ATI Mental Health Practice A with NGN
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1. A nurse is caring for a client who has a history A. Do not administer the lorazepam.
of substance use disorder and was involuntari-
ly admitted to a mental health facility. When the Clients who are in a facility due to
nurse attempts to administer oral lorazepam, an involuntarily admission retain the
the client refuses to take the medication and right to refuse treatment. Therefore,
becomes physically aggressive. Which of the the nurse should hold the medication
following actions should the nurse take? and document the client's refusal.
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to ad-
minister the lorazepam
D. Place the lorazepam in the client's food
2. A nurse is planning care for a client who has B. "It is easier to talk about my feelings
depression and has made frequent suicide at- now."
tempts. Which of the following statements in-
dicates the client has a decreased risk for sui- When clients express their feelings,
cide? this indicates a positive treatment out-
A. "I'm relived now that my financial affairs are come.
in order."
B. "It is easier to talk about my feelings now."
C. "Suddenly I have enough energy to do any-
thing I want."
D. "Thank you for always taking such good care
of me."
3. A nurse is caring for a client whose child has D. "It is not uncommon to feel angry
a terminal illness. The client requests informa- toward yourself or others."
tion about how to deal with the upcoming loss.
Which of the following statements should the Feelings of blame and anger towards
nurse make? oneself or others are an expected re-
A. "It will be better for you to keep busy to avoid
, ATI Mental Health Practice A with NGN
Study online at https://quizlet.com/_f3bfs7
thinking about your child's death." action when a client is experiencing a
B. "You will complete the grieving process loss.
about a year after your child's death."
C. "The grief process will start once your child
actually dies."
D. "It is not uncommon to feel angry toward
yourself or others."
4. During a client's initial interview in a mental A. The client is interested in what the
health inpatient setting, a nurse identifies that nurse is saying.
the client is maintaining eye contact and lean-
ing forward. Which of the following assump- The client's posture and eye contact
tions should the nurse make based on the demonstrates an interest in the inter-
client's nonverbal behaviors? view and what the nurse is saying.
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 needs to feel accepted by the
nurse
5. A nurse is reviewing the electronic medical B. The client reports an inability to
record of a client who has schizophrenia and breathe easily.
is taking clozapine. Which of the following find-
ings is the priority for the nurse to notify the Serious adverse effects, such as heart
provider? failure, myocarditis, and pulmonary
A. The client's chart indicates a 1.36 kg (3 lb.) embolism are associated with cloza-
weight gain in 1 month. pine. When using the greatest risk
B. The client reports an inability to breathe eas- framework, the nurse should identify
ily. that the greatest risk to the client is
C. The client's laboratory results indicate a fast- dyspnea, which is a manifestation of
, ATI Mental Health Practice A with NGN
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ing blood glucose level of 130 mg/dL. respiratory or cardiac alterations, and
D. The client reports having recently started should be reported to the provider.
smoking cigarettes.
6. A nurse is reviewing routine laboratory values B. A client who has a sodium level of
for several clients who are taking lithium car- 128 mEq/L.
bonate. Which of the following clients should
the nurse assess further for findings indicating A sodium level of 128 mEq/L should
lithium toxicity? alert the nurse that the client is at risk
A. A client who has a fasting blood glucose level for lithium toxicity because renal ex-
of 80 mg/dL. cretion of lithium is decreased in the
B. A client who has a sodium level of 128 presence of a low sodium level.
mEq/L.
C. A client who has a BUN of 18 mg/dL.
D. A client who has a potassium level of 3.6
mEq/L.
7. A nurse is establishing a therapeutic relation- B. Set realistic limits on the client's
ship with a client who has antisocial person- behavior.
ality disorder. Which of the following strate-
gies should the nurse use when communicat- Clients who have antisocial personal-
ing with this client? ity disorder can seem to be in control
A. Behave in a friendly manner toward the of their behavior, but are manipula-
client. tive and impulsive and can sudden-
B. Set realistic limits on the client's behavior. ly become aggressive and assaultive.
C. Show respect for the client's need for isola- The nurse should establish clear limits
tion. on specific aggressive and demand-
D. Act as a role model for assertiveness. ing behaviors.
8. A nurse in a provider's office is collecting C. Dark urine
a health history from the guardian of a
school-age child who has been taking atomox- The greatest risk for the child is liver
damage from atomoxetine, which can
, ATI Mental Health Practice A with NGN
Study online at https://quizlet.com/_f3bfs7
etine. Which of the following adverse effects progress to liver failure and death.
reported by the guardian is the priority for the Therefore, this is the nurse's priority
nurse to report to the provider? finding.
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating
9. A nurse is caring for a group of clients. For C. A client was administered one-half
which of the following situations should the of the prescribed dose of medica-
nurse complete an incident report? tion.
A. A client refuses electroconvulsive therapy af-
ter signing the consent form. An incident report is a recording of
B. A client who was voluntarily admitted left the any occurrence that does not meet the
unit against medical advice. standard of care. The nurse should
C. A client was administered one-half of the report medication errors using the fa-
prescribed dose of medication. cility's incident or occurrence form.
D. A client was placed in restraints after at-
tempts to de-escalate aggressive behaviors
failed.
10. A nurse is admitting a client who has schiz- A. Clang association
ophrenia to an acute care setting. When the
nurse questions the client regarding their ad- The nurse should document that the
mission, the client states, "I'm red, in the head, client's speech uses clang associa-
and I'm going to bed!" The nurse should doc- tions, which often rhyme or contain a
ument the client's speech pattern as which of string of words that can have a similar
the following? sound.
A. Clang association
B. Word salad
C. Neologism
D. Echolalia
Study online at https://quizlet.com/_f3bfs7
1. A nurse is caring for a client who has a history A. Do not administer the lorazepam.
of substance use disorder and was involuntari-
ly admitted to a mental health facility. When the Clients who are in a facility due to
nurse attempts to administer oral lorazepam, an involuntarily admission retain the
the client refuses to take the medication and right to refuse treatment. Therefore,
becomes physically aggressive. Which of the the nurse should hold the medication
following actions should the nurse take? and document the client's refusal.
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to ad-
minister the lorazepam
D. Place the lorazepam in the client's food
2. A nurse is planning care for a client who has B. "It is easier to talk about my feelings
depression and has made frequent suicide at- now."
tempts. Which of the following statements in-
dicates the client has a decreased risk for sui- When clients express their feelings,
cide? this indicates a positive treatment out-
A. "I'm relived now that my financial affairs are come.
in order."
B. "It is easier to talk about my feelings now."
C. "Suddenly I have enough energy to do any-
thing I want."
D. "Thank you for always taking such good care
of me."
3. A nurse is caring for a client whose child has D. "It is not uncommon to feel angry
a terminal illness. The client requests informa- toward yourself or others."
tion about how to deal with the upcoming loss.
Which of the following statements should the Feelings of blame and anger towards
nurse make? oneself or others are an expected re-
A. "It will be better for you to keep busy to avoid
, ATI Mental Health Practice A with NGN
Study online at https://quizlet.com/_f3bfs7
thinking about your child's death." action when a client is experiencing a
B. "You will complete the grieving process loss.
about a year after your child's death."
C. "The grief process will start once your child
actually dies."
D. "It is not uncommon to feel angry toward
yourself or others."
4. During a client's initial interview in a mental A. The client is interested in what the
health inpatient setting, a nurse identifies that nurse is saying.
the client is maintaining eye contact and lean-
ing forward. Which of the following assump- The client's posture and eye contact
tions should the nurse make based on the demonstrates an interest in the inter-
client's nonverbal behaviors? view and what the nurse is saying.
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 needs to feel accepted by the
nurse
5. A nurse is reviewing the electronic medical B. The client reports an inability to
record of a client who has schizophrenia and breathe easily.
is taking clozapine. Which of the following find-
ings is the priority for the nurse to notify the Serious adverse effects, such as heart
provider? failure, myocarditis, and pulmonary
A. The client's chart indicates a 1.36 kg (3 lb.) embolism are associated with cloza-
weight gain in 1 month. pine. When using the greatest risk
B. The client reports an inability to breathe eas- framework, the nurse should identify
ily. that the greatest risk to the client is
C. The client's laboratory results indicate a fast- dyspnea, which is a manifestation of
, ATI Mental Health Practice A with NGN
Study online at https://quizlet.com/_f3bfs7
ing blood glucose level of 130 mg/dL. respiratory or cardiac alterations, and
D. The client reports having recently started should be reported to the provider.
smoking cigarettes.
6. A nurse is reviewing routine laboratory values B. A client who has a sodium level of
for several clients who are taking lithium car- 128 mEq/L.
bonate. Which of the following clients should
the nurse assess further for findings indicating A sodium level of 128 mEq/L should
lithium toxicity? alert the nurse that the client is at risk
A. A client who has a fasting blood glucose level for lithium toxicity because renal ex-
of 80 mg/dL. cretion of lithium is decreased in the
B. A client who has a sodium level of 128 presence of a low sodium level.
mEq/L.
C. A client who has a BUN of 18 mg/dL.
D. A client who has a potassium level of 3.6
mEq/L.
7. A nurse is establishing a therapeutic relation- B. Set realistic limits on the client's
ship with a client who has antisocial person- behavior.
ality disorder. Which of the following strate-
gies should the nurse use when communicat- Clients who have antisocial personal-
ing with this client? ity disorder can seem to be in control
A. Behave in a friendly manner toward the of their behavior, but are manipula-
client. tive and impulsive and can sudden-
B. Set realistic limits on the client's behavior. ly become aggressive and assaultive.
C. Show respect for the client's need for isola- The nurse should establish clear limits
tion. on specific aggressive and demand-
D. Act as a role model for assertiveness. ing behaviors.
8. A nurse in a provider's office is collecting C. Dark urine
a health history from the guardian of a
school-age child who has been taking atomox- The greatest risk for the child is liver
damage from atomoxetine, which can
, ATI Mental Health Practice A with NGN
Study online at https://quizlet.com/_f3bfs7
etine. Which of the following adverse effects progress to liver failure and death.
reported by the guardian is the priority for the Therefore, this is the nurse's priority
nurse to report to the provider? finding.
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating
9. A nurse is caring for a group of clients. For C. A client was administered one-half
which of the following situations should the of the prescribed dose of medica-
nurse complete an incident report? tion.
A. A client refuses electroconvulsive therapy af-
ter signing the consent form. An incident report is a recording of
B. A client who was voluntarily admitted left the any occurrence that does not meet the
unit against medical advice. standard of care. The nurse should
C. A client was administered one-half of the report medication errors using the fa-
prescribed dose of medication. cility's incident or occurrence form.
D. A client was placed in restraints after at-
tempts to de-escalate aggressive behaviors
failed.
10. A nurse is admitting a client who has schiz- A. Clang association
ophrenia to an acute care setting. When the
nurse questions the client regarding their ad- The nurse should document that the
mission, the client states, "I'm red, in the head, client's speech uses clang associa-
and I'm going to bed!" The nurse should doc- tions, which often rhyme or contain a
ument the client's speech pattern as which of string of words that can have a similar
the following? sound.
A. Clang association
B. Word salad
C. Neologism
D. Echolalia
