N236 ATI Questions – Flashcards
Unlock all answers in this set
Unlock answersquestion
A nurse in community mental health clinic is planning staff education about the levels of prevention of intimate partner abuse. Which of the following should the nurse identify as a strategy for primary prevention?
answer
Promoting self esteem by having a client identify personal strengths
question
A nurse is admitting a client who has schizophrenia and has recently attempted to commit suicide. the client is angry over the admission and wants to go home. which of the following interventions should the nurse anticipate implementing?
answer
*institute a one to one *administer anti-depressant
question
What is a no-suicide contract?
answer
it helps the client to explore alternative solutions for his problems, but does not negate the necessity of other suicide precautions.
question
A nurse in a community health center is obtaining a health history of an older adult client who reports being abuse by a caregiver. What are the appropriate actions for the nurse to take?
answer
report suspected abuse to the appropriate agency/mandated reporter
question
A nurse is providing discharge teaching for a client who has a prescription for buspirone. What should the nurse include in the teaching?
answer
Taking the medication with grapefruit juice intensifies the effects.
question
Buspirone takes up to ? to react a therapeutic level?
answer
3-4 weeks
question
A nurse in a mental health facility is admitting a client who is at risk for suicide. Which of the following nursing interventions should be included in the plan of care?
answer
Initate discussion regarding the clients thoughts about suicide. It is appropriate for the nurse to assess the clients thoughts regarding suicidal ideation. Communication between the nurse and the client should be therapeutic and lead to problem-solving regarding suicide thoughts.
question
A nurse is caring for a client who is hospice for inoperable brain tumor. When completing a spiritual assessment as part of end-of-life care, which of the following intervention should be implemented?
answer
discuss spiritual issues in a conversational manner
question
A nurse is planning care for a newly admitted patient with bi-polar disorder. Which of the following is the priority action by the nurse?
answer
Provide frequent high-calorie snacks
question
A nurse is caring for a client who was sexually assaulted in her home. The nurse should recognize that the client is recovering when she?
answer
expresses interest in intimate relationships
question
A nurse is planning to interview an older adult client to obtain a mental health hx . What technique to appropriate?
answer
Interview the client in a private setting
question
A nurse is planning care for a client with ocd what is the highest priority intervention by the nurse?
answer
help the client identify the source of anxiety
question
When planning to develop a relationship with a new client the nurse should?
answer
*recognize safety risk *set up parameters of the relationship *promote problem solving skills *summarize relationship goals
question
A nurse is planning care for four clients in a mental health facility. Which of the following client is at risk for injury when performing ADL's?
answer
The client who has stage six of Alzheimers disease
question
A nurse is planning care for a preschool-age child with ADHD . Which of the following is the highest priority?
answer
Remove unnecessary equipment from the area
question
A nurse working in a community mental health facility is teaching a client who has alcohol use disorder and is considering attending AA. Which of the following statement by client understanding of the teaching?
answer
In AA , I will play a role in the recovery of others who are addicted to alcohol
question
A nurse is reviewing lab values for a client who talking clozapine for schizophrenia for the last 3 months. Which of the following lab findings should the nurse report to the provider?
answer
wbc count of 2500
question
A nurse is caring for a client in end stage pancreatic cancer. The nurse overhears the client say to the sister, I love you time together and I'm going to miss you. Which of the following grief reactions is the client experiencing?
answer
Anticipatory
question
A nurse is caring for a client who is experiencing withdrawal delirium. The nurse plans a room assignment. Which of the following clients is most appropriate roommate for this client?
answer
A client who has depressive disorders/sleep a lot and keep to themselves.
question
A case manager is implementing a program to help clients increase adherence to the treatment regimen. Which of the following action should the nurse take?
answer
provide care for clients psychical health needs.
question
A nurse is admitting a client who has a history of alcohol use and a new diagnoissi of Korsakoff's syndrome. Which of the following should the nurse include in the plan of care?
answer
provide assistance with ambulation
