Psych Mental Health // ATI Remediation – Flashcards
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A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following should the nurse include in the teaching?
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The client should obtain a sponsor before discharge for an increased chance of recovery.
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During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in bed. The client reports that a bomb was placed in her room by a family member during visitation hours. Which of the following actions should the nurse take?
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Assess the client for evidence of a perceptual disturbance.
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A nurse is admitting a client who has major depressive disorder and a new prescription for tranylcypromine. Which of the following OTC meds that the client reports taking should alert the nurse to a potential adverse reaction?
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Phenylephrine- used for sinus congestion, colds or allergies-> acts on the sympathetic nervous system. When taken with a MAOI antidepressant, this can result in severe hypertension.
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A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 week. Which of the following outcomes should the nurse expect?
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Greater risk of attempting suicide as affect and energy improve.
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A nurse is caring for a client who has anorexia nervosa. Which of the following criteria requires hospitalization?
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Temperature 35.6°c (96.1°F) Severe hypothermia is a temp lower than 36°C (96.8°F) due to loss of subcutaneous tissue or dehydration, requires hospitalization
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A nurse in a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first?
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Call for a team of staff members to help with the situation. -greatest risk is injury to the client or others
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A nurse is providing teaching to a client who is to begin undergoing light therapy at home to treat seasonal affective disorder. Which of the following should the nurse include in the teaching?
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Wear sunglasses when outdoors -light therapy, or phototherapy, can cause eye strain and sensitivity to light
