ATI RN MeNTAl
HeAlTH NuRsINg
exAM wITH
coRRecT QuesTIoN
ANd ANsweRs
,A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the
following indications should the nurse assess?
A.Impulsive behavior
B.Repetitive counting
C.Destructiveness
D.Somatic problems - correct answer-B
A.IncOrrEct: Impulsive behavior is an indication of ADHD rather than autism spectrum disorder.
B.CORRECT: Repetitive actions and strict routines are an indication of autism spectrum disorder.
C.IncOrrEct: Destructiveness is an indication of conduct disorder rather than autism spectrum disorder.
D.IncOrrEct: Somatic problems are an indication of posttraumatic stress disorder rather than autism
spectrum disorder.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia
nervosa. Which of the following questions are appropriate for the nurse to include in the assesment? -
correct answer-A. "What is your relationship like with your family?"
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings about your appearance?"
Rationale: A family history of a client who has anorexia should include an assessment of family and
interpersonal relationships. You should also assess for the client's current eating habits, and the client's
perception of the issue.
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a
current weight of 90 lbs. Which of the following statements indicates the client is experiencing the
cognitive distortion of catastrophizing? - correct answer-A. "Life isn't worth living if I gain weight."
Rationale: Catastrophizing means that the client's perception of her appearance or situation is much
worse than her current condition.
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging
behavior. Which of the following is an expected finding? - correct answer-B. Hypokalemia
,D. Slightly elevated body weight
Rationale: A client who has a bulimia nervosa disorder will be hypokalemic, will maintain a weight within
a normal range or slightly higher; they will not have a period (amenorrhea), and a patchy skin (mottling
of skin).
A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior. The client
tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate
response by the nurse? - correct answer-C. "I understand you have concerns about your weight, but first,
let's talk about your recent accomplishments."
Rationale: A nurse should focus on the patient's accomplishments, which helps promote self-esteem and
self-image.
A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating
and purging behavior. Which of the following nursing actions is appropriate to include in the client's plan
of care? - correct answer-D. Implement one-to-one observation during meal times.
Rationale: A nurse should closely monitor the client during and after meals to prevent purging. It may
necessitate accompanying the patient to the restroom. A patient should also have a highly structured
milieu, including meal times. The client should not eat foods high in fat and gas-producing at the start of
a treatment. A positive approach should also be used which includes rewards, such as when completing
meals or consuming a set number of calories.
A nurse is caring for a client who is on lithium therapy. The client states that he wants to take ibuprofen
for osteoarthritis pain relief. Which of the following statements by the nurse is appropriate?
A. "That is a good choice. Ibuprofen does not interact with lithium."
B. "Regular aspirin would be a better choice than ibuprofen."
C. "Lithium decreases the effectiveness of ibuprofen."
D. "The ibuprofen will make your lithium level fall too low." - correct answer-B
, A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic acid
(Depakote). The nurse should inform the client of the need for routine monitoring of which of the
following?
A. AST/ALT and LDH
B. Creatinine and BUN
C. WBC and granulocyte counts
D. Serum sodium and potassium - correct answer-A
A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to
administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L. Which of
the following is an appropriate action by the nurse?
A. Administer the next dose of lithium carbonate as scheduled.
B. Prepare for administration of aminophylline.
C. Notify the provider for a possible increase in the dosage of lithium carbonate.
D. Request a stat repeat of the client's lithium blood level. - correct answer-A
A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin
lithium therapy. When collecting a medical history from the client's adult daughter, which of the
following statements is the highest priority to report to the provider?
A. "My mother has diabetes that is controlled by her diet."
B. "My mother recently completed a course of prednisone for acute bronchitis."
C. "My mother received her flu vaccine last month."
D. "My mother is currently on furosemide for her congestive heart failure." - correct answer-D
A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The
nurse should anticipate a prescription of which of the following medications?
A. Chlorpromazine (Thorazine)
B. Thiothixene (Navane)
HeAlTH NuRsINg
exAM wITH
coRRecT QuesTIoN
ANd ANsweRs
,A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the
following indications should the nurse assess?
A.Impulsive behavior
B.Repetitive counting
C.Destructiveness
D.Somatic problems - correct answer-B
A.IncOrrEct: Impulsive behavior is an indication of ADHD rather than autism spectrum disorder.
B.CORRECT: Repetitive actions and strict routines are an indication of autism spectrum disorder.
C.IncOrrEct: Destructiveness is an indication of conduct disorder rather than autism spectrum disorder.
D.IncOrrEct: Somatic problems are an indication of posttraumatic stress disorder rather than autism
spectrum disorder.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia
nervosa. Which of the following questions are appropriate for the nurse to include in the assesment? -
correct answer-A. "What is your relationship like with your family?"
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings about your appearance?"
Rationale: A family history of a client who has anorexia should include an assessment of family and
interpersonal relationships. You should also assess for the client's current eating habits, and the client's
perception of the issue.
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a
current weight of 90 lbs. Which of the following statements indicates the client is experiencing the
cognitive distortion of catastrophizing? - correct answer-A. "Life isn't worth living if I gain weight."
Rationale: Catastrophizing means that the client's perception of her appearance or situation is much
worse than her current condition.
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging
behavior. Which of the following is an expected finding? - correct answer-B. Hypokalemia
,D. Slightly elevated body weight
Rationale: A client who has a bulimia nervosa disorder will be hypokalemic, will maintain a weight within
a normal range or slightly higher; they will not have a period (amenorrhea), and a patchy skin (mottling
of skin).
A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior. The client
tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate
response by the nurse? - correct answer-C. "I understand you have concerns about your weight, but first,
let's talk about your recent accomplishments."
Rationale: A nurse should focus on the patient's accomplishments, which helps promote self-esteem and
self-image.
A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating
and purging behavior. Which of the following nursing actions is appropriate to include in the client's plan
of care? - correct answer-D. Implement one-to-one observation during meal times.
Rationale: A nurse should closely monitor the client during and after meals to prevent purging. It may
necessitate accompanying the patient to the restroom. A patient should also have a highly structured
milieu, including meal times. The client should not eat foods high in fat and gas-producing at the start of
a treatment. A positive approach should also be used which includes rewards, such as when completing
meals or consuming a set number of calories.
A nurse is caring for a client who is on lithium therapy. The client states that he wants to take ibuprofen
for osteoarthritis pain relief. Which of the following statements by the nurse is appropriate?
A. "That is a good choice. Ibuprofen does not interact with lithium."
B. "Regular aspirin would be a better choice than ibuprofen."
C. "Lithium decreases the effectiveness of ibuprofen."
D. "The ibuprofen will make your lithium level fall too low." - correct answer-B
, A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic acid
(Depakote). The nurse should inform the client of the need for routine monitoring of which of the
following?
A. AST/ALT and LDH
B. Creatinine and BUN
C. WBC and granulocyte counts
D. Serum sodium and potassium - correct answer-A
A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to
administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L. Which of
the following is an appropriate action by the nurse?
A. Administer the next dose of lithium carbonate as scheduled.
B. Prepare for administration of aminophylline.
C. Notify the provider for a possible increase in the dosage of lithium carbonate.
D. Request a stat repeat of the client's lithium blood level. - correct answer-A
A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin
lithium therapy. When collecting a medical history from the client's adult daughter, which of the
following statements is the highest priority to report to the provider?
A. "My mother has diabetes that is controlled by her diet."
B. "My mother recently completed a course of prednisone for acute bronchitis."
C. "My mother received her flu vaccine last month."
D. "My mother is currently on furosemide for her congestive heart failure." - correct answer-D
A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The
nurse should anticipate a prescription of which of the following medications?
A. Chlorpromazine (Thorazine)
B. Thiothixene (Navane)
