ATI RN Mental Health Online Practice 2025 B:)* questions and answers

ATI RN Mental Health Online Practice 2025 B:)*
questions and answers



1. A nurse in a mental healthclinic is caring for a client who has bipolar disorder and reports
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thattheystoppedtakinglithium2weeksago.Thenurse should recognize whichofthe
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followingasanexpectedadverseeffectthatmight havecausedtheclienttospot taking the
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medication?
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1. Sorethroat r




2. Photophobia
3. Handtremors r




4. Constipation
ANS:Correct=3.HandTremors r r r r r




- Fine hand tremors are an expected adverse effect of lithium and can interfere with
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performance of ADLs, causing the client to stop taking the medication.
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*Diarrheaisanearlymanifestationoflithiumtoxicity r r r r r r r




2. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above
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their ideal body weight. Which of the following interventions should the nurse include in
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the plan?
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1. Includealiquidsupplementwithmeals. r r r r r




2. Identifytheclient'striggerfoods. r r r r




3. Allowtheclientatleast1hrforeachmeal. r r r r r r r r r




4. Weightheclientatbedtimeeachday. r r r r r r




ANS:Correct=2.Identifytheclient'striggerfoods.
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- The nurse should identify the trigger foods that initiate the client's binge and assist the client to
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understanding their thoughts and behavior that relate to the food.
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,The nurse should limit the client's meal times to about 30 min to prevent putting excessive
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focus on food.
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Thenurseshouldweightheclientimmediatelyaftertheywakeupandvoidandprior tooral intake.
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Thenurseshouldweightheclient dailyforthefirstweekand thenthree times per week.
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*Thenurseshouldincludealiquidsupplementforaclientwhoisbelowtheiridealbody weight and
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might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
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3. Anurseiscaringforaclientwhose childhasaterminalillness.Theclientrequests
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information about how to deal with the upcoming loss.Which of the following
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statements should the nurse make?
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, 1. "Itwillbebetterforyoutokeepbusytoavoidthinkingaboutyourchild'sdeath."
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2. "Youwillcompletethegrievingprocessaboutayearafteryourchild'sdeath." r r r r r r r r r r r r




3. "Thegriefprocesswillstartonceyourchildactuallydies." r r r r r r r r r




4. "Itisnotuncommontofeelangrytowardyourselforothers."
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ANS:Correct=4."Itisnotuncommontofeelangrytowardyourselforothers."
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-Feelingsofblameandangertowardoneselforothersareanexpectedreactionwhena client is
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experiencing a loss.
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Thegriefprocesshasnotimeline.Itvariesforeachindividual.The client
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can begin anticipatory grieving during the child's illness.
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4. Anurseinamentalhealthclinicisplanningcareforaclientwho hasanew prescription
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forolanzapine.Whichofthefollowinginterventionsshouldthenurse identify as the
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priority?
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1. Advisetheclienttotakefrequentsipsofwater. r r r r r r r r




2. Recommendthattheclientexerciseregularly. r r r r r




3. Consultadietitianforacalorie-controlleddietplan. r r r r r r r




4. Instructtheclienttoavoiddrivingduringinitialtherapy. r r r r r r r r




ANS:Correct=4.Instructtheclienttoavoiddrivingduringinitialtherapy.
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- Thegreatestrisktothisclientisinjuryresultingfromdrowsinessordizziness.Therefore, the
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nurse's priority intervention is to instruct the client to avoid activities that require mental
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alertness during initial medication therapy.
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Thenurseshouldadvisetheclienttotakefrequentsipsofwaterduetotheadverseeffect of dry
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mouth. However, this is not the nurse's priority intervention.
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The nurse should advise the client to exercise regularly due to the adverse effects of weightgain
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andconstipation.However,thisisnotthenurse'spriorityintervention. The nurseshouldconsult
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adietitianforacalorie-controlled dietplanduetotheadverseeffect of weight gain.However,
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this is not the nurse's priority intervention.
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5. Anurseiscounselinganadolescentwhohasanorexianervosaandreports excessive
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laxativeuseandfearofgainingweight.TheClientstates,"I'msofatIcan'tevenstandto look
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at myself.".Which of the following therapeutic responses demonstrates the nurse's use of
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summarizing?
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