ATI Mental Health Online Practice 2023 A
Questions and Answers
1. a client who has a recent diagnosis of bipolar disorder is placed in a room with a client
who has severe depression. the client who has depression reports to the nurse, "my
roommate never sleeps and keeps me up, too." which of the following actions should the
nurse take? - ANS-Move the client who has bipolar disorder to a private room.
rationale: Clients who have bipolar disorder can disrupt the therapeutic milieu for
other clients. Therefore, the nurse should move this client to a private room.
2. a nurse in a clinic is assessing a client whose partner died 4 months ago. which of the
following statements indicates that the client is at risk for complicated grief? - ANS-"I
feel so empty without my wife that it's hard to get up every morning." rationale:
The nurse should identify that when a client has difficulty carrying on normal
activities following a loss, this is an indication that there is a risk for complicated
grief.
3. a nurse in a community health center is teaching families of clients who have
post-traumatic stress disorder about expected clinical manifestations. which of the
following manifestations should the nurse include? - ANS-c. Experiences feelings of
isolation
rationale: The nurse should expect clients who have PTSD to feel estranged and
detached from others.
a nurse is
4. a nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members? - ANS-b. guided imagery
rationale: Guided imagery involves assisting the client to imagine a restful and
safe place. This method is effective in reducing anxiety in clients who have
post-traumatic stress disorder.
5. a nurse in a mental health facility is caring for a client who requires the use of restraints.
which of the following actions should the nurse take when caring for the client? -
ANS-Ensure a staff member checks on the client every 15 min.
rationale: When caring for a client who is in restraints, the nurse should assess
the client's needs for hydration and elimination, and monitor the circulation in the
extremities every 15 min.
6. a nurse in a providers office is collecting a health history from a 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? - ANS-c. dark urine
rationale: 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.
, 7. a nurse in an inpatient mental health facility is caring for a client. the client begins pacing
with their fists clenched and is verbally abusing the staff. which of the following actions
should the nurse take? - ANS-Ensure security personnel are available in the
background to assist if the client's behavior escalates.rationale: The client is
exhibiting manifestations of anger and agitation that often precede a violent event.
While the nurse should attempt to de-escalate the situation, safety measures
should be in place. The nurse should verify that assistance is available if the client
becomes violent. Security should be kept out of the client's line of sight until they
are needed to avoid escalating the situation.
8. a nurse in the emergency department is caring for a client who has alcohol toxicity and is
unresponsive. which of the following interventions should the nurse take? - ANS-Gather
supplies for endotracheal intubation.
rationale: The nurse should gather supplies for endotracheal intubation because
an expected finding of an unresponsive client who has alcohol toxicity is
respiratory depression.
9. a nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body
weight. which of the following interventions should the nurse include in the plan of care?
- ANS-a. Encourage the client to drink 125 mL of fluid each hour while awake.
rationale: The nurse should encourage the client to drink 125 mL of fluid each
waking hour to maintain hydration
10.a nurse is assessing a client for risk factors for the development of depression. the nurse
should identify that which of the following factors places the client at an increased risk for
depression? - ANS-the client has COPD.
rationale: The nurse should identify that clients who have a chronic medical
illness are at an increased risk for the development of depression.
11.a nurse is assessing a client who has borderline personality disorder. which of the
following findings should the nurse expect? - ANS-Emotional lability
rationale: Emotional lability is the rapid transition from one emotion to another
and is a primary feature of borderline personality disorder. Clients who have
borderline personality disorder react to situations with emotional responses that
are out of proportion to the circumstances.
12.a nurse is assessing a client who has schizophrenia. which of the following findings
should the nurse document as negative symptom of this disorder? - ANS-Anhedoni
arationale: Negative symptoms of schizophrenia affect a person's ability to
interact with others and are less dominant than positive symptoms. These
symptoms develop over time. Examples of negative symptoms include flat affect,
anergia (lack of energy), anhedonia (inability to enjoy otherwise pleasurable
activities), and thought blocking.
13.a nurse is assessing a client who recently used cocaine. which of the following findings
should the nurse expect? - ANS-hypertension rationale: Cocaine is a stimulant that
increases blood pressure.
14.a nurse is caring for a child who has conduct disorder and is behaving in a destructive
manner, throwing objects, and kicking others. which of the following therapeutic nursing
interventions is the priority? - ANS-Reduce environmental stimuli.
Questions and Answers
1. a client who has a recent diagnosis of bipolar disorder is placed in a room with a client
who has severe depression. the client who has depression reports to the nurse, "my
roommate never sleeps and keeps me up, too." which of the following actions should the
nurse take? - ANS-Move the client who has bipolar disorder to a private room.
rationale: Clients who have bipolar disorder can disrupt the therapeutic milieu for
other clients. Therefore, the nurse should move this client to a private room.
2. a nurse in a clinic is assessing a client whose partner died 4 months ago. which of the
following statements indicates that the client is at risk for complicated grief? - ANS-"I
feel so empty without my wife that it's hard to get up every morning." rationale:
The nurse should identify that when a client has difficulty carrying on normal
activities following a loss, this is an indication that there is a risk for complicated
grief.
3. a nurse in a community health center is teaching families of clients who have
post-traumatic stress disorder about expected clinical manifestations. which of the
following manifestations should the nurse include? - ANS-c. Experiences feelings of
isolation
rationale: The nurse should expect clients who have PTSD to feel estranged and
detached from others.
a nurse is
4. a nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the nurse
include to reduce anxiety among the group members? - ANS-b. guided imagery
rationale: Guided imagery involves assisting the client to imagine a restful and
safe place. This method is effective in reducing anxiety in clients who have
post-traumatic stress disorder.
5. a nurse in a mental health facility is caring for a client who requires the use of restraints.
which of the following actions should the nurse take when caring for the client? -
ANS-Ensure a staff member checks on the client every 15 min.
rationale: When caring for a client who is in restraints, the nurse should assess
the client's needs for hydration and elimination, and monitor the circulation in the
extremities every 15 min.
6. a nurse in a providers office is collecting a health history from a 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? - ANS-c. dark urine
rationale: 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.
, 7. a nurse in an inpatient mental health facility is caring for a client. the client begins pacing
with their fists clenched and is verbally abusing the staff. which of the following actions
should the nurse take? - ANS-Ensure security personnel are available in the
background to assist if the client's behavior escalates.rationale: The client is
exhibiting manifestations of anger and agitation that often precede a violent event.
While the nurse should attempt to de-escalate the situation, safety measures
should be in place. The nurse should verify that assistance is available if the client
becomes violent. Security should be kept out of the client's line of sight until they
are needed to avoid escalating the situation.
8. a nurse in the emergency department is caring for a client who has alcohol toxicity and is
unresponsive. which of the following interventions should the nurse take? - ANS-Gather
supplies for endotracheal intubation.
rationale: The nurse should gather supplies for endotracheal intubation because
an expected finding of an unresponsive client who has alcohol toxicity is
respiratory depression.
9. a nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body
weight. which of the following interventions should the nurse include in the plan of care?
- ANS-a. Encourage the client to drink 125 mL of fluid each hour while awake.
rationale: The nurse should encourage the client to drink 125 mL of fluid each
waking hour to maintain hydration
10.a nurse is assessing a client for risk factors for the development of depression. the nurse
should identify that which of the following factors places the client at an increased risk for
depression? - ANS-the client has COPD.
rationale: The nurse should identify that clients who have a chronic medical
illness are at an increased risk for the development of depression.
11.a nurse is assessing a client who has borderline personality disorder. which of the
following findings should the nurse expect? - ANS-Emotional lability
rationale: Emotional lability is the rapid transition from one emotion to another
and is a primary feature of borderline personality disorder. Clients who have
borderline personality disorder react to situations with emotional responses that
are out of proportion to the circumstances.
12.a nurse is assessing a client who has schizophrenia. which of the following findings
should the nurse document as negative symptom of this disorder? - ANS-Anhedoni
arationale: Negative symptoms of schizophrenia affect a person's ability to
interact with others and are less dominant than positive symptoms. These
symptoms develop over time. Examples of negative symptoms include flat affect,
anergia (lack of energy), anhedonia (inability to enjoy otherwise pleasurable
activities), and thought blocking.
13.a nurse is assessing a client who recently used cocaine. which of the following findings
should the nurse expect? - ANS-hypertension rationale: Cocaine is a stimulant that
increases blood pressure.
14.a nurse is caring for a child who has conduct disorder and is behaving in a destructive
manner, throwing objects, and kicking others. which of the following therapeutic nursing
interventions is the priority? - ANS-Reduce environmental stimuli.
