ATI MENTAL HEALTH PRACTICE TEST B 2023
WITH NGN QUESTIONS AND A+ VERIFIED ANSWERS
WITH RATIONALE
1. Client in abusive relationship and is assisting in the development of a safety plan. First
component of a safety plan?
Ans~Identify signs of escalation of violence
It is important for the client to be able to identify signs of escalation of violence, which are the
greatest risk to the client. Therefore, this is the first component of the safety plan because it
increases awareness of when danger is imminent and it is time to leave.
2. Child with conduct disorder and is behaving in a destructive manner, throw- ing objects,
and kicking others. Priority therapeutic nursing intervention?
Ans~Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority
intervention is to reduce environmental stimuli in an attempt to de-escalate the behaviorATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
1 of 35 7/23/2024, 4:40 AM and prevent injury.
3. Nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above
their ideal body weight. Which intervention should the nurse include in the plan?
Ans~Identify the client's trigger foods
The nurse should identify the trigger foods that initiate the client's binge and assist the client to
understand their thoughts and behavior that relate to the food.
4. Nurse is assisting a client who has terminal illness adjust to progressive loss of
independence. Client statement indicates acceptance of illness?
Ans~"I am going to order a wheelchair for when I am unable to walk"
The client is recognizing the reality of continued loss of independence and is anticipating the
need for assistive devices, which indicates the behavioral response of acceptance.
5. Medication administration record for a client who is experiencing adverse effects of
chlorpromazine. Nurse should administer benztropine to relieve which of the following
adverse effects?
Ans~Acute dystonia
The nurse should administer benztropine, an anticholinergic agent, to relieve acute dystonia,ATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
2 of 35 7/23/2024, 4:40 AM which is an extrapyramidal adverse effect of chlorpromazine.
6. A nurse is carnig for an older adult client who is experiencing delirium. Which
intervention should the nurse include in the client's plan of care?
Ans~Per- mit the client to perform daily rituals to decrease anxiety.
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by permitting the client to perform daily rituals.ATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
3 of 35 7/23/2024, 4:40 AM 7. Nurse is receiving change of shift report for four clients. Which client should the nurse
see first?
Ans~A client who is taking clozapine and reports a sore throat and chills
When using the urgent vs. nonurgent approach to client care, the nurse should determine to
first see the client who is taking clozapine and reports a sore throat and chills. Clozapine can cause
agranulocytosis, a serious adverse effect that causes neutropenia. The nurse should withhold the
medication and notify the provider of these findings.
8. Nurse is planning care for client who has made repeated physical threats toward
others on the unit. Although the client does not want to leave the uhnit, the nurse requests
that provider to transfer the client to a unit that is equippted to manage violent behavior.
Which ethical principle?
Ans~Nonmaleficence
It is the responsibility of the nurse to do no harm to clients. The nurse is applying the ethical
principle of nonmaleficence by requesting to transfer this client to a unit better able to manage
their behavior and thereby prevent injury to others on the unit.
9. Nurse is performing cognitive assessment to distinguish delirium from dementia in
a client whose family reports episodes fo confusion.Which as- sessment findingATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
4 of 35 7/23/2024, 4:40 AM
WITH NGN QUESTIONS AND A+ VERIFIED ANSWERS
WITH RATIONALE
1. Client in abusive relationship and is assisting in the development of a safety plan. First
component of a safety plan?
Ans~Identify signs of escalation of violence
It is important for the client to be able to identify signs of escalation of violence, which are the
greatest risk to the client. Therefore, this is the first component of the safety plan because it
increases awareness of when danger is imminent and it is time to leave.
2. Child with conduct disorder and is behaving in a destructive manner, throw- ing objects,
and kicking others. Priority therapeutic nursing intervention?
Ans~Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority
intervention is to reduce environmental stimuli in an attempt to de-escalate the behaviorATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
1 of 35 7/23/2024, 4:40 AM and prevent injury.
3. Nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above
their ideal body weight. Which intervention should the nurse include in the plan?
Ans~Identify the client's trigger foods
The nurse should identify the trigger foods that initiate the client's binge and assist the client to
understand their thoughts and behavior that relate to the food.
4. Nurse is assisting a client who has terminal illness adjust to progressive loss of
independence. Client statement indicates acceptance of illness?
Ans~"I am going to order a wheelchair for when I am unable to walk"
The client is recognizing the reality of continued loss of independence and is anticipating the
need for assistive devices, which indicates the behavioral response of acceptance.
5. Medication administration record for a client who is experiencing adverse effects of
chlorpromazine. Nurse should administer benztropine to relieve which of the following
adverse effects?
Ans~Acute dystonia
The nurse should administer benztropine, an anticholinergic agent, to relieve acute dystonia,ATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
2 of 35 7/23/2024, 4:40 AM which is an extrapyramidal adverse effect of chlorpromazine.
6. A nurse is carnig for an older adult client who is experiencing delirium. Which
intervention should the nurse include in the client's plan of care?
Ans~Per- mit the client to perform daily rituals to decrease anxiety.
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by permitting the client to perform daily rituals.ATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
3 of 35 7/23/2024, 4:40 AM 7. Nurse is receiving change of shift report for four clients. Which client should the nurse
see first?
Ans~A client who is taking clozapine and reports a sore throat and chills
When using the urgent vs. nonurgent approach to client care, the nurse should determine to
first see the client who is taking clozapine and reports a sore throat and chills. Clozapine can cause
agranulocytosis, a serious adverse effect that causes neutropenia. The nurse should withhold the
medication and notify the provider of these findings.
8. Nurse is planning care for client who has made repeated physical threats toward
others on the unit. Although the client does not want to leave the uhnit, the nurse requests
that provider to transfer the client to a unit that is equippted to manage violent behavior.
Which ethical principle?
Ans~Nonmaleficence
It is the responsibility of the nurse to do no harm to clients. The nurse is applying the ethical
principle of nonmaleficence by requesting to transfer this client to a unit better able to manage
their behavior and thereby prevent injury to others on the unit.
9. Nurse is performing cognitive assessment to distinguish delirium from dementia in
a client whose family reports episodes fo confusion.Which as- sessment findingATI MENTAL HEALTH PRACTICE TEST B 2023 WITH NGN QU... file:///C:/Users/User/Downloads/ATI%20MENTAL%20HEALTH%2...
4 of 35 7/23/2024, 4:40 AM
