a nurse is working with a client who has recently been under a great deal of stress which nursing recommendations would be most helpful when assisting
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ATI Mental Health Proctored Exam 2023 Quizlet

1. A client is under a great deal of stress. Which nursing recommendation would be least helpful in assisting the client in coping with stress? Select one that doesn't apply.

Correct answer: D

Rationale: Focusing on the stressors can exacerbate stress levels in the client's life rather than helping to cope with it. Engaging in activities such as enjoying a pet, spending time with loved ones, and listening to music are known to be stress-relieving and can aid in coping with stress. It is essential to encourage strategies that promote relaxation and positive emotions, rather than fixating on the stressors that may worsen the client's condition. Therefore, 'Focus on the stressors' is the least helpful recommendation as it does not contribute to stress management.

2. A patient diagnosed with bipolar disorder is experiencing a depressive episode. Which medication is commonly prescribed for this phase of the disorder?

Correct answer: C

Rationale: The correct answer is C, Fluoxetine. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed to manage the depressive episodes in bipolar disorder. SSRIs are effective in treating the depressive phase of bipolar disorder as they help regulate serotonin levels in the brain, which can improve mood and reduce symptoms of depression. Choice A, Valproic acid, is used more commonly in the treatment of acute mania or mixed episodes in bipolar disorder. Choice B, Risperidone, is an atypical antipsychotic often used to manage psychotic symptoms in bipolar disorder. Choice D, Lithium, is primarily used for the maintenance treatment of bipolar disorder to prevent future manic and depressive episodes.

3. Which of the following are characteristics of borderline personality disorder? Select one that does not apply.

Correct answer: D

Rationale: Borderline personality disorder is characterized by an intense fear of abandonment, unstable relationships, impulsivity, and chronic feelings of emptiness. Grandiosity, which involves an exaggerated sense of self-importance and superiority, is more commonly associated with narcissistic personality disorder rather than borderline personality disorder. Therefore, the correct answer is D.

4. Which of the following are cultural aspects of mental illness? Select one that doesn't apply.

Correct answer: D

Rationale: The fewer ties that a group has with mainstream society, the greater the likelihood of a negative response by society to mental illness. Coercive treatments and involuntary hospitalizations are more common in this population.

5. A client with bipolar disorder is experiencing a depressive episode. Which of the following interventions should the nurse not implement?

Correct answer: A

Rationale: During a depressive episode in bipolar disorder, it is crucial not to agree with the client's delusions to avoid reinforcing false beliefs. Monitoring for signs of suicidal ideation is essential for safety. Promoting a regular sleep schedule can help stabilize mood. Discouraging the expression of negative feelings is not recommended as it is important to allow clients to express their emotions and feel heard.

Similar Questions

After 1 week of continuous mental confusion, an elderly African American client is admitted with a preliminary diagnosis of a neurocognitive disorder due to dementia. Which statement would cause the nurse to question this diagnosis?
Which of the following are therapeutic communication techniques that a healthcare provider can use when interacting with clients? Select one that does not apply.
A psychiatric nurse observes that a client diagnosed with schizophrenia is pacing up and down the corridor. The client is muttering to himself, and his hands are trembling. Which of the following actions should the nurse take first?
A client diagnosed with post-traumatic stress disorder (PTSD) is being assessed by a healthcare professional. Which symptom would the healthcare professional expect the client to exhibit?
A patient with schizophrenia is experiencing hallucinations. Which intervention is most appropriate?

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