ATI RN Mental Health Online Practice 2025/2026
B:)* questions and answers
1. A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
that they stopped taking lithium2weeksago.The nurse should recognize which of the
; ; ; ; ; ; ; ; ; ; ; ; ; ;
following asan expectedadverse effect that might have causedthe client to spot taking the
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
medication?
;
1. Sorethroat ;
2. Photophobia
3. Handtremors ;
4. Constipation
ANS:Correct=3.HandTremors ; ; ; ; ;
- Fine hand tremors are an expected adverse effect of lithium and can interfere with
; ; ; ; ; ; ; ; ; ; ; ; ; ;
performance of ADLs, causing the client to stop taking the medication.
; ; ; ; ; ; ; ; ; ; ;
*Diarrheaisanearlymanifestationoflithiumtoxicity ; ; ; ; ; ; ;
2. 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?
; ;
1. Includealiquidsupplementwithmeals. ; ; ; ; ;
2. Identifytheclient'striggerfoods. ; ; ; ;
3. Allowtheclientatleast1hrforeachmeal. ; ; ; ; ; ; ; ; ;
4. Weightheclientatbedtimeeachday. ; ; ; ; ; ;
ANS:Correct=2.Identifytheclient'striggerfoods.
; ; ; ; ; ; ; ;
- The nurse should identify the trigger foods that initiate the client's binge and assist the client
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
to understanding their thoughts and behavior that relate to the food.
; ; ; ; ; ; ; ; ; ; ;
,The nurse should limit the client's meal times to about 30 min to prevent putting excessive
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
focus on food.
; ; ;
Thenurseshouldweightheclientimmediatelyaftertheywakeupandvoidandprior tooral intake.
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
The nurse should weigh the client daily for the first week and then three times per week.
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
*Thenurseshould includealiquidsupplementforaclientwhoisbelow theirideal body weight an
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
3. A nurse is caring for a client whose childhasa terminal illness.The client requests
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
information about how to deal with the upcoming loss.Which of the following
; ; ; ; ; ; ; ; ; ; ; ; ;
statements should the nurse make?
; ; ; ; ;
, 1. "Itwillbebetterforyoutokeepbusytoavoidthinkingaboutyourchild's death."
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
2. "Youwillcompletethegrievingprocessaboutayearafteryourchild'sdeath."
; ; ; ; ; ; ; ; ; ; ; ;
3. "Thegriefprocesswillstartonceyourchildactuallydies." ; ; ; ; ; ; ; ; ;
4. "Itisnotuncommontofeelangrytowardyourselforothers."
; ; ; ; ; ; ; ; ; ;
ANS:Correct=4. "Itisnotuncommontofeelangrytowardyourself orothers."
; ; ; ; ; ; ; ; ; ; ; ; ; ;
-Feelingsofblameandangertoward oneselforothersareanexpectedreaction when a client is
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
experiencing a loss.
; ; ;
The grief process has no timeline.It varies for each individual. The
; ; ; ; ; ; ; ; ; ; ;
client can begin anticipatory grieving during the child's illness.
; ; ; ; ; ; ; ; ;
4. A nurse ina mental healthclinic is planning care for a clientwho has a new
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
prescriptionfor olanzapine.Whichofthe followinginterventionsshould the nurse
; ; ; ; ; ; ; ; ; ; ;
identify as the priority?
; ; ; ;
1. Advisetheclienttotakefrequentsipsofwater. ; ; ; ; ; ; ; ;
2. Recommendthattheclientexerciseregularly. ; ; ; ; ;
3. Consultadietitianforacalorie-controlleddietplan. ; ; ; ; ; ; ;
4. Instructtheclienttoavoiddrivingduringinitialtherapy. ; ; ; ; ; ; ; ;
ANS:Correct=4.Instructtheclienttoavoiddriving duringinitialtherapy.
; ; ; ; ; ; ; ; ; ; ; ;
- The greatest risk to this client is injury resulting from drowsiness or dizziness. Therefore, the
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
nurse's priority intervention is to instruct the client to avoid activities that require mental
; ; ; ; ; ; ; ; ; ; ; ; ; ;
alertness during initial medication therapy.
; ; ; ; ;
Thenurseshouldadvisetheclienttotakefrequentsipsofwaterduetotheadverse effect of dry
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
mouth. However, this is not the nurse's priority intervention.
; ; ; ; ; ; ; ; ;
The nurse should advise the client to exercise regularly due to the adverse effects of weightgain
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
andconstipation.However,thisisnotthenurse'spriorityintervention. The nurse should consult
; ; ; ; ; ; ; ; ; ; ; ; ; ;
a dietitian for a calorie-controlled diet plan due to the adverse effect of weight gain. However,
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
this is not the nurse's priority intervention.
; ; ; ; ; ; ;
5. Anurseiscounselinganadolescentwhohasanorexianervosaandreports excessive
; ; ; ; ; ; ; ; ; ; ; ;
laxative use andfear of gaining weight.The Client states, "I'm so fat I can't evenstand to look
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
at myself.".Which of the following therapeutic responses demonstrates the nurse's use of
; ; ; ; ; ; ; ; ; ; ; ; ;
summarizing?
;
B:)* questions and answers
1. A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
that they stopped taking lithium2weeksago.The nurse should recognize which of the
; ; ; ; ; ; ; ; ; ; ; ; ; ;
following asan expectedadverse effect that might have causedthe client to spot taking the
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
medication?
;
1. Sorethroat ;
2. Photophobia
3. Handtremors ;
4. Constipation
ANS:Correct=3.HandTremors ; ; ; ; ;
- Fine hand tremors are an expected adverse effect of lithium and can interfere with
; ; ; ; ; ; ; ; ; ; ; ; ; ;
performance of ADLs, causing the client to stop taking the medication.
; ; ; ; ; ; ; ; ; ; ;
*Diarrheaisanearlymanifestationoflithiumtoxicity ; ; ; ; ; ; ;
2. 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?
; ;
1. Includealiquidsupplementwithmeals. ; ; ; ; ;
2. Identifytheclient'striggerfoods. ; ; ; ;
3. Allowtheclientatleast1hrforeachmeal. ; ; ; ; ; ; ; ; ;
4. Weightheclientatbedtimeeachday. ; ; ; ; ; ;
ANS:Correct=2.Identifytheclient'striggerfoods.
; ; ; ; ; ; ; ;
- The nurse should identify the trigger foods that initiate the client's binge and assist the client
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
to understanding their thoughts and behavior that relate to the food.
; ; ; ; ; ; ; ; ; ; ;
,The nurse should limit the client's meal times to about 30 min to prevent putting excessive
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
focus on food.
; ; ;
Thenurseshouldweightheclientimmediatelyaftertheywakeupandvoidandprior tooral intake.
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
The nurse should weigh the client daily for the first week and then three times per week.
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
*Thenurseshould includealiquidsupplementforaclientwhoisbelow theirideal body weight an
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
3. A nurse is caring for a client whose childhasa terminal illness.The client requests
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
information about how to deal with the upcoming loss.Which of the following
; ; ; ; ; ; ; ; ; ; ; ; ;
statements should the nurse make?
; ; ; ; ;
, 1. "Itwillbebetterforyoutokeepbusytoavoidthinkingaboutyourchild's death."
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
2. "Youwillcompletethegrievingprocessaboutayearafteryourchild'sdeath."
; ; ; ; ; ; ; ; ; ; ; ;
3. "Thegriefprocesswillstartonceyourchildactuallydies." ; ; ; ; ; ; ; ; ;
4. "Itisnotuncommontofeelangrytowardyourselforothers."
; ; ; ; ; ; ; ; ; ;
ANS:Correct=4. "Itisnotuncommontofeelangrytowardyourself orothers."
; ; ; ; ; ; ; ; ; ; ; ; ; ;
-Feelingsofblameandangertoward oneselforothersareanexpectedreaction when a client is
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
experiencing a loss.
; ; ;
The grief process has no timeline.It varies for each individual. The
; ; ; ; ; ; ; ; ; ; ;
client can begin anticipatory grieving during the child's illness.
; ; ; ; ; ; ; ; ;
4. A nurse ina mental healthclinic is planning care for a clientwho has a new
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
prescriptionfor olanzapine.Whichofthe followinginterventionsshould the nurse
; ; ; ; ; ; ; ; ; ; ;
identify as the priority?
; ; ; ;
1. Advisetheclienttotakefrequentsipsofwater. ; ; ; ; ; ; ; ;
2. Recommendthattheclientexerciseregularly. ; ; ; ; ;
3. Consultadietitianforacalorie-controlleddietplan. ; ; ; ; ; ; ;
4. Instructtheclienttoavoiddrivingduringinitialtherapy. ; ; ; ; ; ; ; ;
ANS:Correct=4.Instructtheclienttoavoiddriving duringinitialtherapy.
; ; ; ; ; ; ; ; ; ; ; ;
- The greatest risk to this client is injury resulting from drowsiness or dizziness. Therefore, the
; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
nurse's priority intervention is to instruct the client to avoid activities that require mental
; ; ; ; ; ; ; ; ; ; ; ; ; ;
alertness during initial medication therapy.
; ; ; ; ;
Thenurseshouldadvisetheclienttotakefrequentsipsofwaterduetotheadverse effect of dry
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
mouth. However, this is not the nurse's priority intervention.
; ; ; ; ; ; ; ; ;
The nurse should advise the client to exercise regularly due to the adverse effects of weightgain
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
andconstipation.However,thisisnotthenurse'spriorityintervention. The nurse should consult
; ; ; ; ; ; ; ; ; ; ; ; ; ;
a dietitian for a calorie-controlled diet plan due to the adverse effect of weight gain. However,
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
this is not the nurse's priority intervention.
; ; ; ; ; ; ;
5. Anurseiscounselinganadolescentwhohasanorexianervosaandreports excessive
; ; ; ; ; ; ; ; ; ; ; ;
laxative use andfear of gaining weight.The Client states, "I'm so fat I can't evenstand to look
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
at myself.".Which of the following therapeutic responses demonstrates the nurse's use of
; ; ; ; ; ; ; ; ; ; ; ; ;
summarizing?
;