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ATI Custom Psych Nursing Spring 2023 Exam3

Total Questions : 51

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Question 1:

A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the client suddenly seems cheerful and relaxed, and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?

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Question 2:

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

Explanation

The correct answer is choice 2. 2 capsules. The nurse should administer 2 capsules of lithium carbonate 150 mg each to achieve the prescribed dose of 300 mg. Since each capsule contains 150 mg, two capsules will provide the required 300 mg dose. Rounding to the nearest whole number, the nurse should administer 2 capsules.


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Question 3:

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

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Question 4:

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

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Question 5:

A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?

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Question 6:

A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?

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Question 7:

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.).

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Question 8:

A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing?

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Question 9:

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

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Question 10:

A nurse is making a home visit for a 16-year old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

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Question 11:

Jennifer, a college student, attempted suicide by hanging but was found by her roommate. She was treated in the emergency department and admitted to the psychiatric unit. She continues to verbalize suicidal ideation (SI) with a plan. Jennifer is placed on the strictest level of suicide precautions. What nursing interventions would be planned?

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Question 12:

A nurse in an acute mental health facility is caring for a client who has major depressive disorder. Since her admission 3 days ago, she has not put on clean clothes, washed her hair, or participated in any of the unit activities. On this day, the nurse observes that she is wearing clean clothes and has combed her hair. Which of the following responses should the nurse make?

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Question 13:

A nurse is caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following actions should the nurse take?

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Question 14:

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

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Question 15:

An accomplished student has won an award and will need to accept the award as well as give a short speech to thank faculty. The student is fearful of public speaking. The student consults a nurse at the Student Health Center. The nurse is aware that social phobias are often treated using:.

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Question 16:

A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

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Question 17:

Mary, a depressed patient, is seen in the clinic and is being treated with an SSRI. Mary tells the nurse that she has some pills that she formerly took for depression and that they are called MAOIs. Mary tells the nurse "I want to take the MAOIs right now" instead of continuing with the current medication. The most important information the nurse should convey is:.

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Question 18:

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

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Question 19:

A nurse is teaching about electroconvulsive therapy (ECT) with a newly licensed nurse. The nurse should identify that the newly licensed nurse understands the teaching when she states that ECT treats which of the following disorders?

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Question 20:

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.).

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Question 21:

A nurse caring for a client who has depression observes the client coming to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?

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Question 22:

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

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Question 23:

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?

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Question 24:

A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?

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Question 25:

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

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