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lOMoAR cPSD| 8510046

ATI MENTAL HEALTH
PROCTORED EXAM
COMPILATION WITH 4
VERSIONS COMPLETE
WITH VERIFIED
ANSWERS: BEST STUDY
MATERIAL TO HELP
YOU PASS

lOMoAR cPSD| 8510046

1
...
Which of the following findings
should thenurse expect?
Hypertension
2
...
Which of the following findings should the nurse
report?
A client who is taking lamotrigine and has developed a rash
3
...
" Which of the following actions should the nurse take?
Ask the client what the voices are saying
...
A nurse is communicating with a client in an inpatient mental health facility
...
A client who has paranoid schizophrenia is attending a treatment planning conference with
a family member
...
Which of the following actions
should the nurse take?
Ask the family member if they have any thoughts or questions about the
treatment plan
...
A nurse is caring for a client who has schizophrenia and is experiencing psychosis
...

7
...
Which of the
following medications should the nurse administer first?
Diazepam 5 mg IV bolus
8
...
Which of the following findings is the priority for the nurse to notify
the provider? The client reports an inability to breathe easily
...
A nurse in a community health center is counseling a family of two parents and two
children
...

10
...
Which of the following findings indicates the nurse
should administer benztropine 2 mg IM?
Shuffling gait

lOMoAR cPSD| 8510046

11
...
Which of the following tasks should the nurse assign to the LPN?
Change the dressings of a client who has borderline personality disorder and
superficial self- inflicted wounds
...
While observing group therapy, a nurse recognizes that a client is behaving in a way
suggestive of dependent personality disorder
...

13
...
Which of the following
interventionsshould the nurse identify as the priority?
Remove unnecessary equipment from the child's surroundings
...
A nurse in an outpatient mental health setting is collecting a health history from a client
who is taking paroxetine for depression
...
The nurse should advise the client that which of the following
supplements interactsadversely with paroxetine?
St
...
A nurse is documenting admission assessment findings for a client who has major
depressive disorder
...
A nurse is caring for a client who has borderline personality disorder
...

17
...

Which of the following information should the nurse include in the teaching?
Avoid looking directly at the light during treatment
...
A nurse is obtaining a mental health history from an older adult client
...


lOMoAR cPSD| 8510046

19
...
Which of the
following resourcesshould the nurse recommend to the caregiver?
Respite care
20
...
Which of the following client
behaviors indicates effectiveness of the therapy?
Refrains from manipulating others to earn dining room privileges
21
...
Which of the following interventions should the
nurse take?
Gather supplies for endotracheal intubation
...
A nurse is caring for client whose child has a terminal illness
...
Which of the following statements
should the nurse make?
It is not uncommon to feel angry toward yourself or others
...
A nurse is caring for an older adult client who has dementia and has wandered into the
day roomlooking for their deceased partner
...

24
...
Whichof the following findings should the nurse identify as a possible indicator
of neglect? Inappropriate dress
25
...
Which of the following interventions should the nurse include in the
plan?
Promote the use of music to compete with the client's auditory hallucinations
...
A nurse is admitting a client who has alcohol use disorder
...

27
...
Which of the
followingfindings should the nurse identify as an indication the client requires
hospitalization?
Total body fat 8
...
A client who has a diagnosis of depression is attending group therapy
...
When it is the client's
turn, they do not respond
...

29
...

Which ofthe following factors should the nurse include as increasing the risk for
depression?
Substance use disorder
30
...
Which of the following strategies should the nurse use when
communicating with thisclient?
Set realistic limits on the client's behavior
...
A nurse is preparing to administer chlorpromazine 0
...
Available is chlorpromazine syrup 10 mg/5 mL
...
A nurse is planning care for an adolescent who is being admitted to an acute care unit
following asuicide attempt
...

33
...
The nurse overhears another staff
membermake derogatory comments to the client
...

34
...
Which of the following findings should
the nursedocument as a negative symptom of this disorder?
Anhedonia
35
...
The nurse should recognize which of the
following as an expected adverse effect that might have caused the client to stop taking the
medication?
Hand tremors
36
...
Which of the following clients should the nurse assess further for flings
indicating lithium toxicity? A client who has a sodium level of 128 mEq/L

lOMoAR cPSD| 8510046

37
...
When the
nurse questions the client regarding their admission, the client states, "I'm red, in the head,
and I'm going to bed!" The nurse should document the client's speech pattern as which of
the following?
Clang association
38
...
For which of the following situations should
the nursecomplete an incident report?
A client was administered one-half of the prescribed dose of medication
...
A charge nurse is preparing an education session for a group of newly licensed nurses to
reviewclient rights under the law
...

40
...
Which of the following
manifestationsshould the nurse expect during the admission assessment?
Orthostatic hypotension
41
...

Which ofthe following interventions should the nurse include in the plan of care?
Encourage the client to drink 125 mL of fluid each hour while awake
...
A nurse is caring for a client who is experiencing a situational crisis
...

43
...
Which of the
followinginformation should the nurse include in the teaching?
You might experience difficulties with sexual functioning while taking this
medication
...
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will
receive succinylcholine
...
Which of the
following responsesshould the nurse make?
Succinylcholine is given to reduce muscle movements during therapy
...
A nurse is planning care for a newly admitted client who has bipolar disorder and is
experiencingmania
...


lOMoAR cPSD| 8510046

46
...
The client reports that a bomb was placed in their room by a family
member during visiting hours
...

47
...
Which of the following
findingsshould the nurse expect?
Emotional lability
48
...
Which of the
followinginterventions should the nurse include in the plan to promote sleep?
Encourage frequent rest periods throughout the day
...
A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility
...
Which of the following actions should the nurse take?
Do not administer the lorazepam
...
A nurse in a clinic is assessing a client whose partner died 4 months ago
...

51
...
Which of the following interventions should the nurse
identify as the priority? Instruct the client to avoid driving during initial
therapy
...
A nurse in a provider's office is collecting a health history from the guardian of a schoolage child who has been taking atomoxetine
...
During a client's initial interview in a mental health inpatient setting, a nurse identifies that
the client is maintaining eye contact and leaning forward
...

54
...
Which of the following statements indicates the client has a decreased risk for
suicide?
It is easier to talk about my feelings now
...
A nurse is assessing a school-age child who has conduct disorder
...
A nurse is caring for a client who has a recent diagnosis of mild Alzheimer's disease
...
The nurse should teach the
partner to expect which of the following manifestations to occur first?
Frequently misplaces objects
57
...
The client has a
history of depression and a blood pressure of 210/105 mm Hg and temperature of 39
...
8 F)
...

58
...
Which of the following post discharge activities should the nurse plan to
include? Attending a relapse prevention group several times each week
59
...
Which of the following findings is the nurse
required toreport?
A client who has borderline personality disorder threatened to harm their
roommate
...
A nurse is planning discharge for a client who has bipolar disorder and has a prescription for
lithium
...

1
...
Which of the following interventions should the nurse include
to reduce anxiety among group members?
Guided imagery
2
...
The client who has depression reports to the nurse, "My roommate
never sleepsand keeps me up, too
...


lOMoAR cPSD| 8510046

3
...
Which of the following values should the nurse identify as a contraindication for
receiving clozapine?WBC count 2,500/mm3
4
...
The nurse should identify that which of the
following clients can give informed consent?
A 35-year-old client who has major depressive disorder
...
A nurse is facilitating a community meeting for acute care clients
...
Which of the following interventions
should the nurse implement?
Ask group members to discuss feelings about this client's monopolizing
behavior
...
A nurse in a community center is teaching families of clients who have post-traumatic stress
disorder(PTSD) about expected clinical manifestations
...

7
...
5 mg IV bolus to a client for alcohol
withdrawal
...
How many mL should the nurse
expect to administer? 1
...
A nurse is planning prevention strategies for partner violence in the community
...

9
...
The nurse
should identify that which of the following factors places the client at an increased risk
for depression?The client has COPD
...
A nurse is preparing to discharge to home an older adult client who attempted suicide
...
Which of the following
referrals should the nurseinitiate? (Select all that apply)
...
A nurse is receiving change-of-shift report for four clients
...

12
...
Which of the following
tasks should the nurse delegate to an assistive personnel (AP)?
Stay with a client who has anorexia nervosa for 1 hr after mealtimes
...
A nurse on a mental health unit observes a client who has acute mania hit another client
...

14
...
Whichof the following should the nurse include in the teaching?
Apply restraints when other means of managing the client’s behavior have failed
...
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of
bulimia nervosa
...

16
...
Which of the following statements by the client indicates an
understanding fo the teaching?
I will talk about my feelings with a close friend
...
A nurse is caring for an older adult client who is experiencing delirium
...

18
...
Which of the following is the
priority action for the nurseto take?
Stay with the client when flashbacks occur
...
A nurse is caring for a client who gave birth to a stillborn baby
...

20
...
Which of the following therapeutic nursing
interventions is thepriority?
Reduce environmental stimuli
...
A nurse is caring for an older adult client who begins to cry and states, "I knew God would
punish meand I deserve this horrible sickness!" Which of the following responses should
the nurse make? Let's talk about what is upsetting you
...
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a
client whosefamily reports episodes of confusion
...

23
...
The client's admission blood alcohol level was 325 mg/dL
...
A nurse is teaching the partner of a client who has bipolar disorder how to identify
manifestations ofacute mania
...
A nurse on a mental health unit is caring for a group of clients
...


26
...
Although the client does not want to leave the unit, the nurse requests the
provider to transferthe client to another unit, the nurse request the provider to transfer the
client to a unit that is equipped to manage violent behavior
...
A nurse is caring for a client who is in an abusive relationship and is assisting in the
development of asafety plan
...

28
...
Which of the following
laboratoryfindings should the nurse expect?
Increased creatine phosphate (CPK)

lOMoAR cPSD| 8510046

29
...
Which of the following outcomes should the nurse expect?
Greater risk of attempting suicide as affect and energy improve
...
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have
depressive disorders
...

31
...
Which of the following clients should the nurse assess first?
A client who is experiencing delusions of persecution
...
A nurse is updating the POC for a client who has bulimia nervosa and is 5% above their
ideal bodyweight
...

33
...
Which of the following behaviors is the priority for the nurse to report to
the treatmentteam?
Giving away possessions
...
A nurse at a provider's office is interviewing an older adult client
...

35
...

Which of thefollowing actions should the nurse include in the plan?
Monitor the client's cardiac rhythm during the process
...
A nurse is performing an admission assessment on a client and notices that the client
appears withdrawn and fearful
...

37
...

Whichof the following actions should the nurse take?
Suggest forming a weekly support group for parents who have experienced the
death of a child
...
A nurse is providing teaching to the partner of a client who is in a rehabilitation program for
alcoholuse disorder
...

39
...
The nurse should expect
which of thefollowing findings?
Tooth erosion
...
A nurse is caring for a client who is experiencing a panic attack
...
A nurse in a mental health facility caring for a client who has schizophrenia
...
A nurse is assessing a family's dynamics during a counseling session
...

43
...

Which of the followingstatements by the parents acknowledges the client's diagnosis?
She won't let me take the trash from her room
...

44
...

The nurseshould identify that which of the following treatment options can offer
interdisciplinary services for the client at home?
Assertive community treatment
45
...
Which of the
followingmanifestations should the nurse expect?
Rhinorrhea
46
...
The nurse should administer benztropine to relieve which of the
following adverse effects?
Acute dystonia

lOMoAR cPSD| 8510046

47
...
Which of the following findings should the nurse identify as an
indication that the child is experiencing post-traumatic stress disorder (PTSD)?
Lack of interest in an upcoming holiday
48
...
Which of the following information about relapse should
the nurse include? Early identification of changes, such as decreased social
involvement, is important
...
A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative
use and a fear of gaining weight
...
" Which of the following therapeutic responses demonstrates the nurse's use of
summarizing?
You're saying that you think you are fat and using laxatives because you are
afraid of gaining weight
...
A nurse is caring for a client who is taking methylphenidate
...

51
...

Which ofthe following interventions should the nurse include in the plan of care?
Offer the client high-calorie foods frequently
...
A nurse is creating a plan of care for a client who has been placed in seclusion after
threatening to harm others on the unit
...

53
...
At which of the following levels of
anxiety shouldthe nurse plan to teach the client relaxation techniques?
Mild
54
...

Which of thefollowing statements should the nurse make?
It appears as though you would like to open the door
...
A nurse is admitting a client who has major depressive disorder and a new prescription of
tranylcypromine
...
A nurse is educating the parent of a child who has a new diagnosis of autism spectrum
disorder
...

57
...
Which of the following
clients is thenurse required to report as a potential victim of abuse?
An older adult client who is bedbound and has a stage IV pressure ulcer
...
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in
an acute care facility undergoing detoxification
...

59
...
Which of the following statements should the charge nurse make?
Client who are admitted involuntarily maintain the right to give informed
consent for procedures
...
A nurse is assisting a client who has a terminal illness adjust to progressive loss of
independence
...

1
...
The client refuses to discuss treatment options
...

2
...
' Which of the following responses should the nurse make?
It must be frightening to feel that your doctor is trying to kill you
...
A nurse is caring for a client with ADHD who has recently started taking lithium
...

4
...
Which of the following pieces of information should the
nurse include? An involuntary admission is justified if the client is a danger to
others
...
A nurse is assessing a client who has schizophrenia
...

6
...
Which of the following interventions should the nurse include to orient
the client to the present?
Talk with the client about scheduled daily activities
...
A nurse is speaking with a client whose partner was killed unexpectedly
...
" Which of the following actions should the
nurse take?
Talk to the client about available community resources
...
A nurse is caring for a client who just received a terminal diagnosis of cancer
...

9
...
The client has
previously identified another nurse as his favorite, stating, "He's the best nurse ever
...

10
...
The client states, "I like to play ball
...
Be careful; don't fall
...

11
...

Which ofthe following findings should the nurse identify as an adverse effect of this
medication? Xerostomia
...
A nurse is providing teaching to the partner of a client who has alcohol use disorder
...

13
...
The nurse enters the
client's room and finds the client cutting into his flesh with a paper clip
...

14
...
The client states, I need to get my
gummamoshu from by my house
...

15
...
The client states that she forgot her
partner'sbirthday after they had an argument
...

16
...

The clientis admitted under a court order following the theft and destruction of a car
...

17
...

Which of thefollowing actions should the nurse plan to take during the working phase
of the therapeutic relationship?
Facilitate a change in the client's behavior
...
A nurse working in the emergency department is caring for a client following an
overdose of pentobarbital sodium
...

19
...
Which of the
followingmanifestations should the nurse expect?
Self-mutilation
...
A nurse in an acute care mental health facility is evaluating the plan of care for a client who
has major depressive disorder and was admitted 1 week ago following a suicide attempt
...

21
...
The client yells at the nurse, "Get
out of my sight
...

22
...
Which of the following blood tests should be performed periodically?

lOMoAR cPSD| 8510046

Glucose
...
A nurse is speaking to a community group about the diagnosis and treatment of clients
who haveAlzheimer's disease
...

24
...
At 0300, the client runs to the nurse's station and demands to see the
provider immediately
...

25
...
Which of the following
statements shouldthe nurse make?
If you aren't able to sleep, you can get out of bed and read a book
...
A nurse is teaching a client who has an anxiety disorder about nonpharmacological ways to
promote good sleep habits
...

27
...
Which of the following
actionsshould the nurse take first?
Determine the client's anxiety level
...
A nurse is caring for a client who was admitted to the mental health unit for substance use
disorder
...
" Which of the following actions should the
nurse take?
Inform the client that the information will be shared with the treatment team
...
A nurse is teaching a client who has generalized anxiety disorder to perform a deep
breathingexercise
...

30
...

Which of thefollowing techniques should the nurse use?
Maintain a nonjudgmental tone
...
A nurse is assessing a client who is experiencing post-traumatic stress disorder (PTSD)
following atraumatic event
...


lOMoAR cPSD| 8510046

32
...
" Which of the following actions should the nurse take first?
Ask the client to complete the CAGE questionnaire
...
A nurse at an acute care facility is caring for a client receiving IV antibiotic treatments for an
infection
...
On the second day of admission, the
client becomes agitated and has a blood pressure of 195/102 mmHg and a heart rate of
118/min
...

34
...
The laboratory report indicates the client's current lithium level is 1
...

Which of the followingactions should the nurse take?
Administer the medication
...
A nurse is assessing a client who was in a motor-vehicle crash that killed her sibling
...
A nurse is performing an admission assessment on a client who has major depressive
disorder(MDD)
...

Inability to concentrate on simple
tasks
...

Lack of enjoyment from a long-time hobby of gardening
...
A nurse is creating a plan of care for a client who has borderline personality disorder and
exhibits manipulative behaviors
...

38
...
The nurse
determines the client's condition has improved when he can perform which of following
tasks?
Ride in an elevator
...
A mental health nurse is reviewing a process recording of a therapy session with a client
...

40
...
Which of the following items in the client's
medical history indicates a precaution for the use of varenicline?
The client has a history of depression
...
A nurse is providing support for the parents of a child who has a new diagnosis of a terminal
brain tumor
...

42
...
" Which of the following responses should the nurse offer?
That must be very frightening
...
A nurse is admitting a client who has alcohol use disorder
...

44
...
The nurse should expect which of the following findings?
Decreased caloric intake
...
A nurse is organizing a therapeutic support group for individuals who have bulimia nervosa
...

46
...
Which of the
followingmanifestations should the nurse identify as an expected age-related change?
Making occasional errors when balancing a checkbook
...
A nurse is providing teaching to a client who has a new prescription for disulfiram for the
management of alcohol dependence
...


lOMoAR cPSD| 8510046

48
...

Which of the following medications should the nurse expect the provider to prescribe to
assist the client withmaintaining sobriety?
Disulfiram
...
A nurse is assessing a client who is receiving disulfiram for alcohol aversion therapy
...

The nurse shouldidentify that which of the following situations is occurring?
The client is experiencing mild acetaldehyde syndrome
...
A nurse is caring for a client who is dying
...
Whichof the following statements should the nurse make to the client's son?
Tell me how you're feeling about your mother's illness
...
A nurse is providing teaching to a client who has obsessive-compulsive disorder and
performs hand hygiene to decrease anxiety
...

52
...

53
...
I have to be home
by 5:00 PM because dinner will be ready
...
Was your father a good cook?
54
...
Which of the
following clientfindings is considered a positive symptom of schizophrenia?
Hallucinations
...
A nurse is caring for a client who is experiencing opioid withdrawal
...


lOMoAR cPSD| 8510046

56
...

The client'sadult child states, I'm upset that my father is taking this medication
...

57
...
Which of the following
statements should thenurse identify as an indication that the parent understands the
teaching?
I should allow my child to make independent decisions
...
A nurse is interacting with a client in the dayroom of an acute mental health facility
...
Which of the following responses should the nurse offer?
Tell me what I said that made you feel uncomfortable
...
A nurse is assessing a client who has major depressive disorder
...
I have always been a failure
...

60
...

Which of thefollowing statements should the nurse include in the teaching?
Donepezil can improve cognitive functioning during the earlier stages of the
disease
...
A nurse is providing teaching to a client who has generalized anxiety disorder and a new
prescriptionfor buspirone
...
A nurse is performing an assessment of a newly admitted client
...

63
...
Which of the following
interventions should the nurse take?
Notify the provider of the client's threat
...
A nurse in a mental health clinic is beginning a counseling session with a client who is
having difficulties in a personal relationship
...
Which of the following responses should the nurse make?

lOMoAR cPSD| 8510046

How about I just spend some time with you instead? We don't have to talk
...
A nurse is caring for a client who has schizophrenia and is admitted to the mental health
unit
...
Which of the following responses should the
nurse make?
You are pacing back and forth
...
A nurse in a pediatric emergency department is caring for 4 clients
...

67
...
Which of the following client
statements indicates clang associations?
Basketball in the hall very tall
...
A nurse is obtaining a client's medical history prior to scheduling the client for
electroconvulsive therapy (ECT)
...

69
...
The client
states, "I just don't know if I should be here
...

70
...

Which of thefollowing actions should the nurse take during the orientation phase?
Identify the client's perception of the reason for therapy
...
A home health nurse is providing teaching for the family of a client who has moderate
Alzheimer'sdisease
...
Which of the
following recommendations should the nurse include in the teaching?
Install locks at the tops of exterior doors
...
A nurse is developing a plan of care for a client who has anorexia nervosa
...


lOMoAR cPSD| 8510046

73
...
Which of the following actions
should the nursetake?
Give the client 2 options for ending the situation
...
A nurse is caring for a child who has a diagnosis of terminal brain cancer
...
" Which of the following
interventions by the nurse isthe first priority?
Encourage the family's expression of their feelings
...
A nurse admits a client to the emergency department with a fractured arm and
periorbital ecchymosis
...
Which of the
following nursinginterventions should the nurse take first?
Check the client's injuries
...
A nurse is caring for a client who has alcohol use disorder
...

77
...

Which ofthe following findings should the nurse expect?
Hypervigilance
...
A nurse is assessing a client who has major depressive disorder
...
A nurse is caring for a client with borderline personality disorder who has been engaging
in self- mutilation
...

80
...
Which of the
followingactions by the nurse demonstrates the proper use of active listening?
Paying attention to body language
...
A nurse in an acute mental health facility is caring for a client who is experiencing an
acute manicepisode
...

82
...
Which of the following
manifestationsshould the nurse expect?

lOMoAR cPSD| 8510046

The feeling that the surroundings are unreal
...
A nurse is caring for a client who has anxiety disorder
...

84
...
Which of the following pieces of information
should the nurseprovide?
Your child's growth might slow while using this medication
...
A nurse is caring for a client who is taking a tricyclic antidepressant
...

86
...
Which of the
followingactions should the nurse include in the plan?
Provide decaffeinated beverages
...
A community mental health nurse is planning strategies to address substance use by
adolescents
...

88
...
Which of the following actions should
the nursetake?
Maintain a low-stimulation environment
...
A nurse is admitting a client to an acute-care mental health facility following a suicide
attempt
...

90
...

Which of thefollowing interventions should the nurse include in the plan?
Encourage the client to have frequent rest periods
...
A nurse is teaching a client who wants to stop smoking by using nicotine gum
...

92
...
Which of the following actions should the nurse take to improve the
client's level oforientation?

lOMoAR cPSD| 8510046

Post a large calendar on the bulletin board
...
A nurse on a rehabilitation unit is providing teaching to the partner of a client who is
experiencing stimulant withdrawal
...

94
...
Whichof the following actions should the nurse take when implementing suicide
precautions?
Place the client in 1-on-1 observation
...
A nurse in a mental health clinic is assessing a client who has a history of mania
...

96
...
Which of the following behaviors should the nurse expect?
Tapping the 4 sides of a light switch
...
A nurse in a provider's office is assessing a client who is crying and states, "It's my child's
first day ofschool
...

98
...

Which of thefollowing statements should the nurse make?
Limit your use to no more than 20 lozenges per day
...
A nurse is caring for a client with dementia who paces during meals
...

1
...
Which of the following tools
should thenurse use in performing an assessment on the client?
Abnormal Involuntary Movement Scale (AIMS)
...
A nurse is reviewing the medical record of a client who has a new prescription for a
benzodiazepine
...


lOMoAR cPSD| 8510046

3
...
Which of the following manifestations should the nurse identify as an indication
of acute mania? (SATA)
Spends excessive amounts of
money
...

4
...
Which of the following
statements by theclient should the nurse expect?
I pick my face when I am nervous
...
A nurse in a health clinic is providing teaching to a client about binge eating disorder
...

6
...
Which of the following
statementsindicates that the client is at risk of complicated grief?
I feel so empty without my wife that it's hard to get up every morning
...
A nurse is reviewing laboratory reports for a client who is taking risperidone
...

8
...
The client
asks, 'Havel done any permanent damage to my body?" Which of the following
responses should the nurseprovide?
What concerns do you have about your physical health?
9
...
Which of the following
actionsshould the charge nurse include as an example of beneficence?
Spending extra time reorienting a client who is experiencing command
hallucinations
...
A nurse is caring for a client who attends family counseling with his partner and their
children
...
" Which of the following responses should the nurse
provide?
It must be difficult for you to talk about family problems
...
A nurse is caring for a client who has alcohol use disorder and is receiving treatment for
alcoholwithdrawal
...
Which of the
following statements should the nurse provide?
The tremors will persist for a few days as you are withdrawing from alcohol
...
A nurse is caring for a client who is postoperative following an amputation of the left lower
leg
...
I don't deserve this
...

13
...
Which of the following client
statementsshould the nurse expect?
l am embarrassed to eat in public
...
A nurse is caring for a newly admitted client who is receiving treatment for alcohol use
disorder
...
" Which of
the following findingsshould the nurse expect during alcohol withdrawal?
Insomnia
...
A nurse is assessing a newly admitted client who has schizophrenia
...
Which of the following
responses should thenurse make?
What are you hearing?
16
...
Which of the
following actions should the nurse take to foster a therapeutic environment for this
client?
Build trust with the client by sitting quietly with him
...
A nurse is evaluating teaching for a client who has bipolar disorder and a new prescription
for lithium
...

18
...
Which of the following client statements should the nurse identify as a
protective factor thatdecreases the client's risk for suicide?
I consider myself a good problem-solver
...
A nurse in a mental health facility is meeting with a client who has a diagnosis of major
depression
...
The nurse should identify that the therapeutic
communication technique of silence is used for which of the following purposes?
To encourage the client to express feelings or concerns

lOMoAR cPSD| 8510046

20
...
Which of the
following findings should the nurse report to the provider as an indication of rape-trauma
syndrome?
Report of intense guilt
...
A nurse is providing teaching to a client who is scheduled to start taking valproic acid
...

22
...

Which of thefollowing statements should the nurse identify as an indication that the
client understands the teaching?
At least 2 doctors must support the commitment application
...
A nurse is preparing to administer fluphenazine decanoate 12
...

Fluphenazinedecanoate 25 mg/mL is available
...
5
24
...
The nurse observes that the client has not
come tobreakfast and is still in bed
...
Leave me
alone and go helpsomeone else
...

25
...

The clientstates to the nurse, "My family would be better off without me
...
Are you thinking of hurting yourself?
26
...
Which of the following interventions is the priority when
planning care for thisclient?
Promoting and maintaining client safety
...
A nurse is assessing a client who is at risk for cognitive impairment
...

28
...
Which of the following meals should the nurse provide for this client?
Chicken nuggets, crackers with cheese sticks, and a cookie
...
A nurse is caring for a client who has panic disorder and is experiencing anxiety at the
panic level
...

30
...
The nurse should identify
which ofthe following goals for this therapy?
The client will gain increased self-esteem
...
A nurse is caring for a client who has schizophrenia
...
" The nurse should document this finding as which of the
following types of delusions?
Somatic
...
A nurse is caring for a client who has been unable to leave the house for the past 10 years
without accompaniment
...
The nurse should identify that the client is exhibiting which of
the following disorders? Agoraphobia
...
A nurse is talking with a client who has major depressive disorder
...

34
...
The client tells the nurse, "I know my eating binges and vomiting are not
normal, but I can'tcontrol them
...
A nurse is teaching a client who has a prescription for a tricyclic antidepressant
...

36
...
Theclient has broken a unit rule, and phone privileges are being revoked
consequently
...
You have broken rules that apply to everyone
...
A nurse is assessing a client who takes phenelzine for the treatment of depression
...


lOMoAR cPSD| 8510046

38
...
Which of the following items should the
nurse use topromote optimal cognitive function for this client?
Wall calendar
...
A nurse is discussing family therapy with a client
...

40
...
The client states, "I am too tired and
depressed toattend group therapy today
...

41
...

Which of the following manifestations should the nurse expect?
Social discomfort
...
A nurse is providing teaching to a client who has a new prescription for chlorpromazine
...

43
...
The client states, "Aliens came into my
room last night and took a sample of my blood
...

44
...
Which of the following statements by the toddler's parent should cause
the nurse to suspectchild abuse?
My child was riding a bicycle and fell off
...
A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety
disorder
...

46
...
The nurse should plan to teach about which of the following medications?
Naltrexone
...
A nurse is caring for a client with schizophrenia who is having command hallucinations
...


lOMoAR cPSD| 8510046

48
...
Which of
following types of group therapy is occurring?
Psychoeducational group
...
A nurse is assessing a client who was recently admitted following a suicide attempt
...

50
...
Which of the following actions should the nurse take?
Administer the medication at bedtime
...
A nurse is reviewing the medications of a client who has bipolar disorder and a new
prescription for lithium
...

52
...
Which of the following statements by the
guardian indicates an understanding of the teaching?
I can expect my child to be drowsy while taking this medication
...
A nurse is assessing a client who has oppositional defiant disorder
...

54
...
Which of the following
manifestations is thepriority finding for nurse to identify?
Hyperactivity
...
A nurse is caring for a client who has Alzheimer's disease
...
Which of the following responses should
the nurse offer? Place a complex lock at the top of each door that leads outside
...
A nurse is caring for a client who left the facility without permission and has had outside
privileges revoked for 1 week
...
Whichof the following responses should the nurse provide?
Your privileges have been revoked
...


lOMoAR cPSD| 8510046

57
...
Which of the following actions is an
indicationthe client is experiencing a manic stage?
The client speaks rapidly with a sense of urgency
...
A nurse is caring for a client who has dementia
...

59
...
Which of the following actions should the nurse identify as an example of an
intentional tort? Informing the client that an injection will be administered if
the client remains agitated
...
A nurse is caring for a client who has antisocial personality disorder
...
Which of the following statements should the nurse make?
Let's review the consequences of your actions
...
A nurse is planning care for a client who has dissociative disorder and is experiencing
flashbacks while in public
...

62
...
The
client suddenly stops talking and begins staring intently at a chair in the corner of the
room
...

63
...

Which of thefollowing statements should the nurse include in the teaching?
You should have your white blood cell count checked once per week for 6
months
...
A nurse is teaching a client who has anxiety and a new prescription for buspirone
...

65
...
Which of the following statements should the nurse make?
This medication should not be stopped abruptly
...
A nurse is collecting data from a client who has generalized anxiety disorder (GAD)
...

67
...
Which of the
following statements should the nurse identify as an overt statement indicating the
client's risk for suicide? There's no point in living any longer
...
A nurse is assessing a client with psychotic disorder who has a new prescription for
haloperidol
...
" Which
of the following extrapyramidal side effects is this client likely experiencing?
Akathisia
...
A nurse is caring for a client who has generalized anxiety disorder (GAD)
...

70
...
Which of
the following actionsshould the nurse take first?
Attempt to reduce environmental stimuli
...
A nurse on an inpatient mental health unit is attending an interdisciplinary treatment team
meetingfor a client who has bipolar disorder with rapid cycling
...
Which of the
following referrals should the nurse make for the client first?
Assertive community treatment
...
A nurse is developing a plan of care for a client who has alcohol use disorder
...

73
...
The nurse should identify that the client is exhibiting which of
the following defense mechanisms?
Regression
...
A nurse is planning care for a client who has thoughts of suicide
...


lOMoAR cPSD| 8510046

75
...
Which of the following actions should the nurse take
first?
Offer diversionary activities for the client
...
A nurse is caring for a client who has a new diagnosis of colon cancer
...
The client begins yelling, "I've
received terrible carehere, and no one bothers to help me
...

77
...
Which of the following
actionsshould the nurse take when dealing with the client's ritualistic behaviors?
Plan the client's schedule to allow time to perform rituals
...
A nurse is providing teaching to a client who has generalized anxiety disorder and a new
prescription for buspirone
...

79
...
Which of the following statements by a family member
indicates an understanding of the teaching?
We will not let our moods be changed by her behavior
...
A nurse is updating the plan of care for a client who has major depression and a new
prescription for amitriptyline
...

81
...
Which of the following findings is an indication of neuroleptic
malignant syndromethat the nurse should report to the provider?
Elevated temperature
...
A nurse is teaching a client who has acrophobia about the use of systematic desensitization
as a method of behavioral therapy
...


lOMoAR cPSD| 8510046

83
...
Which of the following instructions should the
nurse include in theteaching?
This medication must be discontinued by gradual tapering over time
...
A nurse is performing a mental status assessment on an older adult client who has
dementia
...
A nurse is caring for a client who just received a diagnosis of cancer
...
" Which of the following responses should the
nurse make?
Can you explain the concerns you're having right now?
86
...
Which of the
followingquestions is the nurse's priority?
Have you thought about hurting yourself?
87
...
Which
of the following medications should the nurse expect to administer during this phase of the
client's care? Diazepam
...
A nurse is caring for a client who has dementia
...
" Which of the following responses should the nurse make?
You must feel very frightened to think someone wants to hurt you
...
A nurse is caring for a client who returns to the unit from a day pass 2 hr late
...
Which of the following
responses shouldthe nurse make?
We will need to discuss your actions after you've had a chance to sleep
...
A nurse is assessing a client who has been taking an antipsychotic medication for 6 years
...
The nurse should monitor the
client for whichof the following manifestations of tardive dyskinesia?
Involuntary tongue protrusion
...
A nurse is caring for a client who was just admitted for the treatment of anorexia nervosa
...


lOMoAR cPSD| 8510046

92
...
The client spends a great deal of time
repeating rhyming syllables such as, 'Me, see, bee, tree
...

93
...
Which of the following pieces of information should the
nurse include in the teaching?
Older adult clients require a lower initial dose of antidepressant medication than
adult clients
...
A nurse is caring for a client who has schizophrenia
...
Which of the
following actions shouldthe nurse perform first?
Approach the client in a non-threatening manner
...
A nurse in the emergency department is assessing a client who has generalized anxiety
disorder
...

96
...
Which of the
followingclient statements should the nurse recognize as clang association?
I can play the flute while wearing a suit
...

97
...
The nurse
suspects child abuse, but the provider disagrees and discharges the client
...

98
...
Which of the following actions should the nurse take?
Request a prescription for an antianxiety medication
...
An emergency room nurse is assessing a client who has anxiety disorder
...
The client begins to scream, "I
am going to die!This is it! I am having a heart attack!" The nurse should determine the
client's level of anxiety to bewhich of the following?
Panic
...


A nurse in a mental health facility is admitting a client who has antisocial personality

disorder
...

101
...
Which of the

followingfindings should the nurse expect?
The client has difficulty concentrating
...


A nurse is providing teaching to a client who has a new prescription for buspirone
...

103
...
Which of the following client

statementsshould the nurse identify as a persecutory delusion?
The government is after me because I know top-secret information
...


A nurse in a clinic is assessing a client who states that she needs help with depression
...


A nurse is conducting a risk assessment for clients who are prescribed medications

that cancause orthostatic hypotension
...

106
...
The nurse should inform the client that TMS can cause
which of the following adverse effects?
Seizures
...


A nurse in an emergency department is caring for a female client who has ecchymosis

of the trunk and face
...

When offered information about shelters for intimate partner violence, the client declines,
stating, "I could never leave my husband because of my kids
...


A nurse is providing teaching to a client about cannabis use disorder
...


lOMoAR cPSD| 8510046

109
...
Which of the following
approaches should the nurse use to manage this client's behavior?
Speak to the client with clear, calm, caring statements
...


A nurse is teaching a client who has major depressive disorder and is scheduled to

begin electroconvulsive therapy (ECT)
...

111
...


Which of thefollowing statements should the nurse include?
Dementia is commonly associated with Alzheimer's disease
...


A nurse is admitting a client who states he is hearing voices telling him what to do
...

113
...
The client tells the nurse, "All of my friends have died, and my
children are too busy forme
...

114
...
Which of the

followingfindings indicates that the client is currently under the influence of this drug?
Paranoia
...


A nurse is providing dietary teaching to a client who has a new prescription for a

monoamineoxidase inhibitor (Maon)
...

116
...

The nurse shouldidentify that EMDR includes which of the following strategies?
Uses stimuli to change how the client processes the trauma
...


A nurse is discussing the benefits of group therapy with a client who has bipolar

disorder
...


lOMoAR cPSD| 8510046

118
...
Which of the following statements should the nurse make?
It must be very difficult for you to deal with your mother's death
...


A nurse is caring for a client with anorexia nervosa who has light skin
...

120
...
Which of the following actions by the LPN should
indicate to the nurse that she requires further teaching?
Ambulating the client's roommate while the client sleeps
...


A nurse in an acute substance disorder unit is assessing a client who received

treatment in theemergency department for a heroin overdose
...

122
...
The client looks at the nurse and says, "Back off
...
" Which of the
following statements should the nurse make?
I will give you space if you calm down
...

123
...
Which of the following pieces of
information shouldthe nurse include?
The client can challenge hospitalization following emergency treatment
...


A school nurse is providing care to a student who is angry and states, "My parents

don't know I'm gay, so I can't visit my girlfriend in the hospital while she receives cancer
treatment
...

125
...
Which of the

followingactions is the nurse's priority?
Ask the client what the voices are saying
...


A nurse is providing teaching to the partner of a client who is at risk for alcohol

withdrawal after6 hours of cessation
...

127
...
Which of the following statements by the guardian indicates an
understanding of the teaching?
It is important for my daughter to have regular dental checkups
...


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

129
...
Which of the following findings should the nurse expect?
Associative looseness
...


A nurse is caring for a client who has major depressive disorder and is severely

withdrawn
...

131
...


Which of thefollowing findings should the nurse expect?
Dilated pupils
...


A nurse is caring for a client who was voluntarily admitted to an inpatient mental health

facilityfor treatment of major depressive disorder
...
Which of the following
actions should the nursetake?
Tell the client that he has the right to refuse the procedure
...


A nurse is assessing a client who has binge-eating disorder
...

134
...


Which of thefollowing actions by the client indicates the current treatment plan is
effective?
The client reports techniques she uses to promote sleep
...


A nurse is providing teaching to the family of a client who is scheduled for

electroconvulsive therapy (ECT)
...

136
...
The

client tellsthe nurse about a situation in which he feels a friend betrayed him
...


A nurse is assessing a group of clients who have paraphilic disorders
...

138
...


The client has developed involuntary writhing movements of the tongue and constant lip
smacking
...

139
...
During the initial interview,

which of thefollowing behaviors should the nurse identify as a positive manifestation of
schizophrenia? Hallucinations
...


A nurse in an acute mental health facility is planning care for a client who has

obsessive- compulsive disorder (OCD)
...

141
...
” The client is exhibiting a maladaptive response
to which of the following defense mechanisms?
Compensation
...


A newly admitted client who has major depressive disorder states to the nurse, I'm a

failure
...
" Which of the following responses
should the nurse provide?
It sounds as if you are feeling pretty overwhelmed right now
...


A nurse is assessing a client prior to administering lithium
...
For which of the following findings should
the nurse withholdthe dose?
Report of nausea with frequent episodes of emesis
...


A nurse is caring for a client who is confused and wanders at night
...
Which of
the following responses should the nurse manager make?
Restraining the client can increase confusion
...


A nurse is performing an admission assessment for a client who has schizophrenia
...
Which of the following should be the nurse's priority assessment?
Physical needs
146
...
' The nurse responds, "Your child

has not visited you for 2 weeks?" Which of the following communication techniques is
the nurse using?Restating
...


A nurse is caring for a client who was hospitalized several days ago following a suicide

attempt
...
Which
of the followingresponses should the nurse make?
Would you like to talk about why you feel this way?



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