ATI mental health practice test
A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of
bulimia nervose and has a fainting episode during a ballet performance. Which of the following
statements by the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." - ANSB. "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 food containers, which is a common
behavior among clients who have bulimia nervosa. The parent's statement indicates awareness
of the client's behavior.
A nurse in a community health center is teaching families of clients who have post-traumatic
stress disorder (PTSD) about expected clinical manifestations. Which of the following
manifestations should the nurse include?
A. Repeatedly talks about the traumatic incident
B. sleeps excessively
C. experiences feelings of isolation
D. uses repetitive speech - ANSC. experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following
laboratory findings should the nurse expect?
A. Increased creatine phosphokinase (CPK)
B. Increase low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
, D. Decreased aspartate aminotransferase (AST) - ANSA. Increased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
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?
A. Offer the clients various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lightning - ANSC. Permit 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.
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 is the priority action for
the nurse to take?
A. Assist the client to identify personal areas of strength.
B. Encourage the client to talk about experiences during the deployment.
C. Stay with the client when flashbacks occur.
D. Teach the client stress-management techniques. - ANSC. Stay with the client when flashbacks
occur.
The greatest risk to this client is injury that can occur during a flashback; therefore, the priority
intervention for the nurse is to remain with the client and offer reassurance and support when
flashbacks occur.
A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of
bulimia nervose and has a fainting episode during a ballet performance. Which of the following
statements by the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." - ANSB. "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 food containers, which is a common
behavior among clients who have bulimia nervosa. The parent's statement indicates awareness
of the client's behavior.
A nurse in a community health center is teaching families of clients who have post-traumatic
stress disorder (PTSD) about expected clinical manifestations. Which of the following
manifestations should the nurse include?
A. Repeatedly talks about the traumatic incident
B. sleeps excessively
C. experiences feelings of isolation
D. uses repetitive speech - ANSC. experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following
laboratory findings should the nurse expect?
A. Increased creatine phosphokinase (CPK)
B. Increase low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
, D. Decreased aspartate aminotransferase (AST) - ANSA. Increased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
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?
A. Offer the clients various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lightning - ANSC. Permit 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.
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 is the priority action for
the nurse to take?
A. Assist the client to identify personal areas of strength.
B. Encourage the client to talk about experiences during the deployment.
C. Stay with the client when flashbacks occur.
D. Teach the client stress-management techniques. - ANSC. Stay with the client when flashbacks
occur.
The greatest risk to this client is injury that can occur during a flashback; therefore, the priority
intervention for the nurse is to remain with the client and offer reassurance and support when
flashbacks occur.
