ATI Mental Health 2023 II | Nurselytic

Questions 68

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ATI Mental Health 2023 II Questions

Extract:

Nurses' Notes
1100:
Client is alert and oriented x 4. The client exhibits positive self- esteem. No negativity noted during conversation. Preparing client for discharge to partial-hospitalization program.
1230:
Client requests smoked turkey club sandwich for lunch. Education regarding medications provided. Exhibit 2
Patient Data
Medications
Phenelzine
Ibuprofen
Acetaminophen
Patient Data


Question 1 of 5

When educating the client about their medication, the nurse should teach the client that there is risk for ___ due to ___

Correct Answer: A,B

Rationale: MAOIs (implied by turkey sandwich) risk hypertensive crisis with tyramine-rich foods like smoked meats.

Extract:


Question 2 of 5

A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?

Correct Answer: B

Rationale: Exploring abandonment addresses BPD’s core issue, aiding social skills. Dependency reinforces issues, avoiding discussion stalls progress, same staff risks attachment.

Question 3 of 5

A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Guardian consent is legally required for incompetent clients. Implied consent doesn’t apply, social workers assist, charge nurse isn’t responsible.

Extract:

Nurses' Notes
1100:
Client is alert and oriented x 4. The client exhibits positive self- esteem. No negativity noted during conversation. Preparing client for discharge to partial-hospitalization program.
1230:
Client requests smoked turkey club sandwich for lunch. Education regarding medications provided. Exhibit 2
Patient Data
Medications
Phenelzine
Ibuprofen
Acetaminophen
Patient Data


Question 4 of 5

When educating the client about their medication, the nurse should teach the client that there is risk for ___ due to ___

Correct Answer: A,B

Rationale: MAOIs (implied by turkey sandwich) risk hypertensive crisis with tyramine-rich foods like smoked meats.

Extract:


Question 5 of 5

A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Correct Answer: D

Rationale: Lack of sleep is a mania hallmark. Isolation, detailed schedules, and refusal suggest depression.

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