ATI Mental Health B LATEST UPDATE WITH ANSWERS 2021

1. A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with upcoming loss. Which of the following statements should the nurse make? i. “It is not uncommon to feel angry toward yourself or others.” 2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the following instructions should the nurse include in the teaching? i. Take this medication with food 3. A nurse is planning care for four clients in a mental health facility. Which of the following clients is at the greatest risk for injury when performing ADLs? i. A client who has severe Alzheimer’s disease 4. A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above his ideal body weight. Which of the following interventions should the nurse include in the plan? i. Identify the client’s trigger foods 5. A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the following family groups should the nurse identify as the highest potential for future child abuse? i. A family where one or both parents witnessed intimate partner violence in the home as children 6. A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions should the nurse take first? i. Inform the client that her admission is confidential 7. A nurse is caring for four client in an inpatient mental health facility. Which of the following clients can give informed consent? i. a 35 y/o client who has major depressive disorder 8. A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding his admission, the client state, “I’m red, in the head, and I’m going to bed!” The nurse should document the client’s speech pattern as which of the following? i. Clang association 9. A nurse is educating the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestation of this disorder should the nurse include in teaching? i. Language delay 10.A nurse in a mental health unit is admitting a client who is anxious because he often hears voices telling him what to do. Which of the following actions should the nurse take? i. Ask the client what the voices are saying 11.A nurse is caring for an older adult client who begins to cry and states, “I knew God would punish me and I deserve this horrible sickness!” Which of the following responses should the nurse make? i. “Let’s talk about what is upsetting you.” 12.A nurse is talking with a client who is beginning chemotherapy. The client tells the nurse that she is mourning the loss of her hair. Which of the following actions should the nurse take first? i. Discuss the importance of hair with the client 13.A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. The client’s morning lithium level is 1.5 mEq/L. Which of the following laboratory findings should the nurse report to the provider? i. Sodium level 125 mEq/L 14.A school nurse is assessing a school-aged child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post-traumatic stress disorder (PTSD)? i. Lack of interest in an upcoming holiday 15.A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? i. Gather supplies for endotracheal intubation 16.A nurse in an acute mental health facility is receiving a change-of-shift report for four clients. Which of the following clients should the nurse assess first? i. A client who is experiencing delusions of persecution 17.A nurse is planning care for a client who constantly threatens others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage violent behavior. Which of the following ethical principles should the nurse apply in this situation? i. Nonmaleficence 18.A nurse is reviewing the medication administration record for a client who is experiencing the adverse effect of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse effects? i. Acute dystonia 19.A nurse in a mental health facility is planning discharge for a client who has a long history of alcohol use disorder. Which of the following post discharge activities should the nurse plan to include? i. Attending a relapse prevention group several times each week 20.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? i. Attention to body language