ATI PN MENTAL HEALTH ONLINE
PRACTICE B WITH 6 VERSIONS EACH
WITH 70 QUESTIONS, ANSWERS, AND
RATIONALE
A nurse is collecting data from a client who is taking valproic acid for treatment of
bipolar disorder. The nurse should identify that which of the following findings is priority
to report to the provider?
a. drowsiness
b. nausea and vomiting
c. constipation
d. bleeding gums - ANSWER✔✔d. bleeding gums
-when using the urgent vs non urgent approach to the client care, the nurse should
determine that the priority finding is bleeding gums because of the risk of
thrombocytopenia.
OR---------
Yellow sclera
Rationale: priority finding is yellow sclera because of risk for hepatotoxicity.
,A nurse is attempting to resolve an ethical dilemma that involves a client's medical
decisions and his own personal values. After collecting data and identifying the problem,
which of the following actions should the nurse take next?
a. discuss information about the dilemma with the client's provider
b. determine the benefits and consequences of respecting the client's medical decisions
c. reflect on the effect of ethical theories on the nurse's personal values
d. develop a plan that balances both the nurse's values and the client's medical
decisions - ANSWER✔✔b. determine the benefits and consequences of respecting the
client's medical decisions
-The first action the nurse should take using the nursing process is to collect data from
the client. After the nurse collects the data and identifies the problem, the nurse should
determine the benefits and consequences of respecting the client's medical decisions
as the next step in the ethical decision-making model.
A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and
performs hand hygiene to decrease anxiety. Which of the following actions should the
nurse take to demonstrate modeling as a behavioral intervention strategy?
a. setting a time limit between episodes of hand hygiene
b. reminding the client to shout "stop" each time she has an urge to perform hand
hygiene
c. demonstrating performing hand hygiene at appropriate times
d. instructing the client to practice muscle relaxation when she has the urge to perform
hand hygiene - ANSWER✔✔c. demonstrating performing hand hygiene at appropriate
times
-This action is an example of modeling, which is a strategy that allows the client to see
another person perform the expected behavior.
,A nurse is caring for a client who has antisocial personality disorder. Which of the
following actions should the nurse take when caring for this client?
a. persuade the client to demonstrate acceptable behavior
b. avoid talking about the client's past display of unacceptable behavior
c. use countertransference to develop the therapeutic relationship
d. remind the client of consequences for unacceptable behavior - ANSWER✔✔d.
remind the client of consequences for unacceptable behavior
-Clients who have an antisocial personality disorder do not respect the rights of others.
Therefore, the nurse should remind the client about which behaviors are acceptable and
unacceptable and be prepared to administer consequences for unacceptable behavior.
A nurse is assisting with the plan of care for a client who is malnourished due to alcohol
use disorder. Which of the following interventions should the nurse include in the plan?
a. restrict the client's sodium intake
b. encourage the client to eat three large meals per day
c. weigh the client weekly
d. observe the client for 1 hr after he eats - ANSWER✔✔a. restrict the client's sodium
intake
-A client who is malnourished due to alcohol use disorder is at risk for ascites.
Therefore, the nurse should restrict the client's sodium intake to decrease the risk of
fluid retention.
A nurse is collecting data from a client whose home was destroyed by a fire. Which of
the following responses should the nurse make first?
a. "Are you experiencing feeling of hopelessness?"
, b. "Is there someone I can call for you?"
c. "It might be helpful for you to attend a support group?"
d. "Now is a good time for you to use relaxation breathing." - ANSWER✔✔a. "Are you
experiencing feeling of hopelessness?"
-When using Maslow's hierarchy of needs, the priority action for the nurse to take is to
determine if the client is safe. The nurse should collect data about the client's feelings to
determine if the client is having feelings of hopelessness or suicidal ideations.
A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine
use disorder. Which of the following statements by the parent should the nurse identify
as indicating an understanding of the teaching?
a. "I should be alert for weight gain in my child."
b. "I can tell my child is using amphetamines because he is drowsy."
c. "Dilated pupils are a sign my child is using amphetamines."
d. "Memory loss can indicate that my child is using amphetamines." - ANSWER✔✔c.
"Dilated pupils are a sign my child is using amphetamines."
-The nurse should instruct the parent to monitor the adolescent for mydriasis, or dilated
pupils, because this is a manifestation of amphetamine use.
A nurse is collecting data from a client who has agoraphobia. The nurse should identify
that which of the following situations will increase the client's anxiety?
a. traveling in an airplane
b. entering a walk-in closet
c. taking a bath
d. picking up a soiled tissue - ANSWER✔✔a. traveling in an airplane
PRACTICE B WITH 6 VERSIONS EACH
WITH 70 QUESTIONS, ANSWERS, AND
RATIONALE
A nurse is collecting data from a client who is taking valproic acid for treatment of
bipolar disorder. The nurse should identify that which of the following findings is priority
to report to the provider?
a. drowsiness
b. nausea and vomiting
c. constipation
d. bleeding gums - ANSWER✔✔d. bleeding gums
-when using the urgent vs non urgent approach to the client care, the nurse should
determine that the priority finding is bleeding gums because of the risk of
thrombocytopenia.
OR---------
Yellow sclera
Rationale: priority finding is yellow sclera because of risk for hepatotoxicity.
,A nurse is attempting to resolve an ethical dilemma that involves a client's medical
decisions and his own personal values. After collecting data and identifying the problem,
which of the following actions should the nurse take next?
a. discuss information about the dilemma with the client's provider
b. determine the benefits and consequences of respecting the client's medical decisions
c. reflect on the effect of ethical theories on the nurse's personal values
d. develop a plan that balances both the nurse's values and the client's medical
decisions - ANSWER✔✔b. determine the benefits and consequences of respecting the
client's medical decisions
-The first action the nurse should take using the nursing process is to collect data from
the client. After the nurse collects the data and identifies the problem, the nurse should
determine the benefits and consequences of respecting the client's medical decisions
as the next step in the ethical decision-making model.
A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and
performs hand hygiene to decrease anxiety. Which of the following actions should the
nurse take to demonstrate modeling as a behavioral intervention strategy?
a. setting a time limit between episodes of hand hygiene
b. reminding the client to shout "stop" each time she has an urge to perform hand
hygiene
c. demonstrating performing hand hygiene at appropriate times
d. instructing the client to practice muscle relaxation when she has the urge to perform
hand hygiene - ANSWER✔✔c. demonstrating performing hand hygiene at appropriate
times
-This action is an example of modeling, which is a strategy that allows the client to see
another person perform the expected behavior.
,A nurse is caring for a client who has antisocial personality disorder. Which of the
following actions should the nurse take when caring for this client?
a. persuade the client to demonstrate acceptable behavior
b. avoid talking about the client's past display of unacceptable behavior
c. use countertransference to develop the therapeutic relationship
d. remind the client of consequences for unacceptable behavior - ANSWER✔✔d.
remind the client of consequences for unacceptable behavior
-Clients who have an antisocial personality disorder do not respect the rights of others.
Therefore, the nurse should remind the client about which behaviors are acceptable and
unacceptable and be prepared to administer consequences for unacceptable behavior.
A nurse is assisting with the plan of care for a client who is malnourished due to alcohol
use disorder. Which of the following interventions should the nurse include in the plan?
a. restrict the client's sodium intake
b. encourage the client to eat three large meals per day
c. weigh the client weekly
d. observe the client for 1 hr after he eats - ANSWER✔✔a. restrict the client's sodium
intake
-A client who is malnourished due to alcohol use disorder is at risk for ascites.
Therefore, the nurse should restrict the client's sodium intake to decrease the risk of
fluid retention.
A nurse is collecting data from a client whose home was destroyed by a fire. Which of
the following responses should the nurse make first?
a. "Are you experiencing feeling of hopelessness?"
, b. "Is there someone I can call for you?"
c. "It might be helpful for you to attend a support group?"
d. "Now is a good time for you to use relaxation breathing." - ANSWER✔✔a. "Are you
experiencing feeling of hopelessness?"
-When using Maslow's hierarchy of needs, the priority action for the nurse to take is to
determine if the client is safe. The nurse should collect data about the client's feelings to
determine if the client is having feelings of hopelessness or suicidal ideations.
A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine
use disorder. Which of the following statements by the parent should the nurse identify
as indicating an understanding of the teaching?
a. "I should be alert for weight gain in my child."
b. "I can tell my child is using amphetamines because he is drowsy."
c. "Dilated pupils are a sign my child is using amphetamines."
d. "Memory loss can indicate that my child is using amphetamines." - ANSWER✔✔c.
"Dilated pupils are a sign my child is using amphetamines."
-The nurse should instruct the parent to monitor the adolescent for mydriasis, or dilated
pupils, because this is a manifestation of amphetamine use.
A nurse is collecting data from a client who has agoraphobia. The nurse should identify
that which of the following situations will increase the client's anxiety?
a. traveling in an airplane
b. entering a walk-in closet
c. taking a bath
d. picking up a soiled tissue - ANSWER✔✔a. traveling in an airplane
