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ATI RN MENTAL HEALTH ONLINE PRACTICE
2019 A, B, C AND STUDY GUIDE| RN ATI RN
MENTAL HEALTH ONLINE PRACTICE 2019 A, B,
C&STUDY GUIDE COMPLETE| EXCELLENT
TOOL FOR MENTAL HEALTH STUDY
ATI RN Mental Health Online Practice 2019 A
A nurse is assessing a client who recently used cocaine. Which of the following findings should
the nurse expect?
Polyphagia
Hypertension
Decreased temperature
Depressed mood - ANSWER>>Hypertension
Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body
temperature, energy levels, and metabolism.
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
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A client who is taking lithium and has a lithium level of 1.2 mEq/L - ANSWER>>A client who is
taking lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should
identify that a rash is a potentially life-threatening adverse effect of the medication and report
this finding immediately.
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear
voices telling me what to do." Which of the following actions should the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying. - ANSWER>>Ask the client what the voices are saying.
It is important for the nurse to ask the client directly about the hallucinations to determine if
the client or others are at risk for injury.
A nurse is communicating with a client in an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the use of active listening?
Offering self
Use of silence
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Attention to body language
Reflection of feelings - ANSWER>>Attention to body language
Use of active listening involves identifying verbal and nonverbal communication by the client,
which includes attention to body language.
A client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. During the discussion of the medication adherence portion of the plan, a nurse
notices that the family member seems distracted. Which of the following actions should the
nurse take?
Call the family member to the side to inquire if they have questions or concerns about the
treatment plan.
Advise the family member that this treatment plan has been developed specifically for the
client to follow.
Ask the family member if they have any thoughts or questions about the treatment plan.
Document that the family member does not support the medication treatment plan. -
ANSWER>>Ask the family member if they have any thoughts or questions about the treatment
plan.
This action involves the family member and allows them a venue to communicate about the
client's medication treatment plan.
A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse
should identify that which of the following findings indicates a potential psychiatric emergency?
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The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation.
The client is exhibiting blunted affect. - ANSWER>>The client reports command hallucinations.
The nurse should identify that command hallucinations can indicate a potential psychiatric
emergency for a client who has schizophrenia. Command hallucinations can direct the client to
harm themselves or others.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
medications should the nurse administer first?
Exhibit 1: HR 110/min; BP 170/96; Temp 38.9 (102)
Exhibit 2: Client states drank alcohol 12 hr prior; Client has 2 pack/day smoking history
Exhibit 3: Tremors of hands and fingers; emesis of 30 mL bile; Client is restless and unable to sit
still; client is diaphoretic and has flushed skin
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO - ANSWER>>Diazepam 5 mg IV bolus
4
ATI RN MENTAL HEALTH ONLINE PRACTICE
2019 A, B, C AND STUDY GUIDE| RN ATI RN
MENTAL HEALTH ONLINE PRACTICE 2019 A, B,
C&STUDY GUIDE COMPLETE| EXCELLENT
TOOL FOR MENTAL HEALTH STUDY
ATI RN Mental Health Online Practice 2019 A
A nurse is assessing a client who recently used cocaine. Which of the following findings should
the nurse expect?
Polyphagia
Hypertension
Decreased temperature
Depressed mood - ANSWER>>Hypertension
Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body
temperature, energy levels, and metabolism.
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
1
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A client who is taking lithium and has a lithium level of 1.2 mEq/L - ANSWER>>A client who is
taking lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should
identify that a rash is a potentially life-threatening adverse effect of the medication and report
this finding immediately.
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear
voices telling me what to do." Which of the following actions should the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying. - ANSWER>>Ask the client what the voices are saying.
It is important for the nurse to ask the client directly about the hallucinations to determine if
the client or others are at risk for injury.
A nurse is communicating with a client in an inpatient mental health facility. Which of the
following actions by the nurse demonstrates the use of active listening?
Offering self
Use of silence
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Attention to body language
Reflection of feelings - ANSWER>>Attention to body language
Use of active listening involves identifying verbal and nonverbal communication by the client,
which includes attention to body language.
A client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. During the discussion of the medication adherence portion of the plan, a nurse
notices that the family member seems distracted. Which of the following actions should the
nurse take?
Call the family member to the side to inquire if they have questions or concerns about the
treatment plan.
Advise the family member that this treatment plan has been developed specifically for the
client to follow.
Ask the family member if they have any thoughts or questions about the treatment plan.
Document that the family member does not support the medication treatment plan. -
ANSWER>>Ask the family member if they have any thoughts or questions about the treatment
plan.
This action involves the family member and allows them a venue to communicate about the
client's medication treatment plan.
A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse
should identify that which of the following findings indicates a potential psychiatric emergency?
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The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation.
The client is exhibiting blunted affect. - ANSWER>>The client reports command hallucinations.
The nurse should identify that command hallucinations can indicate a potential psychiatric
emergency for a client who has schizophrenia. Command hallucinations can direct the client to
harm themselves or others.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
medications should the nurse administer first?
Exhibit 1: HR 110/min; BP 170/96; Temp 38.9 (102)
Exhibit 2: Client states drank alcohol 12 hr prior; Client has 2 pack/day smoking history
Exhibit 3: Tremors of hands and fingers; emesis of 30 mL bile; Client is restless and unable to sit
still; client is diaphoretic and has flushed skin
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO - ANSWER>>Diazepam 5 mg IV bolus
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