Questions and Answers with Verified

ATI Capstone Mental Health Assessment Questions and Answers with Verified Solutions

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?A client who has schizophrenia and reports command hallucinations A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error.A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?Validation therapy A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?"This medication will help control my child's aggressive behavior." A nurse on a mental health unit is leading a group therapy session for a group of clients.Which of the following statements should the nurse expect from a client who has illness anxiety disorder?

"I check my breasts for lumps every day, but I'm still really scared about getting breast cancer." A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?Attending an educational conference on identifying clients at risk for suicide.A nurse is caring for a client who has just learned that her partner has died by suicide. Which of the following actions should the nurse take first?Determine the client's understanding of the suicide events.A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.) Rapid mood changes.Hallucinations.Restlessness.A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?Provide the client with a structured schedule of daily activities.A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?Memory deficit A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?The client has a serotonin deficiency.

A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?I use a kitchen timer to mark the end of the time-out period.

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A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?Dissociation A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?Ensure the client's ex-partner is notified of the threat.A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal.Which of the following resources should the nurse recommend to the client?A 12-step program A mental health nurse is providing preventive care for a group of clients in the community.Which of the following actions by the nurse demonstrates a secondary prevention strategy?Screening college students who demonstrate manifestations of depressive disorder.A nurse is caring for a client who is taking a tricyclic antidepressant. For which of the following findings should the nurse monitor as an adverse effect of tricyclic antidepressants?Orthostatic hypotension

A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Available is haloperidol 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.4mL A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?A client who is experiencing withdrawal from diazepam.A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?A client who is admitted involuntarily has the right to refuse to participate in therapy.A charge nurse is providing education to a group of newly-licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses by a newly- licensed nurse indicates understanding of the teaching?These clients can vote in local and federal elections.A nurse is planning to teach a client who is taking lithium. Which of the following should the nurse include in the teaching as possible adverse effects of therapeutic lithium levels?Weight gain and dry mouth.A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?Reluctance to discuss the event that precipitated the distress.