Mental health ATI LEGIT

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22 Terms

1
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A Nurse is talking with a newly license Nurse about client right while admitted to a mental health facility. Which of the following information should the nurse include?

Client continues to have the right to privacy and confidentiality.

Client Continue to have the right to attorney.

2
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the nurse is caring for a client who has bulimia nervosa. Which of the following intervention should the nurse include in the client plan of care?

Monitor the client bathroom trip

3
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the nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following action should the nurse take?

Ask the client to describe their feeling about the delusion

4
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A nurse in a mental health facility is caring for a group of clients. After assessing the client require an update to their plan of care to ensure patient safety?

A client who has schizophrenia and is exhibiting clang association in their speech.

5
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A nurse in a Longterm care facility is assessing a client who have dementia. which of the following finding should the nurse identify as risk for this client?

The room has an area rug

6
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A nurse is practicing teaching to the caregiver of an older adult who has Alzheimer disease and is being care for at home. the client wonders at night and has a history of previous fall. which of the following instruction should the nurse include in the patient teaching. SATA.

Position the mattress on the floor

encourage physical activity prior to bed time

Install sensory device on the outdoor

7
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A nurse is assessing a client who have been receiving electroconvulsive therapy. Which of the following findings indicate the treatment is effective?

Improvement in manifestation of depression

8
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A nurse is caring for a client who has just received a terminal cancer diagnosis. Which of the following action should the nurse take?

Allow the cliant unlimited time for the grieving process

9
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A nurse is leading a crisis intervention group for adolescent who witnessed the suicide of a classmate. which of the following action should the nurse take first?

Identify prior coping skills

10
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A nurse is beginning therapeutic relationship with a client. the nurse should plan to accomplish which of the following task during the working phase

Set short- and long-term objective for the future.

11
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A nurse is caring for a client who has bulimia nervosa. Which of the following intervention should the nurse include in the client plan of care

Monitor the client bathroom trip

12
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A nurse is caring for a client who is undergoing an electroconvulsive therapy. Which of the following task should the nurse delegate to an assistive personnel?

Assist the client to ambulate for the first time following the procedure.

13
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A nurse is planning care for an adolescent who has autism spectrum disorder. which of the following outcomes should the nurse include in the plan of care?

Meet own needs without manipulating others.

14
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A nurse is caring for an adult client who has been place in physical restraint due to aggressive behavior, which of the following action should the nurse take

Assess the client needs for toileting every 15 minutes.

15
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A nurse is assessing the spiritual belief of a client. Which of the following client statement indicates spiritual distress?

Therapy is often schedule during my daily meditation time.

16
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A nurse is caring g for a client who states, things will never workout which of the following response should the nurse make?

Have you been thinking about harming yourself?

17
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A nurse is caring for a client who has antisocial personality disorder and report planning to hurt their partner upon discharge. Which of the following action should the nurse take?

Report information to local authority

18
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A nurse is providing teaching about self care behavior to a client who has major depressive disorder. which of the following statement by the client indicate an understanding of the teaching?

I will use the coping mechanism that helped me in the past

19
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A nurse is caring for a client in an inpatient mental health facility. the client tells the nurse that the government is reading her mail. which of the following response should the nurse make?

It must be frightened to think that someone is reading your mail.

20
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A nurse is caring for a client who quetiapine for one week and report dizziness. the client ask the nurse if the dizziness indicate an allergic reaction to the medication. Which of the following responses should the nurse make?

Dizziness is a common adverse effect of this medication

21
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A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. which of the following information should the nurse include

this therapy works as a cure for major depressive disorder.

22
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A nurse is assessing a client during a follow-up visit at a behavior health clinic the client report that they have not been taking the prescribed antipsychotic medication on a regular basis. which of the following action should the nurse take to improve medication.

Ask the client if the medication is causing them adverse effects