ATI Mental Health 2024 B

ATI Mental Health 1. A nurse in a community health center is working with a group of clients who have post- traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - Response prevention - Guided imagery * - Aversion therapy - Light therapy 2. 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 * - Administer sleep medication to the client who has bipolar disorder - Move the client who has severe depression to a private room - Administer sleep medication to the client who has severe depression 3. A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine. A. WBC 2500/mm3 * B. Hbg 11.5 mg/dL C. Platelets 150,000/mm3 D. RBC 3.5 million/mm3 4. 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? - 17 yr old who lives with friends - 50 yr old who has a blood alcohol level of 80 mg/dL - 65 yr old who just received a dose of morphine - 35 yr old who has major depressive disorder* 5. 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 or risk 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 discuss the disruptive behavior - Focus on other group members and ignore the client who is doing all the talking 6. A nurse in a community health center is teaching families of clients who has post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include? - Repeatedly talks about the traumatic event - Sleeps excessively - Experiences feelings of isolation * - Uses repetitive speech 7. 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 nurseadminister? 1.5 mL 8. 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 programs to identify at risk clients * - Refer survivors of intimate partner abuse to a legal advocacy program - Organize rehab therapy for clients who have experiences intimate partner abuse 9. 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 - Recent promotion at work - COPD * - Male 10. A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives alone and has difficulty performing ADL’s. Which of the following referrals should thenurse initiate? Select all that apply - Occupational therapy * - Meal delivery services * - Speech language pathologist - Physical therapy * - Home health services * 11. A nurse is receiving change of shift report for four clients. Which of the following clients should the nurse plan to see first? - A avoidant personality disorder - Bipolar disorder and reports being kidnapped by aliens over night - Taking bupropion and reports having insomnia the past two nights - Taking clozapine and reports a sore throat and chills * 12. A nurse in a mental health clinic is planning care for four clients. Which of the followingtasks should the nurse delegate to the AP? - Discuss outpatient resources with a client who has PTSD - 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 hr after mealtimes * 13. 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? - Call the provider to obtain an immediate prescription for restraint - Prepare to administer benzodiazepine IM - Call for a team of staff members to help with the situation * - Check the client who was hit for injuries 14. A 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 clients states Q1H while they are in restraints - Maintain the client in restraints for a minimum of 4 hr - Apply restraints when other means of managing the client’s behavior have failed - Request that the provider assess the client within 8H of the application of restraints 15. 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? - The disease will increase our child’s risk for high blood pressure - It is important for our child to have regular dental check ups * - We need to weigh our child daily for several weeks, then once per week - Bleeding during our child’s periods will increase because of the disease. 16. 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 will spend 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 antidepressant 17. A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client’s plan of care? - Offer the client various choice for meal selection - Assign different nursing personnel for each shift - Permit the client to perform daily rituals to decrease anxiety * - Maintain an environment that has low lighting 18. A nurse in a mental health clinic is caring for a client who has PTSD after returning frommilitary deployment. Which of the following in the priority action for the nurse to take? - Assist the client to identify personal areas of strength - Encourage the client to talk about experiences during the deployment - Stay with the client when flashbacks occur * - Teach the client stress management techniques 19. A nurse is caring for a client who gave birth to a stillborn baby. Which of the followingstatements 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 get better soon 20. 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 assertiveness training group - Asist the child to perform relaxation breathing - Reduce environmental stimuli * 21. A nurse is caring for an older adult client who begins to cry and states, “I knew God would punish me and I deserve this horrible sickness!” Which of the following response should the nurse make? - Why do you think you deserve this punishment - Don’t worry about being punished by God - Let’s talk about what is upsetting you * - You shouldn’t say things that will upset you so much 22. A nurse is performing 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? - Slow onset - Aphasia - Confabulation - Easily distracted * 23. A nurse on a med/surg unit assessing a client who sustained injuries 12H 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? - Somnolence - BP 154/96 * - Pinpoint pupils - Blood glucose 210 24. 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 client’s partner report to the provider? - Obsessive attention to detail - Inability to sleep * - Reports of fatigue - Isolation from others 25. 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 therapies instead of restraints for a client who is combative - Providing a client with accurate information about their prognosis - Spending adequate time with a client who is verbally abusive * 26. 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 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? - Nonmaleficence * - Veracity - Justice - Autonomy 27. A nurse is caring for a client who is in 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 worse that means “time to go” - Identify signs of escalation of violence * - Have a predetermined place to go in the event of violence - Keep a hidden package of necessities 28. A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following labfindings should the nurse expect? - Increased CPK * - increased LDL - Decrease fasting blood glucose - Decreased AST 29. A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 wk. Which of the following outcomes should the nurse expect? - Rapid improvement in affect within 30-60 min 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 30. 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 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 the client’s manifestations of depression change * - An AP can use the plan of care for client teaching 31. 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? - 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 delusion of persecution * 32. 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 client’s trigger foods* - Allow the client at least 1H for each meal - Weigh the client at bedtime each day 33. A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team? - Calling family members - Spending time alone - Giving away possessions * - Excessive crying 34. A nurse at a providers office is interviewing an older adult client. Which of the following actions should the nurse plan to take? Nurse's Notes The client reports a history of anxiety; diagnosed with Alzheimer's disease 2months ago. The client's partner died 6 months ago. Reports decreased appetite, low energy levels, and insomnia for several weeks; some memory loss. Graphic Results SaO2 96% on room air Respiratory rate 20/min Blood pressure 112/76 mm Hg (lying) Blood pressure 104/68 mm Hg (standing) Heart rate 68/min Temperature 36° C (96.8° F) Medication Administration Record Captopril 12.5 mg by mouth three times dailyDigoxin 0.125 mg by mouth each morning Multivitamin with iron one by mouth daily Docusate sodium 50 mg by mouth each evening - Use a screening tool to evaluate the client for depression * - Ask the provider to decrease the dose of the client’s BP med - Instruct the client to decease intake of vitamin B12 - Suggest the client go for a brisk walk 20 min before bedtime 35. A nurse is planning care for a client who is to undergo ECT. Which of the following actions should thenurse include in the plan? - Administer phenytoin 30 min prior to the procedure - Instruct the client to expect a headache following the procedure - Place the client in four point restraints prior to the procedure - Monitor the client’s cardiac rhythm during the procedure * 36. 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 actionsshould the nurse take first? - Inform the client that this admission is confidential * - Introduce the client to other clients in the day room - Asist the client in facilitating behavioral change - Determine coping strategies that the client has used in the past 37. A nurse is talking with a group of parents who have recently experienced the death of a child. Whichof the following actions should the nurse take? - Encourage the parents to avoid discussing the death with their other children to protect their feelings - Recommend each parent grieve in private to avoid hindering each other’s healing - Suggest forming a weekly support group for parents who have experienced the death of a child * - Advice the parents to begin counseling if they are still grieving in a few months 38. A nurse is providing teaching to the partner of a client who is in a rehab 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 partner’s work responsibilities * - I want my partner to promise to change addictive behaviors 39. 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 * 40. A nurse is caring for a client who is experiencing a panic attack. Which of the followingactions 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 41. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following findings places the client at the greatest risk for self-directed injury or injuring others? - Inability to communicate with others - Feelings of absence of self-worth - Lack of motivation to perform daily tasks - Command hallucinations * 42. A nurse in an ER 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. Will she 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 chores for her today - She is happier with her appearance now that she’s lost some weight 43. 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? - Community mental health center - Mental health day program - Partial hospitalization program - Assertive community treatment * 44. A school nurse is assessing a school age child who experienced the traumatic loss of a parent 8 mo ago. Which of the following findings should the nurse identify as an indication that the child is experiencing PTSD? - Clinging behaviors directed toward a teaching - Increased time spent sleeping - Intense focus on school work - Lack of interest in an upcoming holiday * 45. A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative use and a fear or gaining weight. The client states, “I’m so fat I can’t even stand to look at myself.” Which of the following therapeutic response demonstrates the nurse’s 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’re 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 46. 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 47. A nurse is planning care for a client who has generalized anxiety disorder. At which of following levels of anxiety should the nurse plan to teach the client relaxation techniques? - Panic - Moderate - Severe - Mild 48. A nurse is admitting a client who has major depressive disorder and a new prescription for tranylcypromine. Which of the following OTC meds that the client reports taking should alert the nurse to potential adverse reaction? - Lansoprazole - Naproxen - Magnesium hydroxide - Phenylephrine * 49. A nurse in an ER is caring for four clients. Which of the following clients is the nurse requiredto report as potential victim of abuse? - School age child who has bruises on the knees - Older adult client who is bedbound and had stage IV pressure ulcer * - An adolescent who has vaginal candida infection - Young adult who is pregnant and has a sprained ankle 50. A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of the following statements should the charge nurse make? - Clients can’t refuse to take meds if they are admitted involuntarily - You can notify a client’s family if they are admitted involuntarily - Clients who are admitted involuntarily maintain the right to give informed consent for procedures * - You can remove a client’s privileges if they are admitted involuntarily and refuse to attend therapy sessions 51. A nurse is assisting a client who has 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 bills since I won’t be around much longer - I wish you would go take care of somebody who actually needs you - I am sure I’m going to be able to continue to care for myself without help 52. 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 from the client’s provider prior to attendance 53. A nurse is education 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? - Fear of abandonment - Motor and verbal tics - Hostile behavior - Language delay * 54. 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 okay to not want to be here - You really shouldn’t be pushing on the door 55. 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? - Document the client’s behavior Q8H - Limit the client’s fluid intake to 50 mL/Hr - Renew the prescription for the client Q4H * - Toilet the client 4H 56. 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 57. A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information relapse should the nurse include? - Additional acute episodes of depression are unlikely following inpatient care - Early identification of changes such as decreased 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 58. 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? - Blurred vision - Orthostatic hypotension - Dry mouth - Acute dystonia * 59. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the followingmanifestations should the nurse except? - Sedation - Rhinorrhea * - Bradycardia - Hypothermia 60. A nurse is assessing a family’s dynamics during a counseling session. The nurse shouldrecognize 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 younger siblings * - Two adults and their children from prior relationships in the same household