ATI Mental Health Practice A with NGN
Questions and Answers
A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempts to
administer oral lorazepam, the client refuses to take the medication and becomes
physically aggressive. Which of the following actions should the nurse take?
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to administer the lorazepam
D. Place the lorazepam in the client's food
✓ ~~~ A. Do not administer the lorazepam.
Clients who are in a facility due to an involuntarily admission retain the right to refuse
treatment. Therefore, the nurse should hold the medication and document the client's
refusal.
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a
decreased risk for suicide?
A. "I'm relived now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
,C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me."
✓ ~~~ B. "It is easier to talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome.
A nurse is caring for a client whose child has a terminal illness. The client requests
information about how to deal with the upcoming loss. Which of the following
statements should the nurse make?
A. "It will be better for you to keep busy to avoid thinking about your child's death."
B. "You will complete the grieving process 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."
✓ ~~~ D. "It is not uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction
when a client is experiencing a loss.
During a client's initial interview in a mental health inpatient setting, a nurse identifies
that the client is maintaining eye contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's nonverbal behaviors?
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
✓ ~~~ A. The client is interested in what the nurse is saying.
The client's posture and eye contact demonstrates an interest in the interview and
what the nurse is saying.
A nurse is reviewing the electronic medical record of a client who has schizophrenia
and is taking clozapine. Which of the following findings is the priority for the nurse to
notify the provider?
A. The client's chart indicates a 1.36 kg (3 lb.) weight gain in 1 month.
B. The client reports an inability to breathe easily.
C. The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
D. The client reports having recently started smoking cigarettes.
✓ ~~~ B. The client reports an inability to breathe easily.
Serious adverse effects, such as heart failure, myocarditis, and pulmonary embolism
are associated with clozapine. When using the greatest risk framework, the nurse
should identify that the greatest risk to the client is dyspnea, which is a manifestation
of respiratory or cardiac alterations, and should be reported to the provider.
, A nurse is reviewing routine laboratory values for several clients who are taking
lithium carbonate. Which of the following clients should the nurse assess further for
findings indicating lithium toxicity?
A. A client who has a fasting blood glucose level of 80 mg/dL.
B. A client who has a sodium level of 128 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.
✓ ~~~ B. A client who has a sodium level of 128 mEq/L.
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium
toxicity because renal excretion of lithium is decreased in the presence of a low
sodium level.
A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the client's need for isolation.
D. Act as a role model for assertiveness.
✓ ~~~ B. Set realistic limits on the client's behavior.
Questions and Answers
A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempts to
administer oral lorazepam, the client refuses to take the medication and becomes
physically aggressive. Which of the following actions should the nurse take?
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to administer the lorazepam
D. Place the lorazepam in the client's food
✓ ~~~ A. Do not administer the lorazepam.
Clients who are in a facility due to an involuntarily admission retain the right to refuse
treatment. Therefore, the nurse should hold the medication and document the client's
refusal.
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a
decreased risk for suicide?
A. "I'm relived now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
,C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me."
✓ ~~~ B. "It is easier to talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome.
A nurse is caring for a client whose child has a terminal illness. The client requests
information about how to deal with the upcoming loss. Which of the following
statements should the nurse make?
A. "It will be better for you to keep busy to avoid thinking about your child's death."
B. "You will complete the grieving process 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."
✓ ~~~ D. "It is not uncommon to feel angry toward yourself or others."
Feelings of blame and anger towards oneself or others are an expected reaction
when a client is experiencing a loss.
During a client's initial interview in a mental health inpatient setting, a nurse identifies
that the client is maintaining eye contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's nonverbal behaviors?
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
✓ ~~~ A. The client is interested in what the nurse is saying.
The client's posture and eye contact demonstrates an interest in the interview and
what the nurse is saying.
A nurse is reviewing the electronic medical record of a client who has schizophrenia
and is taking clozapine. Which of the following findings is the priority for the nurse to
notify the provider?
A. The client's chart indicates a 1.36 kg (3 lb.) weight gain in 1 month.
B. The client reports an inability to breathe easily.
C. The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
D. The client reports having recently started smoking cigarettes.
✓ ~~~ B. The client reports an inability to breathe easily.
Serious adverse effects, such as heart failure, myocarditis, and pulmonary embolism
are associated with clozapine. When using the greatest risk framework, the nurse
should identify that the greatest risk to the client is dyspnea, which is a manifestation
of respiratory or cardiac alterations, and should be reported to the provider.
, A nurse is reviewing routine laboratory values for several clients who are taking
lithium carbonate. Which of the following clients should the nurse assess further for
findings indicating lithium toxicity?
A. A client who has a fasting blood glucose level of 80 mg/dL.
B. A client who has a sodium level of 128 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.
✓ ~~~ B. A client who has a sodium level of 128 mEq/L.
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium
toxicity because renal excretion of lithium is decreased in the presence of a low
sodium level.
A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the client's need for isolation.
D. Act as a role model for assertiveness.
✓ ~~~ B. Set realistic limits on the client's behavior.
