ATI MENTAL HEALTH EXAM PACK 2023 LATEST PACKAGE

ATI MENTAL HEALTH EXAM PACK 2023 LATEST PACKAGE A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of the following treatment approaches should the nurse plan to take? Maintain close observation of the client. A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect? The client is able to identify the names of family members. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in this room is being recorded." Which of the following responses should the nurse make? "That must be very frightening." A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goalsshould the nurse identify as the priority? Maintaining adequate hydration A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? Sedation A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client? Promoting and maintaining clientsafety A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? Pure vanilla extract A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan? Taperthe medication gradually overseveral weeks. A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings should the nurse expect during alcohol withdrawal? Insomnia A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care? Diazepam A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that member of the group requires further teaching when she identifies which of the following findings as a manifestation of Alzheimer's disease? Sudden confusion A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which of the following manifestations is a common adverse effect of this medication? Dizziness A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it issafe to administer which of the following medications while the client is taking lithium? Valproic acid A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse? The parent provides a history that is inconsistent with the child's injury. A nurse is evaluating the plan of care for a client who has antisocial personality disorder. Which of the following client actionsindicatesthat he is making progress with the treatment? (Select all that apply.) Assisting another client who has depression to fill out a menu Requesting a weekend pass to go home A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include? "You should have your liver function levels monitored regularly while taking valproic acid" A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching? "You willslowly be exposed to increasing levels of public spaces." A nurse is planning a staff education session about the administration of antidepressant medicationsto older adult clients. Which of the following information should the nurse include in the teaching? Older adult clients require a lower initial dose of antidepressant medication than adult clients. A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnoses? Severe Alzheimer's disease A nurse is assessing a client who has binge-eating disorder. Which of the following findings should the nurse expect? Abdominal pain A nurse on an acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take? Request a prescription for an antianxiety medication. A nurse is assessing a client who has conduct disorder. Which of the following findings should the nurse expect? Aggressive behaviortoward others A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following information should the nurse include? An involuntary admission is justified if the client is a danger to others. A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actionsshould the nurse take first? Approach the client in a nonthreatening manner. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider's prescription? Hypotension A nurse is providing teaching to the parents of a school-age child who has attention deficit hyperactivity disorder (ADHD). Which of the following instructions should the nurse include in the teaching? "Ignore your child's attention-seeking behaviorsthat are not dangerous." A nurse is interviewing a client who has anorexia nervosa. Which of the following findings should the nurse expect? Strenuous exercise regimen A nurse is caring for a client who has depression. The client states, "I am too tired and depressed to attend group therapy today." Which of the following responses should the nurse make? "Attending group therapy, even if you're tired, is an important part of your treatment." A nurse is performing an admission assessment for a client who hasrestricting type anorexia nervosa. The nurse should expect which of the following findings? Decreased caloric intake A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances? Opiates A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client? Denial A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take? Talk to the client from two arm-lengths away. A nurse is assessing a client who takes phenelzineu forthe treatment of depression. Which of the following findings is the priority for the nurse to report to the provider? Elevated blood pressure A nurse is assessing a client who experienced a sexual assault 6 months ago. Which of the following findings should the nurse report to the provider as an indication of rape-trauma syndrome? Report of intense guilt A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use? Avoid a nonjudgemental tone. A nurse is providing teaching to the family of a client who has Alzheimer's disease about donepezil. Which of the following statements should the nurse include in the teaching? "Donepezil can improve cognitive functioning during the earlierstages of the disease." A nurse is obtaining a client's medical history prior to scheduling the client for electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as a potential complication of the procedure? Cardiac arrhythmia A nurse is planning care for a client who has bipolar disorder and is experiencing manic episode. Which of the following interventions should the nurse include in the plan? Provide the client frequently with high-calorie finger-foods. A nurse in an acute mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following actions is the nurse's priority? Protectthe client from impulsive behavior. A nurse in an acute mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse include in the plan? Instruct the client to practice thought stopping. A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which of the following medications should the nurse expect to administer to the client during maintenance? Disulfiram A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the nurse that he isn't going to attend any further sessions and states, "I don't have time for all that talking." Which of the following responses should the nurse make? "It must be difficult for you to talk about family problems." A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a heroin overdose. Which of the following findings should the nurse anticipate during heroin withdrawal? Muscle aches A nurse in an emergency room is assessing a client who has cocaine intoxication. Which of the following findings should the nurse expect? Dilated pupils A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted under court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display? Anger with the nursing staff for hospitalizing him against his will A nurse is developing a plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client? Permitting the client to spend some quiet time alone after each meal A nurse in the emergency department is assessing a client who has heroin intoxication. Which of the following findings should the nurse expect? Respiratory depression A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following actions should the nurse take? Administer the medication at bedtime. A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? Speak to the client using simple and concrete terminology. A nurse is caring for a client who has Wernicke-Korsakoffsyndrome due to alcohol use disorder. Which of the following findings should the nurse expect? Confusion A charge nurse is discussing mentalstatus examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. To assess cognitive ability, Ishould ask the client to count backwards by sevens B. To assess affect, I should observe the client's facial expression C. To assesslanguage ability, Ishould 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? D. Monitorthe client for adverse effects of 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? B. Identify client's perception of her mental health status A nurse is told during change ofshift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A. The client arouses briefly in response to a sternal rub A nurse is planning a peer group discussion about the diagnostic and statistical manual of mental health disorders 5th edition. Which of the following information is appropriate to include in the discussion? B. DSM-5 establishes diagnostic criteria for individual mental health D. The DSM-5 assists nurses in planning care for client's who have mental health disorders E. 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? C. 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? B. 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? C. Tell the client that this must be reported to the health care team because it concernsthe health and safety of the clients and others A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? B. Client was offered 8 oz of water every hour C. Clientshouted obscenities at assistive personnel D. Client received chlorpromazins 15 mg by mouth at 1000 A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? B. Tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? D. Intonation A nurse in an acute mental health facility is communicating with a client. The client states. "I can't sleep. I stay up all night." The nurse responds "you are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? D. Restating A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. Offering advice A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? C. The nurse asks the client about her body image perception A nurse is caring for the parents of a child who has demonstrated recent changesin behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? D. I understand you're concerned. Let's discuss what concerns you specifically A nurse istalking with a client who is at risk for suicide following the death of hisspouse. Which of the following statements should the nurse make? C. 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? C. It is goal-oriented D. Behavioral change is encouraged E. A termination date is established A nurse in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? B. The client accusesthe nurse 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? A. Discussing waysto 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? C. You and the other clients will meet with staff to discuss common problems A nurse is caring for several clients who are attending community based mental health programs. Which of the following clients should the nurse plan to visit first? C. A client who says he is hearing a voice that tells him his is not worthy of 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? C. Establishing rehabilitation programsto 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? A. Educational programs B. Medication dispensing programs C. Individual counseling programs E. 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? C. Attending a partial hospitalization program A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment group? B. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following clientstatements indicates an understanding of thisform of therapy? B. The therapist will focus on my past relationships during oursessions A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of thistechnique? D. Ishould say the first thing that comes to my mind A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? A. Priority restructuring B. Monitoring thoughts D. Journal keeping A nurse is caring or a client who has a new prescription for disulfiram for treatment of alcohol abuse disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol. Which of the following types of treatment is this method an example? A. Aversion Therapy 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? C. Gradually expose the client to an elevator while practicing relaxation techniques A nurse wants to use democratic leadership with a group whose purpose isto learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? C. Asksfor group suggestions of techniques and then supports discussion A nurse is planning group therapy for clients dealing with bereavement. Which ofthe following activities should the nurse include in the initial phase? B. Define the purpose of the group C. Discuss termination of the group E. 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 the 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? D. Hidden Agenda A nurse is conducting a family therapy session. The adolescent son tellsthe nurse that he plans 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? B. 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? C. A member who brags about accomplishments A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following clientstatementsindicates understanding of the teaching? D. I will receive a muscle relaxant to protect me from injury during ECT A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? D. I willschedule the client for daily TMS treatmentsfor the first several weeks A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? C. Memory loss D. Nausea E. Confusion A nurse is leading a peer group discussion about the indications for ECT. Which ofthe following indications should the nurse include in the discussion? C. Bipolar disorder with rapid cycling A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? A. Voice changes D. Dysphagia E. Neck pain A charge nurse is discussing mental status examinations 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.) A. "To assess cognitive ability, Ishould ask the client to count backward by sevens." B. "To assess affect, Ishould observe the client'sfacial expression." 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 psycho-biological intervention? Monitor the client for adverse effects of 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? Identify the client's perception of her mental health status A nurse is told during change-of-shift report that a client isstuporous. When assessing the client, which of the following findings should the nurse expect? The client arouses briefly in response to a sternal rub 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? A client who has a borderline personality disorder and assaulted a homeless man with a 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? 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? Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others A nurse is caring for a client who is in mechanical restraints. Whch of the following statemnets should the nurse include in the documentation? (Select all that apply) B. "Client was offered 8 oz. of water every hr. C. "Clientshouted obscenities at assistive personnel." D. "Client received chlorpromazine 15 mg by mouth at 1000." A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? Tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication Intonation PRACTICE ASSESSMENT: RN Mental Health Online Practice 2019 B 1. A nurse is talking with a group of parents who have recently experienced the death of a child which of the following actions should the nurse take? • Encourage the parentsto avoid discussing the death of their other children to protect their feelings • Recommend each parent grieve in a private to avoid hindering each other’s healing • a child. • Advise the parentsto begin counseling if they are still grieving in a few months 2. A nurse in a community Health Center is working with a group of clients who have posttraumatic stress disorder. Which of the following interventionsshould the nurse include to reduce anxiety among the group members? • Response prevention • Guided imagery • Aversion therapy • Light therapy 3. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? • Administer phenytoin 30 min prior to procedure • Instruct the client to expect a headache following the procedure • Place the client in a four-point restraint prior to the procedure • Monitor the client’s cardiac rhythm during the procedure 4. A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? • Provide teaching about the use of positive coping mechanisms • Establish screening programsto identify at risk clients • Refersurvivors to intimate partner abuse to a legal advocacy program • Organize rehabilitation therapy for clients who have experienced intimate partner abuse 5. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following findings places the client at a greater risk forself-directed injury or injuring others? • Inability to communicate with others • Feelings of absence ofself-worth • Lack of motivation to perform daily tasks • Command hallucinations Suggest forming a weekly support group for parents who have experienced the death of 6. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate? • Weight gain • Tinnitus • Tachycardia • Increased salivation 7. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make? • “It appears as though you would like to open the door.” • “You will feel more comfortable after you've been here for a while.” • “It is ok to not want to be here.” • “You really shouldn't be pushing on the door.” 8. 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.” • “I am going to stop paying my billssince I won't be around much longer.” • “I wish you would go take care ofsomebody who actually needs you.” • “I am sure I'm going to be able to continue to care for myself without help.” 9. A nurse is preparing to participate in an interdisciplinary conference or client who has bipolar disorder. Which of the following behaviorsisthe priority for the nurse to report to the treatment team? • Calling family members • Spending time alone • Giving away possessions • Excessive crying 10. A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the clients partner report to the provider? • Obsessive attention to detail • Inability to sleep • Reports of fatigue • Isolation from others 11. A nurse on an acute mental health facility isreceiving change ofshift report for four clients which of the following clients should the nurse assess first? • A client who does not recognize familiar people • A client who cannot verbalize their needs • A client who is awake and disoriented at night • A client who is experiencing delusions of persecution 12. A nurse is counseling and adolescent who has anorexia nervosa and reports excessive laxative use and a fear of gaining weight. The clientstates “I'm so fat I can't even stand to look at myself.” Which of the following therapeutic responses demonstrate the nurses use of summarizing? • “You've discussed several concerns about your weight let's go back and talk about your belief that you are fat.” • “You are saying that you think you are fat and are using laxatives because you are afraid of gaining weight.” • “You don't want to look at yourself because you think you are fat.” • “You and I can work together to overcome your fears of gaining weight.” 13. A nurse in a mental health clinic is caring for a client who has post-traumatic stress disorder (PTSD) after returning from military deployment which of the following isthe priority action for the nurse to take? • Assist the client to identify personal areas ofstrength • Encourage the client to talk about experiences during the deployment • Stay with the client when flashbacks occur • Teach the clientstress management techniques 14. 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 information should the nurse include in the teaching? • The program will help the client accept responsibility for the disorder • the client should obtain a sponsor before discharge for an increased chance of recovery • the client will need to identify individuals who have contributed to the disorder • The program will need a prescription for the clients provider prior to attendance 15. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression the client who has depression reports to the nurse “My roommate never sleeps and keeps me up, too.” Which of the following actions should the nurse take? • Move the client who has bipolar disorder to a private room • administersleep medication to the client who has bipolar disorder • move the client who hassevere depression to a private room • administersleep medication to the client who hassevere depression 16. A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful to establish a trusting nurse client relationship. Which of the following actions should the nurse take first? • Inform the client that this admission is confidential • Introduce the client to other clients in the dayroom • Assist the client in facilitating behavioral change • Determine coping strategies that the client has used in the past 17. A nurse is teaching coping strategies to a client who is experiencing depression related to partner violence. Which of the following statements by the client indicates an understanding of the teaching? • I willspend extra time at work to keep from feeling depressed • I will talk about my feelings with a close friend • I will be able to learn how to prevent my partner's attacks • I will use meditation instead of taking my anti depressants 18. A nurse is assessing a school age child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication of the child is it is experiencing post-traumatic stress disorder (PTSD)? • Clinging behaviors directed toward a teacher • Increased time spending sleeping • Intense focus on schoolwork • Lack of interest in an upcoming holiday 19. A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? • Allowing a client to choose which unit activities to attend • Attempting alternative therapiesinstead ofrestraintsfor a client who is combative • Providing a client with accurate information about their prognosis • Spending adequate time with a client who is verbally abusive 20. A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings support the nurse’s suspicion of delirium? • Slow onset • Aphasia • Confabulation • Easily distracted 21. A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? • Amenorrhea • Lanugo • Cold extremities • Tooth erosion 22. A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia nervosa. Which of the following statements made by the guardian indicates an understanding of their child's illness? • “The disease will increase our child's risk of high blood pressure.” • “It isimportant for our child to have regular dental checkups.” • “We need to weigh our child daily forseveral weeks then once per week.” • “Bleeding during our child's periods will increase because of this disease.” 23. A nurse any providers office is interviewing older adult which of the following action should the nurse plan to take? (Click on exhibit button for additional information about the client there are 3 tabs that contain separate categories of data). • Use a screening tool to evaluate the client for depression • ask the provider to decrease the dosage of the client’s blood pressure medication • instruct the client to decrease intake of vitamin B12 • suggest the client go for brisk walk 20 minutes just before bedtime 24. A nurse is caring for an older adult client who is experiencing delirium. Which the following intervention should the nurse include in the client's plan of care? • Offerthe client various choices for milk selection • Assign different nursing personnel for each shift • Permit the client to perform daily ritualsto decrease anxiety • Maintain an environment that haslow lighting 25. A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and using the majority of the group’s time. Which of the following interventions should the nurse implement? • Tell the client to talk less orrisk being removed from the meeting • Ask the group members to discuss their feelings about the client’s monopolizing behavior • End the group meeting and take the client aside to discussthe disruptive behavior • Focus on the group members and ignore the client who is doing all the talking 26. A nurse is assessing a family’s dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue? • An adolescent family member who questions parental authority • A family with three generations in the same household • Older children who are responsible for their youngersiblings • Two adults and their children from prior relationshipsin the same household 27. A nurse is admitting a client who has a major depressive disorder and a new prescription for tranylcypromine. Which of the following over-the-counter medications that the client report staking should alert the nurse to a potential adverse reaction? • Lansoprazole • Naproxen • Magnesium hydroxide • Phenylephrine 28. The nurse isreceiving change ofshift report for four clients. Which of the following client should the nurse plan to see first? • A client who has avoidant personality and refusesto attend group therapy • A client who has bipolar disorder in reports being kidnapped by aliens overnight • A client who's taking bupropion and reports having insomnia the past 2 nights • A client who istaking clozapine and reports ofsore throat and chills 29. A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory findings should the nurse expect? • Increased creatine phosphokinase (CPK) • Increased low density lipoproteins(LDL) • Decreased fasting blood sugar • Decreased aspartate aminotransferase (AST) 30. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? • Orient the client to person place and time • Assist the client with deep breathing exercises • Calm the client by using therapeutic touch • Have the client sit alone in a quiet room 31. The charge nurse on a mental health unit is discussing client’s rights with a newly licensed nurse. Which of the following statements should the charge nurse make? • “Clients can't refuse to take medicationsif they are admitted involuntarily”. • “You can notify a client’sfamily if they are admitted involuntarily”. • procedures.” • “You can remove a client's privilegesif they are admitted involuntarily and refused to attend therapy sessions.” 32. Nurse is planning discharge teaching for a client who has a severe schizoaffective disorder. The nurse should identify which of the following treatment options can offer interdisciplinary services for the client at home? • Community mental Health Center • Mental health day program • Partial hospitalization program • Assertive community treatment 33. A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following action should the nurse take first? • Call the provider to obtain an immediate prescription for restraint • Prepare to administer benzodiazepine I am • Call for a team of staff members to help with the situation • Check the client who was hit for injuries 34. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? • Encourage the client to participate in Group therapy • Instruct the client to avoid napping during the day • Offer the client high calorie finger foods frequently • Decrease the client's daily fiber intake 35. A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the priority? • Encourage expression of feelings • Support the child's attendance at an assertivenesstraining group • Assist the child to perform relaxation breathing • Reduce environmentalstimuli 36. A nurse on a medical surgical unit is assessing a client who sustained injuries 12 hours ago following a motor vehicle crash the client's admission blood alcohol level was 325 mg/dL. Which “Clients who are admitted involuntarily maintain the right to give informed consent for of the following findingsshould indicate to the nurse that the client is experiencing alcohol withdrawal? • Somnolence • Blood pressure 154 /96 mm Hg • Pinpoint pupils • Blood glucose 210 mg/dL 37. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? • Sedation • Rhinorrhea • Bradycardia • Hypothermia 38. A nurse in a community Health Center isteaching families of clients who have post-traumatic stress disorder (PTSD) about expected clinical manifestations which of the following manifestation should the nurse include? • Repeatedly talks about the traumatic incident • Sleeps excessively • Experiences feelings of isolation • Usesrepetitive speech 39. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. Which of the following interventions should the nurse include in the plan? • Include a liquid supplement with meals • Identify the clients trigger foods • Allow the client at least 1 hour for each meal • Weigh the client at bedtime each day 40. Nurse is educating a parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of the of this disorder should the nurse include in the teaching? • Fear of abandonment • Motor and verbal tics • Hostile behavior • Language delay 41. A nurse is caring for an older adult who begins to cry and states “I knew God would punish me and I deserve this horrible sickness!” Which of the following responses should the nurse make? • “Why do you think you deserve this punishment?” • “Don't worry about being punished by God.” • “Let'stalk about what is upsetting you.” • “You shouldn't say thingsthat will upset you so much.” 42. Nurse is reviewing laboratory results for a client who hasschizophrenia and istaking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine? • WBC count 2,500/mm^3 • Hgb 11.5 mg/dL • Platelets 150,000/mm^3 • RBC count 3.5 million/mm^3 43. Nurse in a mental health clinic is planning care for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? • Discuss outpatient resources with a client who has post-traumatic stress disorder • Create a plan of care for a client who is experiencing alcohol withdrawal • Explain sleep hygiene to a client who has insomnia • Stay with a client who has anorexia nervosa for 1 hour after mealtimes 44. Nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of the following information should the nurse include in the teaching? • Complete documentation about the client status every hour while they are in restraints • Maintain the client in restraints for a minimum of 4 hour • Apply restraints when other means of managing a client's behavior have failed • Request the provider assess the client with an 8 hour of application of restraints 45. Nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information about relapse should the nurse include? • Additional acute episodes of depression are unlikely following in patient care • Early identification of changes such as decrease social involvement is important • Medication compliance will prevent further need for inpatient hospitalization • It is helpful to regularly reinforce to the client that things will get better 46. Nurse is caring for a client who isin an abusive relationship and is assisting in the development of a safety plan. Which of the following actions is the first component of a safety plan? • Develop a code word that means “time to go.” • Identify signs of escalation of violence • Have a predetermined place to go in an event of violence • Keep a hidden packed bag of necessities 47. Nurse is planning care for a client who has generalized anxiety disorder. Which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? • Panic • Moderate • Severe • Mild 48. 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? • Rapid improvement in effect with 30 to 60 minutes after taking the medication • Greater risk of attempting suicide as affect and energy improve • Onset of frequent loose stools • Development of physiologic dependence on the medication 49. A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? • A 17- year- old client who lives with friends • a 50- year- old client who has a blood alcohol level of 80 milligrams per deciliter • a 35- year- old client who has major depressive disorder • a 65 -year- old client who just received a dose of morphine 50. A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client’s diagnosis? • “She works so hard at ballet. Willshe still be able to perform?” • “She won't let me take the trash from her room I'm concerned about what she has in there.” • “She told me she was tired,so I did her choresfor her today.” • “She is happier with her appearance now that she'slost some weight.” 51. Nurse is preparing to discharge to hold an older adult client who attempted suicide. The client lives alone and passed difficulty performing ADL’s. Which of the following referrals should the nurse initiate (select all that apply) • Speech language pathologist • Physical therapy • Occupationaltherapy • Meal delivery services • Home health services 52. The nurse is reviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. The nurse should administer benzotropine and to relieve which of the following adverse effects? • blurred vision • orthostatic hypotension • dry mouth • acute dystonia 53. The nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit which of the following interventions should the nurse include in the plan? • Document the client’s behavior every 8 hours • Limit the client’s fluid intake to 50 mL/hr • Renew the prescription for the client every 4 hour • Toilet the client every 4 hour 54. The nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? • “I will use the same plan of care and interventions for each client who has depression.” • “Each nurse will develop a separate plan of care for each client who has depression.” • “I will update the plan of care as a client’s manifestations of depression change.” • “An assistive - personnel can use the plan of care for client teaching.” 55. The nurse is preparing to administer diazepam 7.5 IV bolus to a client for alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. • 1.5 ml 56. A nurse is providing teaching to the partner of a client who is in a rehabilitation program for alcohol use disorder. The nurse should identify that which of the following statements by the client's partner indicates an understanding of the teaching? • “I will avoid social events until my partner has completed treatment.” • “It is important for me to focus my attention on my partner's addiction.” • “I will not take charge of my partners or responsibilities.” • “I want my partner to promise to change addictive behaviors.” 57. A nurse in the emergency department is caring for four clients. Which of the following clients is the nurse required to report as a potential victim of abuse? • High school age child who has bruises on the knees • An older adult client who is bed bound and has a stage IV pressure ulcer • An adolescent who has a vaginal candida infection • A young adult who is pregnant and has a sprained ankle 58. Nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? • “You probably want to hold your baby.” • “I’ll stay with you just in case you want to talk.” • “I know how you must be feeling.” • “It hurts now but things will be bettersoon.” 59. A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage my behavior. Which of the following ethical principles should the nurse apply in this situation? • Nonmaleficence • Veracity • Justice • Autonomy 60. A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased risk for depression? • The client is married • The client recently received a promotion at work • The client has COPD • The client is male ATI Mental Health Practice Exam A A nurse is interviewing a client at a temporary shelter after surviving the destruction of her home by a tornado. When assessing the client, the nurse should ask which of the following questions to determine the patient’s ability to cope with this situation? - "To whom do you talk when you feel overwhelmed?" - By asking this question, the nurse is assessing the client’s support system, which is an important factor in the client’s ability to cope with the situation. A nurse is caring for a patient who gave birth to a stillborn baby. Which of the following statements should the nurse make? - "I'llstay with you just in case you want to talk." - Thisresponse indicatesthe nurse’s interest in the client and a desire to understand the client’s feelings. A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hours ago following a motor-vehicle crash. The client’s admission blood alcohol level was 325 mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - BP 154/96 mm Hg - Physical manifestations of alcohol withdrawal occur in addition to psychological effects. A client who is experiencing alcohol withdrawal is expected to have hypertension, tachycardia, and fever greater than 38.3°C (101°F). It will be important for the nurse to rule out infection in the client who has fever. A nurse is teaching a family member and a client who has a sew diagnosis of Alzheimer’s disease and is to start taking donepezil. Which of the following statementsshould the nurse include in the teaching? - "Take this medication in the evening at bedtime." - The clientshould take this medication in the evening for optimal effectiveness. - A client should never double the dose after a missed dose due to adverse effects of the medication but should notify the provider. Chewing, crushing, or splitting the medication can affect the absorption of the medication. If the client has difficulty swallowing, the provider can prescribe orally disintegrating tablets. A nurse is discussing a 12-step program with a patient who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching? - The clientshould obtain a sponsor before discharge for an increased chance of recovery. - Thisis because the client-sponsor relationship has been shown to increase program attendance and the chances of recovery. During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in her bed. She reports that a bomb was placed in her room by a family member during visiting hours. Which of the following actions should the nurse take? - Assessthe client for evidence of a perceptual disturbance. - The nurse should assessthe situation to determine if the client is hallucinating or misperceiving external stimuli (experiencing illusions). A nurse is admitting a patient with major depression disorder and a new prescription for tranylcypromine. Which ofthe following OTC medications that the patient reportstaking should alert the nurse to a potential adverse reaction? - Phenylephrine - Tranylcypromine is an MAOI antidepressant, which should not be taken with phenylephrine and other OTC medications for sinus congestions, colds, or allergies due to their actions on the sympathetic nervous system, which can result in severe hypertension. A nurse is assessing a patient with schizophrenia. Which of the following findingsshould the nurse document as a negative symptom of this disorder? - Anhedonia - Negative symptoms ofschizophrenia affect a person’s ability to interact with others and are less dominant than the positive symptoms. These symptoms develop over time. Examples are flat affect, anergia (lack of energy), anhedonia (inability to enjoy otherwise pleasurable activities), and thought blocking. A nurse emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Which of the following statements by the mother acknowledges her daughter's diagnosis? - "She won't let me take the trash from her room. I'm concerned about what she has in there." - The client might be binge eating and attempting to hide her food containers, which is a common behavior among clients who have bulimia nervosa. The mother’s statement indicates awareness of her daughter’s behavior. 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? - Greaterrisk of attempting suicide as affect and energy improve. - An initial response to amitriptyline can develop in 1 week. For a client who has been severely depressed with suicidal ideation, the energy to carry out a plan is more possible after 1 week or treatment. A nurse in a community health center is teaching families of clients who have PTSD about expected clinical manifestations. Which of the following manifestations should the nurse include? - Experiences feelings of isolation - Clients who have PTSD often feel estranged and detached from others. A nurse is caring for a client who has anorexia nervosa. Which of the following criteria requires hospitalization? - Temperature 35.6°C (96.1°F) - Severe hypothermia, a temperature lower than 36°C (96.8°F) due to loss ofsubcutaneoustissue or dehydration requires hospitalization. A nurse is caring for a client who is experiencing alcohol withdrawals. Which of the following medications should the nurse administer first? - Diazepam 5 mg IV bolus - The greatest risk to the client experiencing alcohol withdrawal isseizures, an elevated heart rate, and elevated blood pressure. IV diazepam acts rapidly to prevent seizures, stabilize vital signs, and decrease the intensity of withdrawal manifestations. A patient with a diagnosis of depression is attending a group therapy. During the meeting, the nurse asks each member to identify one goal for the day. When it is the client’s turn, she does not respond. Which of the following actions should the nurse take before repeating the request to the patient? - Allow the client time to collect her thoughts. - Slowed response time is common in clients who have depression. The nurse should allow the client time to comprehend and formulate an answer to the question. A nurse observes a patient who has acute mania hit another patient first action to take? - Call for a team ofstaff members to help with the situation. - The greatest risk isinjury to the client and others. Therefore, the first action the nurse should take is to call for assistance to prevent further injury to himself or others. A nurse is providing teaching to a patient 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? - Wearsunglasses when outdoors. - Light therapy, or phototherapy, can cause eye strain and sensitivity to light. A client who has bipolar disorder isto be discharged home with a prescription for lithium. Which of the following statements indicatesthat the client teaching regarding the medication has been effective? - "I should eat a regular diet with normal amounts ofsalt and fluids." - This statement indicates that the client understands the teaching because normal levels of sodium and fluid need to be maintained to ensure adequate excretion of lithium. If sodium levels are low, the body compensates by decreasing lithium excretion, which can lead to toxicity. A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? - Spending adequate time with a client who is verbally abusive. - By spending time with a client who is verbally abusive, the nurse is demonstrating the ethical principle of justice. When the nurse spends an appropriate amount of time with each client regardless of their behavior and in keeping with their individual needs, the nurse guarantees that all clients receive equal care. A nurse is working with a group of parents who recently lost a child. Which of the following actions should the nurse take? - Suggest forming a weekly support group for parents who have experienced the loss of a child. - Support groups are q positive resource in the process of recovery for parents who have lost a child. A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? - Instruct the client to avoid driving during initial therapy. - The greatest risk to client isinjury resulting from drowsiness or dizziness. Therefore, the nurse’s priority intervention is to instruct the client to avoid activities that require mental alertness during initial medication therapy. A nurse is preparing to discharge an older adult client who attempted suicide to his home where he lives alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate? (select all) - Occupationaltherapy - Meal delivery services - Physical therapy - Home health services. - An occupational therapist can assist the client to perform ADL’s. Meal delivery services are necessary due to the client’s difficulty performing ADL’s. A physical therapist can assess the client’s mobility needs and assist with ADL’s. Home health services provide a nursing assessment of the client’s physical and mentalstatus, as well as assistance with ADL’s. A nurse is reviewing laboratory resultsfor a client who has schizophrenia and istaking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine? - WBC 2500/mm3 - This drug can cause agranulocytosis, which can be fatal due to overwhelming infection. The nurse should identify a WBC count below 3000/mm3 as a possible manifestation of agranulocytosis and should withhold the medication and notify the prescriber. A nurse in an outpatient mental health setting is collecting a health history from a patient who is taking paroxetine for depression. The client reportsto the nurse that he is also taking herbalsupplements. The nurse should advise the client that which of the following supplements has interacts adversely with paroxetine? - St. John's wort - Thisis an herbalsupplement that decreasesthe reuptake ofserotonin. The nurse should advise the client that taking St. John’s Wart with anther medication that also inhibits the reuptake of serotonin, such as paroxetine, places the client at risk for serotonin syndrome. A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - "I will update the plan of care as a client's manifestations of depression change". - The nurse should update the plan of care as a client’s status and needs change. While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which ofthe following behaviorsis consistent with this condition? - The client needs excessive external input to make everyday decisions. - Clients who have dependent personality disorder need excessive input from othersto make everyday decisions. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate? - Tachycardia A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? - Refrains from manipulating othersto earn dining-room privileges. - The goal of operant conditioning isto provide positive reinforcement in return for desired outcome. Refraining from manipulative behavior is a desired outcome. A nurse is planning care for a client with generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? - Mild - Thisis when the client will be able to concentrate and processinformation A nurse is caring for a client in a mental health facility. The nurse overhears another staff member make derogatory comments to the client. Which of the following actions should the nurse take? - Report the occurrence to the charge nurse. - It isthe charge nurse and nurse manager’sresponsibility to confront the staff member about her behavior toward the client. A nurse is caring for a client who has attempted suicide and has alcohol use disorder. Which of the following statements indicates that the client is using a positive coping mechanism? - "I will attend daily group therapy sessionsto practice relaxation techniques." - Relaxation techniques de crease the risk forself-harm by decreasing stress, anxiety, and depression. A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit. Which of the following interventions should the nurse include in the plan? - Renew the prescription forthe client every 4 hours. - The nurse should assess the client’s behavior frequently during seclusion and should renew the prescription for seclusion every 4 hours, for a maximum of 24 hours. A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide. - "It is easier to talk about my feelings now. - When clients express theirfeelings, thisindicates a positive treatment outcome. A nurse isreviewing routine laboratory values forseveral patients who are taking lithium carbonate. Which of the following clients should the nurse further assess for findings indicating lithium toxicity? - A client who has a sodium level of 128 mEq/L - Thissodium level should alert the nurse that the client is at risk for lithium toxicity because renal excretion of lithium is decreased in the presence of a low sodium level. Expected findingsfor bulimia nervosa. - Tooth erosion. A nurse is planning care for a preschool-age child who has ADHD. Which of the following interventions should the nurse identify as the priority? - Remove unnecessary equipment f