ATI MENTAL HEALTH ONLINE PRACTICE A EXAM
With NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass
This Test Consists Of 60 Questions And Answers
1. 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 at-
tempts 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
:Ans>> 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.
,2. 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."
:Ans>> B. "It is easier to talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome.
3. 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."
:Ans>> 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.
4. 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
:Ans>> 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.
5. 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.
:Ans>> 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.
,6. 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.
:Ans>> 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.
7. 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.
:Ans>> B. Set realistic limits on the client's behavior.
Clients who have antisocial personality disorder can seem to be in control of their
behavior, but are manipulative and impulsive and can suddenly become aggressive
and assaultive. The nurse should establish clear limits on specific aggressive and
demanding behaviors.
8. A nurse in a provider's office is collecting a health history from the guardian
of a school-age child who has been taking atomoxetine. Which of the following
adverse effects reported by the guardian is the priority for the nurse to report
to the provider?
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating
:Ans>> C. Dark urine
The greatest risk for the child is liver damage from atomoxetine, which can progress
to liver failure and death. Therefore, this is the nurse's priority finding.
9. A nurse is caring for a group of clients. For which of the following situations
should the nurse complete an incident report?
,A. A client refuses electroconvulsive therapy after signing the consent form.
B. A client who was voluntarily admitted left the unit against medical advice.
C. A client was administered one-half of the prescribed dose of medication.
D. A client was placed in restraints after attempts to de-escalate aggressive
behaviors failed.
:Ans>> C. A client was administered one-half of the prescribed dose of
medication.
An incident report is a recording of any occurrence that does not meet the standard
of care. The nurse should report medication errors using the facility's incident or
occurrence form.
10. A nurse is admitting a client who has schizophrenia to an acute care
setting. When the nurse questions the client regarding their admission, the
client states, "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?
A. Clang association
B. Word salad
C. Neologism
,D. Echolalia
:Ans>> A. Clang association
The nurse should document that the client's speech uses clang associations, which
often rhyme or contain a string of words that can have a similar sound.
11. 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?
A. Offering self
B. Use of silence
C. Attention to body language
D. Reflection of feelings
:Ans>> C. Attention to body language
Use of active listening involves identifying verbal and nonverbal communication by
the client, which includes attention to body language.
12. A home health nurse is assessing an older adult client whose sibling is the
primary caregiver. Which of the following findings should the nurse identify as
a possible indicator of neglect?
A. Increased confusion
B. Sleep disturbances
C. Cluttered environment
D. Inappropriate dress
:Ans>> D. Inappropriate dress
,Clothing that is soiled or clothing that is not appropriate for weather conditions is a
possible indicator of neglect.
13. A nurse is admitting a female client who has anorexia nervosa. Which of
the following manifestations should the nurse expect during the admission
assessment?
A. Diarrhea
B. Heavy menstrual bleeding
C. Tachycardia
D. Orthostatic hypotension
:Ans>> D. Orthostatic hypotension
Low weight, electrolyte imbalances, starvation, and dehydration cause orthostatic
hypotension.
14. A nurse is caring for a client who has antisocial personality disorder and
is receiving behavioral therapy through operant conditioning. Which of the
following client behaviors indicates effectiveness of the the
A. Controls anger outbursts to avoid being placed in seclusion.
B. No longer exhibits a fear of social or public situations.
, C. Refrains from manipulating others to earn dining room privileges.
D. Imitates the therapist's use of a relaxation technique.
:Ans>> C. Refrains from manipulating others to earn dining room privileges.
The goal of operant conditioning is to provide positive reinforcement in return for a
desired behavior. Refraining from manipulative behavior is a desired response.
15. A nurse is caring for a client who has impaired cognition.
Nurses' Notes
Day 1 0800
:Ans>>
Client is able to assist with self-care. Client is easily startled by sudden
changes and loud noises.
Day 3 0830
:Ans>>
Client has wandered into other client's rooms and is more restless at night.
Client has increased anxiety and confusion today; does not want to stay
seated in the medical recliner.
Progress Report
0230
:Ans>> Prior medical record obtained and reviewed.
Client has a history of major depressive disorder and has had two prior suicide
attempts.
Currently lives at a half-way house in town. Last hospitalization was 3 months
ago for phenelzine toxicity. Client was changed to selegiline transdermal prior
With NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass
This Test Consists Of 60 Questions And Answers
1. 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 at-
tempts 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
:Ans>> 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.
,2. 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."
:Ans>> B. "It is easier to talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome.
3. 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."
:Ans>> 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.
4. 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
:Ans>> 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.
5. 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.
:Ans>> 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.
,6. 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.
:Ans>> 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.
7. 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.
:Ans>> B. Set realistic limits on the client's behavior.
Clients who have antisocial personality disorder can seem to be in control of their
behavior, but are manipulative and impulsive and can suddenly become aggressive
and assaultive. The nurse should establish clear limits on specific aggressive and
demanding behaviors.
8. A nurse in a provider's office is collecting a health history from the guardian
of a school-age child who has been taking atomoxetine. Which of the following
adverse effects reported by the guardian is the priority for the nurse to report
to the provider?
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating
:Ans>> C. Dark urine
The greatest risk for the child is liver damage from atomoxetine, which can progress
to liver failure and death. Therefore, this is the nurse's priority finding.
9. A nurse is caring for a group of clients. For which of the following situations
should the nurse complete an incident report?
,A. A client refuses electroconvulsive therapy after signing the consent form.
B. A client who was voluntarily admitted left the unit against medical advice.
C. A client was administered one-half of the prescribed dose of medication.
D. A client was placed in restraints after attempts to de-escalate aggressive
behaviors failed.
:Ans>> C. A client was administered one-half of the prescribed dose of
medication.
An incident report is a recording of any occurrence that does not meet the standard
of care. The nurse should report medication errors using the facility's incident or
occurrence form.
10. A nurse is admitting a client who has schizophrenia to an acute care
setting. When the nurse questions the client regarding their admission, the
client states, "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?
A. Clang association
B. Word salad
C. Neologism
,D. Echolalia
:Ans>> A. Clang association
The nurse should document that the client's speech uses clang associations, which
often rhyme or contain a string of words that can have a similar sound.
11. 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?
A. Offering self
B. Use of silence
C. Attention to body language
D. Reflection of feelings
:Ans>> C. Attention to body language
Use of active listening involves identifying verbal and nonverbal communication by
the client, which includes attention to body language.
12. A home health nurse is assessing an older adult client whose sibling is the
primary caregiver. Which of the following findings should the nurse identify as
a possible indicator of neglect?
A. Increased confusion
B. Sleep disturbances
C. Cluttered environment
D. Inappropriate dress
:Ans>> D. Inappropriate dress
,Clothing that is soiled or clothing that is not appropriate for weather conditions is a
possible indicator of neglect.
13. A nurse is admitting a female client who has anorexia nervosa. Which of
the following manifestations should the nurse expect during the admission
assessment?
A. Diarrhea
B. Heavy menstrual bleeding
C. Tachycardia
D. Orthostatic hypotension
:Ans>> D. Orthostatic hypotension
Low weight, electrolyte imbalances, starvation, and dehydration cause orthostatic
hypotension.
14. A nurse is caring for a client who has antisocial personality disorder and
is receiving behavioral therapy through operant conditioning. Which of the
following client behaviors indicates effectiveness of the the
A. Controls anger outbursts to avoid being placed in seclusion.
B. No longer exhibits a fear of social or public situations.
, C. Refrains from manipulating others to earn dining room privileges.
D. Imitates the therapist's use of a relaxation technique.
:Ans>> C. Refrains from manipulating others to earn dining room privileges.
The goal of operant conditioning is to provide positive reinforcement in return for a
desired behavior. Refraining from manipulative behavior is a desired response.
15. A nurse is caring for a client who has impaired cognition.
Nurses' Notes
Day 1 0800
:Ans>>
Client is able to assist with self-care. Client is easily startled by sudden
changes and loud noises.
Day 3 0830
:Ans>>
Client has wandered into other client's rooms and is more restless at night.
Client has increased anxiety and confusion today; does not want to stay
seated in the medical recliner.
Progress Report
0230
:Ans>> Prior medical record obtained and reviewed.
Client has a history of major depressive disorder and has had two prior suicide
attempts.
Currently lives at a half-way house in town. Last hospitalization was 3 months
ago for phenelzine toxicity. Client was changed to selegiline transdermal prior
