NGN ATI RN MENTAL HEALTH PRACTICE TEST QUESTIONS AND ANSWERS

NGN ATI RN MENTAL HEALTH PRACTICE TEST QUESTIONS AND ANSWERS 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 supports the nurse's suspicion of delirium? - CORRECT ANSWER-Easily distracted A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? - CORRECT ANSWER-"I'll stay with you just in case you want to talk." 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? - CORRECT ANSWER-A 35-year-old client who has major depressive disorder 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? - CORRECT ANSWER-"I will update the plan of care as a client's manifestations of depression change." A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr 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? - CORRECT ANSWER-Blood pressure 154/96 mm Hg 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 violent behavior. Which of the following ethical principles should the nurse apply in this situation? - CORRECT ANSWER-Nonmaleficence 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? - CORRECT ANSWER-The client should obtain a sponsor before discharge for an increased chance of recovery. 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? - CORRECT ANSWER-Renew the prescription for the client every 4 hr. 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? - CORRECT ANSWER-Inform the client that this admission is confidential. A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse should identify that which of the following treatment options can offer interdisciplinary services for the client at home? - CORRECT ANSWER-Assertive community treatment 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? - CORRECT ANSWER-Spending adequate time with a client who is verbally abusive. 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 guardians indicates an understanding of their child's illness? - CORRECT ANSWER-"It is important for our child to have regular dental checkups." 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? - CORRECT ANSWER-Greater risk of attempting suicide as affect and energy improve A nurse is planning care for a client who has generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? - CORRECT ANSWER-Mild 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? - CORRECT ANSWER-Identify the client's trigger foods. A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of the following statements should the nurse make? - CORRECT ANSWER-"Clients who are admitted involuntarily maintain the right to give informed consent for procedures." A nurse is reviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse effects? - CORRECT ANSWERAcute dystonia A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? - CORRECT ANSWER-Tooth erosion 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? - CORRECT ANSWERSuggest forming a weekly support group for parents who have experienced the death of a child. A nurse is evaluating the client after 2 weeks. Which of the following findings indicate an improvement in the client's condition? (Select all that apply.) - CORRECT ANSWERSodium Potassium BMI Bowel movement BUN Skin temperature Heart rate A nurse is preparing to administer diazepam 7.5 mg 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.) - CORRECT ANSWER-1.5 mL A nurse on an acute mental health facility is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first? - CORRECT ANSWER-A client who is experiencing delusions of persecution A nurse is educating the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder should the nurse include in the teaching? - CORRECT ANSWER-Language delay A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first? - CORRECT ANSWER-Call for a team of staff members to help with the situation.