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RN ATI COMMUNITY HEALTH PROCTORED EXAM: (100%
PASS) UPDATED COMPREHESIVE TEST; EXAM GRADED
A+ QUESTIONS AND VERIFIED ANSWERS.
A nurse is caring for a client who takes paroxetine to treat PTSD. The client states that he grinds his teeth during the night, which causes pain in his mouth. The nurse should identify which of the following interventions as possible measures to manage the client's bruxism? (Select all that apply) - - ANSWER--A. Concurrent administration of buspirone C. Use of a mouth guard D. Changing to a different class of antianxiety medication A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? - - ANSWER--I may feel drowsy for a few weeks after starting this medication." A nurse is caring for a client who is taking phenelzine. For which of the following adverse effects should the nurse monitor? (Select all that apply) - - ANSWER--A. Elevated blood glucose level D. Headache A nurse is review the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider? - - ANSWER--The client had a motor vehicle crash last year and sustained a head injury.
A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? (Select all that apply) - - ANSWER--A. Void just before taking the medication C. Wear sunglasses when outside E. Chew sugarless gum A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? - - ANSWER--This medication increase the release of serotonin and norepinephrine" A nurse is caring for a client who is prescribed lithium therapy. The client states that he wants to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make? - - ANSWER--Regular aspirin would be better choice than ibuprofen." A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching? (Select all that apply) - - ANSWER--B. Polyuria D. Muscle weakness A nurse is discussing routine follow-up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following? - - ANSWER--AST/ALT and LDH
D. Severe agitation A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)? (Select all that apply) - - ANSWER--C. Involuntary arm movements E. Continual pacing A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates an understanding of the teaching? - - ANSWER--C. I will be careful not to gain too much weight while taking this medication A nurse is teaching the parents of a child who has autism spectrum disorder and a new prescription for imipramine about indications of toxicity. Which of the following should the nurse include in the teaching? (Select all that apply) - - ANSWER--A. Seizures C.Photophobia D. Dry mouth E. Irregular pulse A nurse is providing teaching to an adolescent client who has a new prescription for clomipramine for OCD. Which of the following information should the nurse provide? - - ANSWER--Eat a diet high in fiber A nurse is providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which
of the following adverse effects? (Select all that apply) - - ANSWER--B. Yellowing skin D. Fever A nurse is caring for a school age child who has conduct disorder and a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication? - - ANSWER--Remove the patch each day after 9 hr A nurse is teaching a client who has intermittent explosive disorder about a new prescription for fluoxetine. Which of the following information should the nurse provide? (Select all that apply) - - ANSWER--B. Administer the medication in the morning C. Monitor for weight loss while taking this medication E. This medication blocks the synaptic reuptake of serotonin in the brain A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? - - ANSWER--This medication will help prevent seizures during alcohol withdrawal." A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence from alcohol? (Select all that apply)
- ANSWER--C. Disulfiram D. Naltrexone E. Acamprosate
C. Bargaining D. Anger E. Depression A nurse is working with a client who has recently lost his mother. The nurse recognizes that which of the following factors influence a client's grief and coping ability? (Select all that apply) - - ANSWER--A. Interpersonal relationships B. Culture D. Religious beliefs E. Prior experience with loss A nurse is discussing normal grief with a client who recently lost a child. Which of the following statements made by the client indicates understanding? (Select all that apply) - - ANSWER--A. "I may experience feelings of resentment." B. "I will probably withdraw from others." C. "I can expect to experience changes in sleep." A nurse is caring for a client who lost his mother to cancer last month. The client states, "I'd still have my mother if the doctor would have diagnosed her sooner." Which of the following responses should the nurse make? - - ANSWER--You sound angry. Anger is a normal feeling associated with loss." A nurse is assisting the parents of a school-age child who has oppositional defiant disorder in identifying strategies to promote positive behavior. Which of the following is an appropriate strategy for the nurse to recommend? (Select all that apply) - - ANSWER--C. Develop a reward system for acceptable behavior
D. Encourage the child to participate in school sports E. Be consistent when addressing unacceptable behavior A nurse is performing an admission assessment on an adolescent client who has depression. Which of the following manifestations should the nurse expect (Select all that apply) - - ANSWER--B. Substance use D. Irritability E. Aggressiveness A nurse is obtaining a health history from the parents of a 12 year old client who has conduct disorder. Which of the following findings should the nurse expect? (Select all that apply) - - ANSWER--A. Bullying of others B. Threats of suicide C. Law-breaking activities A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the parent about this disorder, which of the following statements should the nurse include in the teaching? - - ANSWER-- Because of this disorder, your child is at increased risk for injury." A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the following manifestations should the nurse assess? - - ANSWER-- Repetitive counting
A nurse is caring for a client who is on suicide precautions. Which of the following interventions should the nurse include in the plan of care? - - ANSWER--Ensure that the client swallows medication A nurse is conducting a class for a group of newly licensed nurses on caring for clients who at risk for suicide. Which of the following information should the nurse include in the teaching? - - ANSWER--A no-suicide contract decreases the client's risk for a suicide attempt A nurse is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication? - - ANSWER--You'd better listen to me." A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take? - - ANSWER--Request that other staff members remain close by A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client is in the preassaultive stage of violence? (Select all that apply) - - ANSWER--B. Defensive responses to questions D. Rapid breathing E. Facial grimacing F. Agitation
A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. Which of the following is the priority nursing action? - - ANSWER--Move the client away from others A nurse is caring for a client who is screaming at staff members and other clients. Which of the following is a therapeutic response by the nurse to the client? - - ANSWER--Stop screaming, and walk with me outside." A charge nurse is leading a peer group discussion about family and community violence. Which of the following statements by a member of the group indicates an understanding of the teaching? - - ANSWER--Pregnancy increases the risk for violence toward the intimate partner." A nurse is preparing to assess an infant who has shaken baby syndrome. Which of the following is an expected finding? (Select all that apply) - - ANSWER--B. Respiratory distress C. Retinal hemorrhage D. Altered LOC E. Increase in head circumference A nurse working in an emergency department is assessing a preschool-age child who reports abdominal pain. When conducting a head-to-toe assessment, which of the following findings should alert the nurse to possible abuse (Select all that apply)? - - ANSWER--B. Round burn marks on forearms E. Areas of ecchymosis on torso
A nurse is caring for a client who was recently raped. The client states, "I never should have been out on the street alone at night." Which of the following responses should the nurse make? - - ANSWER--You believe this wouldn't have happened if you hadn't been out alone?" A community health nurse is leading a discussion about rape with a neighborhood task force. Which of the following statements by a neighborhood citizen indicates an understanding of the teaching? - - ANSWER--Acquaintance rape often involves alcohol." A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). - - ANSWER---To assess cognitive ability, I should ask the client to count backward by sevens."
- To assess affect, I should observe the client's facial expression.
- To assess language ability, I should instruct the client to write a sentence." A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention?
- ANSWER--Monitor the client for adverse effects of the medications. A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? - - ANSWER--Identify the client's perception of her mental health status.
A nurse is told during change of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? - - ANSWER--The client arouses briefly in response to a sternal rub. A nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? (Select all that apply) - - ANSWER--The DSM-5 establishes diagnostic criteria for individual mental health disorders.
- The DSM-5 assists nurses in planning care for client's who have mental health disorders.
- The DSM-5 indicates expected assessment findings of mental health disorders. A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? - - ANSWER--A client who has borderline personality disorder and assaulted a homeless man with a metal rod A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? - - ANSWER--False imprisonment A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me." Which of the following actions should the nurse take? - - ANSWER--Report the incident to the health care team, but do not inform the client of the intention to do so.
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply.) - - ANSWER---Discuss prior use of coping mechanisms with the client.
- Demonstrate a calm manner while using simple and clear directions. A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements should the nurse make? - - ANSWER--- Losing someone close to you must be very upsetting." A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply) - - ANSWER---It is goal-directed.
- Behavioral change is encouraged.
- A termination date is established. A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? - - ANSWER--The client accuses the nurses of telling him what to do just like his ex-girlfriend. A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? - - ANSWER--Discussing ways to use new behaviors A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse
make? - - ANSWER--You and the other clients will meet with staff to discuss common problems. A nurse is caring several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first?
- ANSWER--A client who says he is hearing a voice that tells him he is not worth living anymore. A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary prevention? - - ANSWER--Establishing rehabilitation programs to decrease the effects of depression A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply) - - ANSWER--- Educational groups
- Medication dispensing programs
- Individual counseling programs
- Family therapy A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care? - - ANSWER--Attending a partial hospitalization program
A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? - - ANSWER--Gradually expose the client to an elevator while practicing relaxation techniques. A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? - - ANSWER--Observes group techniques without interfering with the group process A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all that apply) - - ANSWER---Define the purpose of the group
- Discuss termination of the group
- Establish an expectation of confidentiality within the group A nurse working on an acute mental health unit forms a group to focus on self- management of medications. At each of meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following concepts? - - ANSWER--Hidden agenda A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he's the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following? - - ANSWER-- Manipulation
A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? - - ANSWER-
- A member who brags about accomplishments A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the following information should the nurse include in the discussion? - - ANSWER--Excessive stressors cause the client to experience distress. A nurse is discussing acute vs prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? (Select all that apply) - - ANSWER--A. Chronic pain B. Depressed immune system E. Unhappiness A nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching? - - ANSWER-- Cognitive reframing will help me change my irrational thoughts to something positive. A client says she is experiencing increased stress because her significant other is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation? - - ANSWER--Use assertiveness techniques A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He expects me to finish his work because he's too lazy!" When discussing effective communication, which of the following statements by the
