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Exam (elaborations)

Ati Mental Health Proctored Actual Exam 50 Questions and Answers latest 2025 with Rationales

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Ati Mental Health Proctored Actual Exam 50 Questions and Answers latest 2025 with Rationales

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Ati Mental Health Proctored Actual Exam 50 Questions and
Answers latest 2025 with Rationales
A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety
disorder. The nurse should tell the client which of the following adverse effects?

a. Tinitus

b. Bradycardia

c. Halitosis

d. Sedation

d. Sedation

RATIONALE

a. Tinnitus is not an adverse effect of benzodiazepines.

b. Tachycardia, rather than bradycardia, is a potential adverse effect of
benzodiazepines.

c. Halitosis is not an adverse effect of benzodiazepines.

d. The nurse should tell the client to expect sedation as an adverse effect of
benzodiazepines because of the CNS depression effects.

A nurse on an acute care unit is providing postoperative care to an older adult client who
develops delirium. Which of the following actions should the nurse take?

a. Request a prescription for an antianxiety medication.

b. Provide the client with a stimulating activity prior to bedtime.

c. Keep the lights in the client's room dim at night.

d. Encourage the client to make decisions about her daily routine.

a. Request a prescription for an antianxiety medication.

RATIONALE

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a. The nurse should request a prescription for an antianxiety medication for a client
who develops delirium. Administration of a PRN antianxiety medication can decrease
her anxiety and agitation.

b. The nurse should maintain a low-stimulation environment for the client to decrease
disorientation due to overstimulation.

c. The nurse should keep the client's room well-lit. Adequate lighting can help her to
remain oriented to place upon waking at night and will provide for safety if she
becomes ambulatory.

d. The nurse should provide the client with a consistent routine and limit her need to
make decisions. These actions will decrease disorientation and anxiety.



A nurse is obtaining a clients med history prior to scheduling the client for electroconvulsive
therapy (ECT). Which of the following findings should the nurse identify as a potential
complication of the procedure?

a. Severe depression

b. Cardiac arrhythmia

c. Bipolar disorder

d. Parkinson's disease

b. Cardiac arrhythmia

RATIONALE

a. A client can receive ECT for treatment of severe depression.

b. A client who has cardiac arrhythmias needs further evaluation. The nurse should
identify that the greatest risk for death due to ECT is related to cardiac complications.

c. A client can receive ECT for treatment of bipolar disorder.

d. A client can receive ECT for treatment of Parkinson's disease.

A nurse is developing a plan of care for a client who has anorexia nervosa. The nurse should
identify that which of the following actions is contraindicated for this client?

a. Explaining that tube feedings are necessary if the client refuses oral intake

,3


b. Weighing the client each day prior to any oral intake

c. Permitting the client to spend some quiet time alone after each meal

d. Refraining from commenting about the client's eating during meal times



c. Permitting the client to spend some quiet time alone after each meal

RATIONALE

a. The nurse should inform the client that he might require tube feedings to provide
adequate nutritional intake if oral intake is inadequate. This intervention is not
intended to be punitive but to ensure the client's safety.

b. The nurse should weigh the client each day prior to any oral intake to obtain
accurate data and to monitor his progress toward weight gain goals.

c. The nurse should directly observe the client for a minimum of 1 hr following meals.
This intervention prevents the client from purging or discarding hidden food.
Therefore, permitting the client to have alone time following meals is contraindicated
for his plan of care.

d. The nurse should encourage conversation during meals to promote a pleasurable
eating environment; however, the nurse should avoid the topics of eating and food,
which can increase the client's level of anxiety.

A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which
of the following meds should the nurse expect to admin to client during maintenance?

a. Methadone

b. Disulfiram

c. Chlordiazepoxide

d. Naloxone

b. Disulfiram

RATIONALE a. The nurse should expect to administer methadone to the client who
has opioid withdrawal.

, 4


b. The nurse should expect to administer disulfiram as a deterrent to prevent future use
of alcohol. The nurse must ensure that the client has not had any alcohol intake for at
least 12 hr prior to administration.

c. The nurse should expect to administer chlordiazepoxide during alcohol withdrawal.
Chloridiazepoxide is not a medication used to help with maintenance.

d. The nurse should expect to administer naloxone to the client who is experiencing a
narcotic overdose.

A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder.
The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following
findings should the nurse expect during alcohol withdrawal?

a. Low body temperature

b. Insomnia

c. Muscle flaccidity

d. Bradycardia

b. Insomnia

RATIONALE

a. The nurse should expect the client who is experiencing alcohol withdrawal to have
an elevated temperature.

b. The nurse should expect the client who is experiencing alcohol withdrawal to have
insomnia and restlessness.

c. The nurse should expect the client who is experiencing alcohol withdrawal to have
muscle tremors.

d. The nurse should expect the client who is experiencing alcohol withdrawal to have
tachycardia.

A nurse is evaluating a plan of care for a client who has antisocial personality disorder. Which of
the following client actions indicates that he is making progress with the treatment? SATA

a. Assisting another client who has depression to fill out a menu

b. Nominating himself to chair the client government meeting

c. Requesting a weekend pass to go home

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