ATI Mental Health Assessment A 2023
A school nurse is assessing a school-age child who experienced the traumatic loss of a parent 8
months ago. Which of the filling findings should the nurse identify as an indication that the child
is experiencing post-traumatic stress disorder (PTSD)?
A. Clinging behaviors directed toward a teacher
B. Increased time spent sleeping
C. Intense focus on school work
D. Lack of interest in an upcoming holiday - ANSD. Lack of interest in an upcoming holiday
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3 (5,000 to 10,000/mm3)
B. A client who is taking lamotrigine and has developed a rash
C. A client who taking valproate and has a platelet count of 200,000/mm3 (150,000 to
400,000/mm3)
D. A client who is taking lithium and has increased thirst - ANSB. A client who is taking
lamotrigine and has developed a rash
A nurse is caring for a male client who has schizophrenia and is taking clozapine. Which of the
following client findings should the nurse identify as a contraindication for receiving clozapine?
A. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
B. Hgb 11.5 mg/dl (14 to 18 mg/dl)
C. Alogia
D. Client reports having a dry mouth - ANSA. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
A nurse is planning care for a client who has depression and has made frequent suicide
attempts. Which of the following statement indicates the client has a decreased risk for suicide?
A. "I'm relieved now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
,C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me." - ANSB. "It is easier to talk about my
feelings now."
During a client's initial interview in a mental health inpatient setting, a nurse identifies that the
client is maintaining eye contact and leaning forward. Which of the following assumptions
should the nurse make based on the client's nonverbal behaviors?
A. The client is interested in what the nurse is saying
B. The client is attempting to manipulate the nurse
C. The client is physically attracted to the nurse
D. The client is seeking acceptance by the nurse - ANSA. The client is interested in what the
nurse is saying
A nurse is caring for a client who has impaired cognition.
NGN Question: A nurse is updating the client's plan of care. For each of the following potential
nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or
contraindicated for the client. - ANSAnticipated: 1. When addressing the client, approach them
from the front when possible; 5. Give the directions to the client slowly and in a moderate tone
of voice; 6. Decrease sensory stimulation: 8. Assign the client to a room near the nurses' station.
Nonessential: 4. Provide the client with high-calorie protein drinks hourly.
Contraindicated: 2. Use a vest restraint to keep the client in a medical recliner; 3. Ensure the
bed is kept at a working height for the nurse; 7. Keep the lights off in the client's bedroom and
bathroom at night.
A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations.
Which of the following interventions should the nurse include in the plan?
A. Promote the use of music to compete with the client's auditory hallucinations.
B. Inform the client that the auditory hallucinations are not real.
C. Avoid asking the client if they are experiencing auditory hallucinations.
, D. Instruct the client on the use of voice recognition regarding the auditory hallucinations. -
ANSA. Promote the use of music to compete with the client's auditory hallucinations.
A nurse is establishing a therapeutic relationship with a client who has antisocial personality
disorder. Which of the following strategies should the nurse use when communicating with this
client?
A. Behave in a friendly manner towards the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the clients need for isolation.
D. Act as a role model for assertiveness. - ANSB. Set realistic limits on the client's behavior.
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 about relapse should the nurse
include?
A. Additional acute episodes of depression are unlikely following inpatient care.
B. Early identification of changes, such as decreased social involvement, is important.
C. Medication compliance will prevent further need for inpatient hospitalization.
D. It is helpful to regularly reinforce to the client that things will get better. - ANSB. Early
identification of changes, such as decreased social involvement, is important.
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
A school nurse is assessing a school-age child who experienced the traumatic loss of a parent 8
months ago. Which of the filling findings should the nurse identify as an indication that the child
is experiencing post-traumatic stress disorder (PTSD)?
A. Clinging behaviors directed toward a teacher
B. Increased time spent sleeping
C. Intense focus on school work
D. Lack of interest in an upcoming holiday - ANSD. Lack of interest in an upcoming holiday
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3 (5,000 to 10,000/mm3)
B. A client who is taking lamotrigine and has developed a rash
C. A client who taking valproate and has a platelet count of 200,000/mm3 (150,000 to
400,000/mm3)
D. A client who is taking lithium and has increased thirst - ANSB. A client who is taking
lamotrigine and has developed a rash
A nurse is caring for a male client who has schizophrenia and is taking clozapine. Which of the
following client findings should the nurse identify as a contraindication for receiving clozapine?
A. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
B. Hgb 11.5 mg/dl (14 to 18 mg/dl)
C. Alogia
D. Client reports having a dry mouth - ANSA. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
A nurse is planning care for a client who has depression and has made frequent suicide
attempts. Which of the following statement indicates the client has a decreased risk for suicide?
A. "I'm relieved now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
,C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me." - ANSB. "It is easier to talk about my
feelings now."
During a client's initial interview in a mental health inpatient setting, a nurse identifies that the
client is maintaining eye contact and leaning forward. Which of the following assumptions
should the nurse make based on the client's nonverbal behaviors?
A. The client is interested in what the nurse is saying
B. The client is attempting to manipulate the nurse
C. The client is physically attracted to the nurse
D. The client is seeking acceptance by the nurse - ANSA. The client is interested in what the
nurse is saying
A nurse is caring for a client who has impaired cognition.
NGN Question: A nurse is updating the client's plan of care. For each of the following potential
nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or
contraindicated for the client. - ANSAnticipated: 1. When addressing the client, approach them
from the front when possible; 5. Give the directions to the client slowly and in a moderate tone
of voice; 6. Decrease sensory stimulation: 8. Assign the client to a room near the nurses' station.
Nonessential: 4. Provide the client with high-calorie protein drinks hourly.
Contraindicated: 2. Use a vest restraint to keep the client in a medical recliner; 3. Ensure the
bed is kept at a working height for the nurse; 7. Keep the lights off in the client's bedroom and
bathroom at night.
A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations.
Which of the following interventions should the nurse include in the plan?
A. Promote the use of music to compete with the client's auditory hallucinations.
B. Inform the client that the auditory hallucinations are not real.
C. Avoid asking the client if they are experiencing auditory hallucinations.
, D. Instruct the client on the use of voice recognition regarding the auditory hallucinations. -
ANSA. Promote the use of music to compete with the client's auditory hallucinations.
A nurse is establishing a therapeutic relationship with a client who has antisocial personality
disorder. Which of the following strategies should the nurse use when communicating with this
client?
A. Behave in a friendly manner towards the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the clients need for isolation.
D. Act as a role model for assertiveness. - ANSB. Set realistic limits on the client's behavior.
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 about relapse should the nurse
include?
A. Additional acute episodes of depression are unlikely following inpatient care.
B. Early identification of changes, such as decreased social involvement, is important.
C. Medication compliance will prevent further need for inpatient hospitalization.
D. It is helpful to regularly reinforce to the client that things will get better. - ANSB. Early
identification of changes, such as decreased social involvement, is important.
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
