Questions 68

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ATI Mental Health n200 Exam Group 2 Questions

Extract:


Question 1 of 5

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Correct Answer: D

Rationale: Suicide precautions involve implementing safety measures and close monitoring to prevent the client from engaging in self-harm or suicide attempts. This may include continuous observation, removal of potentially harmful objects or substances from the client's environment, and close supervision by staff members trained in suicide prevention.

Question 2 of 5

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Correct Answer: D

Rationale: Suicide precautions involve implementing safety measures and close monitoring to prevent the client from engaging in self-harm or suicide attempts. This may include continuous observation, removal of potentially harmful objects or substances from the client's environment, and close supervision by staff members trained in suicide prevention.

Question 3 of 5

The nurse is providing discharge instructions to the client taking disulfiram. Which of the following items should the nurse teach the client to avoid?

Correct Answer: B

Rationale: Clients taking disulfiram should avoid all forms of alcohol, including alcoholic beverages such as beer, wine, and spirits. Consuming alcohol while taking disulfiram can lead to a severe and potentially life-threatening reaction known as the disulfiram-alcohol reaction.

Question 4 of 5

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?

Correct Answer: A

Rationale: The CAGE questionnaire is a widely used screening tool for alcohol use disorder (AU
D). It consists of four questions that assess the client's alcohol consumption, attempts to cut down or control drinking, feelings of guilt about drinking, and whether alcohol use interferes with daily activities or responsibilities.

Question 5 of 5

A client with a diagnosis of Bipolar Disorder has been taking lithium carbonate, however, stopped it 3 months ago because of weight gain. The client is now agitated, pacing, and flailing their arms in exaggerated gestures. The physician orders a 'now' dose of lithium and olanzapine. The client's family asks why olanzapine is ordered. What is the nurse's most appropriate response? 'Olanzapine:

Correct Answer: B

Rationale: Olanzapine is an antipsychotic medication commonly used to treat acute manic episodes in bipolar disorder. It can help to stabilize mood, reduce agitation, and calm hyperactivity while waiting for lithium to reach therapeutic levels and take effect.

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