Questions 68

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ATI Mental Health n200 Exam Group 2 Questions

Extract:


Question 1 of 5

A family describes a client diagnosed with bipolar disorder as being 'on the move.' The client sleeps 3-4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial client assessment, which response would the nurse expect?

Correct Answer: D

Rationale: Mania is characterized by symptoms such as increased energy levels, decreased need for sleep, impulsivity, racing thoughts, and agitation. Disorganized thinking, rapid speech, and an inability to remain seated are common manifestations of manic symptoms.

Question 2 of 5

The nurse is assessing a newly admitted client whose chief complaint is 'coughing up blood' and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?

Correct Answer: B

Rationale: Airborne precautions are used for diseases that can be transmitted through tiny respiratory droplets that remain in the air for extended periods. Examples include tuberculosis and measles. Given the symptom of coughing up blood and the possibility of an infectious respiratory disease, initiating airborne precautions could be warranted.

Question 3 of 5

A client diagnosed with bipolar disorder is experiencing a severe depressive episode. Which client behavior would alert the nurse to the highest priority intervention? The client:

Correct Answer: D

Rationale: This behavior suggests the possibility of suicidal ideation, which is a medical emergency in mental health care. The nurse should assess the client for suicidal thoughts, intentions, and plans, and provide a safe environment to prevent self-harm. It's crucial to address this as a priority to ensure the safety and well-being of the client.

Question 4 of 5

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

Correct Answer: C

Rationale: Sodium intake can influence lithium excretion and affect serum lithium levels. Maintaining a consistent and adequate sodium intake is important for stabilizing serum lithium levels and optimizing the medication's therapeutic effects.

Question 5 of 5

A physician mentions to a newly admitted client is impulsive. The nurse should assess for behavior characterized by:

Correct Answer: B

Rationale: Impulsive individuals tend to act quickly without fully considering the consequences of their actions. There is often little to no delay between the thought or impulse and the resulting behavior.

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