ATI RN Mental Health Proctored Exam
with NGN Questions and Verified Rationalized Answers
100% Guarantee Pass
This Test Contains 70 Questions and Answers
y
1. A nurse in an outpatient clinic is reviewing the medical record of a clientwho has
anorexia nervosa.
Click to highlight the information in the client's medical record that indicatethe client's
condition is deteriorating. To deselect information, click on the information again.
,-QT prolongation
-Exercise regimen
-Hematemesis
-Temperature
-Laxative use
-BMI: QT prolongation is correct. The finding of QT prolongation in the client's ECG during
the second visit reveals cardiac complications of anorexia nervosa. Changes in electrolyte
levels can shorten or prolong the QT interval. This is an indication that the client's
condition is deteriorating.
Exercise regimen is correct. The client's purchase of exercise equipment and work- ing out
twice a day is a new manifestation of anorexia nervosa. This is an indication that the
client's condition is deteriorating.
Hematemesis is correct. New onset of hematemesis might be caused by esophagealirritation
or ulceration due to the increase in the frequency of induction of vom- iting. Continued
induction of vomiting can cause esophageal rupture. Therefore, hematemesis is an
indication that the client's condition is deteriorating.
,Temperature is incorrect. The client's temperature has remained within the expected
reference range. A decrease in body temperature with cool skin is an indication that the
client's condition is deteriorating.
Laxative use is incorrect. The client's cessation of the use of laxatives is an indicationthat the
client's condition is improving.
BMI is correct. The client's BMI decreased between visits, which indicates the client is
continuing to lose weight. This is an indication that the client's condition isdeteriorating.
2. A nurse is caring for an older adult client who has dementia and has wandered into
the day room looking for their deceased partner. Which of thefollowing actions should
the nurse take?
,a. Move the client to a room near the nurses' station.
b. Limit visitors until the client is oriented to the environment.
c. Tell the client that their partner is deceased.
d. Talk with the client about activities they enjoyed with their partner.: Ans- d. Talkwith
the client about activities they enjoyed with their partner.
Talking about positive experiences can help distract the client from their disorienta-tion
3. A nurse is caring for a client who has alcohol use disorder.Complete
the following sentence by using the list of options.
The client is at greatest risk for as evidenced by the client's .
Dropdown 1:
-Ineffective coping
-Dehydration
-Violent behavior
Dropdown 2:
-Agitation
-Loss of appetite
,-Inability to perform simple tasks: Drop down 1:
Ineffective coping is incorrect. The nurse should continue to monitor the client for
ineffective coping and encourage the client to use coping techniques. However, thisis not
the greatest risk for this client.
Dehydration is incorrect. The nurse should monitor the client's intake and encouragethe
client to eat and drink. However, this is not the greatest risk for this client.
Violent behavior is correct. The greatest risk for the client is engaging in violent behavior
due to the withdrawal of alcohol, which is causing them increasing agitation.The nurse
should closely monitor the client and be prepared to intervene to protectthe client and
others from injury.
Ans -Dropdown 2: Agitation is correct. The client is at greatest risk of engaging in violent
behavior as evidenced by the client's agitation, which can be indicated by pacing,
restlessness, staring, silence, rigid posture, and clenched jaw. The nurse should closely
monitor the client and be prepared to intervene to protect the client and others from
injury.
, Loss of appetite is incorrect. The nurse should monitor the client's intake and encourage
the client to eat and drink. However, this is not the greatest risk for the client. Loss of
appetite is an expected finding for a client who is experiencing alcoholwithdrawal.
Inability to perform simple tasks is incorrect. The nurse should monitor the client'sability t
perform simple tasks and encourage use of coping strategies. However,this is not the
greatest risk for the client.
4. A nurse on a mental health unit is admitting a client who has bipolardisorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's due to
the client's .: When prioritizing hypotheses, the nurse should identify the
greatest risk to the client is cardiovascular injury due to constant psychomotor activity.
The client is pacing, moving arms and hands around dramatically, and is unable to sit still.
This can increase the client's blood pressure and heart rate, whichcan indicate unexpected
cardiovascular findings.
5. A nurse is teaching a group of newly licensed nurses about the use of mechanical
with NGN Questions and Verified Rationalized Answers
100% Guarantee Pass
This Test Contains 70 Questions and Answers
y
1. A nurse in an outpatient clinic is reviewing the medical record of a clientwho has
anorexia nervosa.
Click to highlight the information in the client's medical record that indicatethe client's
condition is deteriorating. To deselect information, click on the information again.
,-QT prolongation
-Exercise regimen
-Hematemesis
-Temperature
-Laxative use
-BMI: QT prolongation is correct. The finding of QT prolongation in the client's ECG during
the second visit reveals cardiac complications of anorexia nervosa. Changes in electrolyte
levels can shorten or prolong the QT interval. This is an indication that the client's
condition is deteriorating.
Exercise regimen is correct. The client's purchase of exercise equipment and work- ing out
twice a day is a new manifestation of anorexia nervosa. This is an indication that the
client's condition is deteriorating.
Hematemesis is correct. New onset of hematemesis might be caused by esophagealirritation
or ulceration due to the increase in the frequency of induction of vom- iting. Continued
induction of vomiting can cause esophageal rupture. Therefore, hematemesis is an
indication that the client's condition is deteriorating.
,Temperature is incorrect. The client's temperature has remained within the expected
reference range. A decrease in body temperature with cool skin is an indication that the
client's condition is deteriorating.
Laxative use is incorrect. The client's cessation of the use of laxatives is an indicationthat the
client's condition is improving.
BMI is correct. The client's BMI decreased between visits, which indicates the client is
continuing to lose weight. This is an indication that the client's condition isdeteriorating.
2. A nurse is caring for an older adult client who has dementia and has wandered into
the day room looking for their deceased partner. Which of thefollowing actions should
the nurse take?
,a. Move the client to a room near the nurses' station.
b. Limit visitors until the client is oriented to the environment.
c. Tell the client that their partner is deceased.
d. Talk with the client about activities they enjoyed with their partner.: Ans- d. Talkwith
the client about activities they enjoyed with their partner.
Talking about positive experiences can help distract the client from their disorienta-tion
3. A nurse is caring for a client who has alcohol use disorder.Complete
the following sentence by using the list of options.
The client is at greatest risk for as evidenced by the client's .
Dropdown 1:
-Ineffective coping
-Dehydration
-Violent behavior
Dropdown 2:
-Agitation
-Loss of appetite
,-Inability to perform simple tasks: Drop down 1:
Ineffective coping is incorrect. The nurse should continue to monitor the client for
ineffective coping and encourage the client to use coping techniques. However, thisis not
the greatest risk for this client.
Dehydration is incorrect. The nurse should monitor the client's intake and encouragethe
client to eat and drink. However, this is not the greatest risk for this client.
Violent behavior is correct. The greatest risk for the client is engaging in violent behavior
due to the withdrawal of alcohol, which is causing them increasing agitation.The nurse
should closely monitor the client and be prepared to intervene to protectthe client and
others from injury.
Ans -Dropdown 2: Agitation is correct. The client is at greatest risk of engaging in violent
behavior as evidenced by the client's agitation, which can be indicated by pacing,
restlessness, staring, silence, rigid posture, and clenched jaw. The nurse should closely
monitor the client and be prepared to intervene to protect the client and others from
injury.
, Loss of appetite is incorrect. The nurse should monitor the client's intake and encourage
the client to eat and drink. However, this is not the greatest risk for the client. Loss of
appetite is an expected finding for a client who is experiencing alcoholwithdrawal.
Inability to perform simple tasks is incorrect. The nurse should monitor the client'sability t
perform simple tasks and encourage use of coping strategies. However,this is not the
greatest risk for the client.
4. A nurse on a mental health unit is admitting a client who has bipolardisorder.
Complete the following sentence by using the list of options.
The first action the nurse should take is to address the client's due to
the client's .: When prioritizing hypotheses, the nurse should identify the
greatest risk to the client is cardiovascular injury due to constant psychomotor activity.
The client is pacing, moving arms and hands around dramatically, and is unable to sit still.
This can increase the client's blood pressure and heart rate, whichcan indicate unexpected
cardiovascular findings.
5. A nurse is teaching a group of newly licensed nurses about the use of mechanical
