ATI Mental Health 2020 A Practice Exam | Questions and Answers (Verified Answers)

ATI Mental Health 2020 A Practice Exam | Questions and Answers (Verified Answers) Q: A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using maladaptive defense mechanism? A. A client who has multiple sclerosis stops taking their medication and says their diagnosis is wrong. B. An adolescent client who has difficulty with reading becomes a star athlete. C. A client admires a high school principal who separated two students who were having a fight. D. A client who has a gambling disorder volunteers in a head start program. Answer: A. A client who has multiple sclerosis stops taking their medication and says their diagnosis is wrong. Rationale: Suppression is the blocking of thoughts or feelings that a client finds unacceptable. Denying the presence of an illness is a maladaptive use of a defense mechanism. Q: A nurse is caring for a client who is scheduled for electro conclusive therapy ECT. Which of the following actions should the nurse take prior to the procedure? A. Keep the client in a side-lying position. B. Administer morphine IV. C. Prepare the client for intubation. D. Administer atropine sulfate IM. Answer: D. Administer atropine sulfate IM. Rationale: In preparation for ECT, the nurse should administer atropine sulfate IM 30 min prior to the procedure. This will decrease secretions in order to prevent aspiration that can be caused by the vagal stimulation induced by ECT. Q: A nurse is talking with a client who has borderline personality disorder. The client states they think that the other nurses avoid them, but they are afraid to share this thought with the other staff. Which of the following actions should the nurse take? A. Encourage the use of transference in the nurse-client relationship. B. Offer to talk to the staff until the client gains an increased level of trust. C. Encourage the client's verbalization of feeling and perceptions. D. Ask the client why they think the staff is avoiding them. Answer: C. Encourage the client's verbalization of feeling and perceptions. Rationale: The nurse should encourage the client to verbalize their feelings, perceptions, and fears. Discussing these dynamics can help increase the client's comfort in expressing concerns directly to other members of staff. Q: A nurse is collecting data from a client who has a history of cocaine use. Which of the following findings is an indication that the client is experiencing cocaine toxicity? A. Hypothermia B. Piloerection C. Somnolence D. Seizures Answer: D. Seizures Rationale: The nurse should expect a client who is experiencing cocaine toxicity to experience seizures. Other findings include severe anxiety, hallucinations, and paranoid thoughts. Q: A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should identify that which of the following findings indicates a potential need for a PRN dose of benztropine? A. Sore throat B. Increased mental confusion C. Urinary retention D. Shuffling gait Answer: D. Shuffling gait Rationale: The nurse should identify that a shuffling gait can be indicative of the presence of pseudoparkinsonism, which can be treated with a PRN dose of benztropine. Q: A nurse is collecting data from a client who has delirium. The nurse should identify which of the following conditions as predisposing factor for delirium? A. Hepatic failure B. Chronic alcohol use C. Hypertension D. Fluid volume overload Answer: A. Hepatic failure Rationale: Hepatic failure can be a predisposing factor for the development of delirium. Other potential predisposing factors include febrile illness, hypoxia, head trauma, and stroke. Q: A nurse is caring for a client who is experiencing opioid withdrawal. Which of he following medications should the nurse expect to administer? A. Naltrexone B. Bupropion C. Varenicline D. Phenobarbital Answer: A. Naltrexone Rationale: The nurse should expect to administer naltrexone, an opioid antagonist, to a client who is experiencing opioid withdrawal. Q: A nurse is caring for a client who has depressive disorder and declines electro conclusive therapy (ECT) despite the provider's recommendation. Which of the following ethical principles is the nurse demonstrating by supporting the client's decision? A. Autonomy B. Nonmaleficence