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ATI Mental Health, 334 Mental Health ATI, Mental  Health ATI Practice Assessment B With 100%  Correct Questions And Answers A nurse is assisting a client who has a terminal illness adjust to progressive loss  of independence. Which of the following statements by the client indicates  acceptance of her illness - "I am going to order a wheelchair for when I'm unable  to walk." R: pt is recognizing the reality of continued loss of independence and is  anticipating the need for assistive devices, indicative of acceptance. A nurse is caring for an older adult client who has dementia and has wandered  into the day room looking for her deceased partner. Which of the following actions  should the nurse take - Talk with the client about activities she enjoyed with her  partner R: talking about + experiences can help distract her from disorientation A nurse is teaching a client who has bipolar disorder and a prescription for  lithium. Which of the following instructions should the nurse include in the  teaching - "Take this medication with food R: Lithium can cause GI distress -lithium need adequate sodium to decrease lithium tox need NA 1,500 mg/day  -consume 2,000-3,000 ml of fluids -not addictive A nurse in a substance use disorder program is interacting with a client. Which of  the following statements indicates the client is using intellectualization as a means  of coping with the anxiety of admission?  a. "I was just using the medication to help me during a rough time in my life. I can  stop whenever I want." b. "this all happened because my spouse is unemployed. That puts an enormous  amount of stress on me." c. "I've read that problems with substances can have a variety of predisposing  factors" d. "I just don't want to talk. Anyway, there is nothing you can do to help." - c.- this  response uses intellectualization to avoid expressing the emotions stemming from  stressful situations a represents denial b represents rationalization (making up excuses to justify unacceptable behavior) d represents suppression (the client consciously avoiding a discussion of  substance use disorder) conduct disorder - a pattern of behavior in which the rights of others or basic  social rules are violated priority needs for a client with bipolar disorder experiencing acute mania - preventing physical exhaustion, maintaining health, and meet nutritional and rest  needs  consider Maslow's hierarchy of needs The use of lorazepam (a benzodiazepine) for a client experiencing alcohol  withdrawal (what are the expected outcomes?) - stabilize vital signs prevent seizures treating delirium tremens countertransference - Circumstances in which a psychoanalyst develops personal  feelings about a client because of perceived similarity of the client to significant  people in the therapist's life. unconsciously attributes positive or negative feelings about another person or  client modeling therapy - a type of therapy characterized by watching and imitating  models that demonstrate desirable behaviors (for example, a nurse demonstrating the performance of hand hygiene at  scheduled times to a client with OCD who performs hand hygiene to decrease  anxiety) anhedonia - the inability to experience pleasure (this is especially concerning  when a client no longer enjoys activities that once produced pleasure) anergia - total passivity or lack of energy memantine - an expected prescription for a client with moderate to severe  alzheimer's