Questions 50

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ATI RN Test Bank

ATI Mental Health assessment Questions

Extract:


Question 1 of 5

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Correct Answer: A,B,D

Rationale: Grandiosity flight of ideas and hyperactivity are typical in mania.

Question 2 of 5

A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

Correct Answer: B

Rationale: Command hallucinations pose an immediate risk requiring urgent assessment.

Question 3 of 5

A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)

Correct Answer: B,C,D,,E

Rationale: Support groups health status family support and spiritual involvement aid coping with widowhood unlike advance directives.

Question 4 of 5

A nurse is planning to teach a client who is taking lithium. Which of the following should the nurse include in the teaching as adverse effects of therapeutic lithium level?

Correct Answer: A

Rationale: Weight gain and dry mouth are common at therapeutic lithium levels.

Question 5 of 5

A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Understanding the cause aids de-escalation.

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