anticonvulsant medication that is used as a mood

stabilizer. The nurse should identify a rash is a potentially life-threatening adverse

effect of the medication and report this finding immediately.

A nurse is caring for a client in a mental health facility. The nurse overhears

another staff member make derogatory comments to the client. Which of the

following actions should the nurse take?