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Exam (elaborations)

ATI RN Mental Health Online Practice 2025/2026 B:)* questions and answers

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ATI RN Mental Health Online Practice 2025/2026 B:)* questions and answersATI RN Mental Health Online Practice 2025/2026 B:)* questions and answersATI RN Mental Health Online Practice 2025/2026 B:)* questions and answers

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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
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that they stopped taking lithium2weeksago.The nurse should recognize which of the
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following asan expectedadverse effect that might have causedthe client to spot taking the
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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
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performance of ADLs, causing the client to stop taking the medication.
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*Diarrheaisanearlymanifestationoflithiumtoxicity ; ; ; ; ; ; ;




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?
; ;




1. Includealiquidsupplementwithmeals. ; ; ; ; ;




2. Identifytheclient'striggerfoods. ; ; ; ;




3. Allowtheclientatleast1hrforeachmeal. ; ; ; ; ; ; ; ; ;




4. Weightheclientatbedtimeeachday. ; ; ; ; ; ;




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
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to 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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The nurse should weigh the client daily for the first week and then three times per week.
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*Thenurseshould includealiquidsupplementforaclientwhoisbelow theirideal body weight an
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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. A nurse is caring for a client whose childhasa terminal illness.The client requests
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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?
; ; ; ; ;

, 1. "Itwillbebetterforyoutokeepbusytoavoidthinkingaboutyourchild's death."
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2. "Youwillcompletethegrievingprocessaboutayearafteryourchild'sdeath."
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3. "Thegriefprocesswillstartonceyourchildactuallydies." ; ; ; ; ; ; ; ; ;




4. "Itisnotuncommontofeelangrytowardyourselforothers."
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ANS:Correct=4. "Itisnotuncommontofeelangrytowardyourself orothers."
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-Feelingsofblameandangertoward oneselforothersareanexpectedreaction when a client is
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experiencing a loss.
; ; ;




The grief process has no timeline.It varies for each individual. The
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client can begin anticipatory grieving during the child's illness.
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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.
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- The greatest risk to this client is injury resulting from drowsiness or dizziness. 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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Thenurseshouldadvisetheclienttotakefrequentsipsofwaterduetotheadverse effect 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 nurse should consult
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a dietitian for a calorie-controlled diet plan due to the adverse effect 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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laxative use andfear of gaining weight.The Client states, "I'm so fat I can't evenstand to 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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