ATI Mental Health Practice B 2023
Questions and Answers
1. A charge nurse is preparing an education session for a group of newly licensed nurses
to review clients rights under the law. Which of the following statements should the nurse
make? - ANS-"In the event a client threatens harm to others, medications can be
administered without consent."( The charge nurse should inform the participants
that medications can be administered without consent if a client threatens harm to
others. The nurse should always protect the health and safety of their clients,
even when a client's safety is threatened by another client.)
2. A client who has a diagnosis of depression is attending group therapy. During the group
meeting, the nurse asks each member to identify one goal for the day. When it is the
client's turn, they do not respond. Which of the following actions should the nurse take
before repeating the request to the client? - ANS--Allow the client time to formulate
an answer.
3. A community health nurse is planning an education program about depressive disorders.
Which of the following factors should the nurse include as increasing the risk for
depression? - ANS--Substance use disorder
4. 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? - ANS-- Inappropriate dress.( Clothing that is soiled or clothing
that is not appropriate for weather conditions is a possible indicator of neglect.)
5. A nurse at an inpatient mental health facility is caring for a client who recently
experienced a traumatic event. - ANS-Attention to body language
6. A nurse at an inpatient mental health facility is caring for a client who recently
experienced a traumatic event. The nurse is providing teaching to the client. Which of
the following statements should the nurse include in the teaching? (Select all that apply.)
- ANS---"You should seek help if you have thoughts of self-harm." (The nurse
should inform the client that they should seek help immediately if they experience
thoughts of self-harm or suicidal ideation.)
--"A support group might be helpful to you during this time." (The nurse should
encourage the client to participate in a support group, which can provide
emotional support for a client who has experienced a traumatic event.)
--"It is common for people who survived a traumatic event to experience feelings
of anxiety." (Clients who have experienced a traumatic event can demonstrate
manifestations of severe anxiety and panic attacks, including impulsivity and
regression.)
7. A nurse in a mental health clinic is caring for a client who has bipolar disorder and
reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which
of the following as an expected adverse effect that might have caused the client to stop
taking the medication? - ANS--Hand tremors(adverse effect of taking lithium)
, 8. A nurse in a mental health clinic is planning care for a client who has a new prescription
for olanzapine. Which of the following interventions should the nurse identify as the
priority? - ANS--Instruct the client to avoid driving during initial therapy.(Due to
potential drowsiness)
9. A nurse in an emergency department is caring for an adolescent who has a diagnosis of
bulimia nervosa and had a fainting episode during a ballet performance. Which of the
following statements by the parent acknowledges the client's diagnosis? - ANS-- "They
won't let me take the trash from their room. I'm concerned about what they have in
there."
10.A nurse in an outpatient clinic is reviewing the medical record of a client who has
anorexia nervosa.
Click to highlight the information in the client's medical record that indicate the client's
condition is deteriorating. To deselect information, click on the information again. -
ANS-— 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
working 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
esophageal irritation or ulceration due to the increase in the frequency of
induction of vomiting. Continued induction of vomiting can cause esophageal
rupture. Therefore, hematemesis is an indication that the client's condition is
deteriorating.
— 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
is deteriorating.
11.A nurse in the emergency department (ED) is admitting a client who was dropped off at
the front door. For each of the client assessment findings below, click to specify if the
finding is consistent with alcohol toxicity or major depressive disorder. Each finding may
support more than one disease process. - ANS-- Weight change is consistent with
major depressive disorder. Clients who have major depressive disorder can
experience significant weight loss. A 5% or greater loss in weight in a month is
considered significant.
-Level of consciousness (LOC) is consistent with alcohol toxicity. Alcohol is a
psychotropic drug and, when ingested at an excessive volume, can affect a
client's mood, behavior, and consciousness.
-Nausea and vomiting is consistent with alcohol toxicity. A BAC of 150 mg/dL can
result in nausea and vomiting.
-Mental status is consistent with alcohol toxicity and major depressive disorder.
Alcohol is a psychotropic drug and can result in decreased thinking ability,
impaired judgment, and slowed thinking when ingested. A client who has a history
Questions and Answers
1. A charge nurse is preparing an education session for a group of newly licensed nurses
to review clients rights under the law. Which of the following statements should the nurse
make? - ANS-"In the event a client threatens harm to others, medications can be
administered without consent."( The charge nurse should inform the participants
that medications can be administered without consent if a client threatens harm to
others. The nurse should always protect the health and safety of their clients,
even when a client's safety is threatened by another client.)
2. A client who has a diagnosis of depression is attending group therapy. During the group
meeting, the nurse asks each member to identify one goal for the day. When it is the
client's turn, they do not respond. Which of the following actions should the nurse take
before repeating the request to the client? - ANS--Allow the client time to formulate
an answer.
3. A community health nurse is planning an education program about depressive disorders.
Which of the following factors should the nurse include as increasing the risk for
depression? - ANS--Substance use disorder
4. 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? - ANS-- Inappropriate dress.( Clothing that is soiled or clothing
that is not appropriate for weather conditions is a possible indicator of neglect.)
5. A nurse at an inpatient mental health facility is caring for a client who recently
experienced a traumatic event. - ANS-Attention to body language
6. A nurse at an inpatient mental health facility is caring for a client who recently
experienced a traumatic event. The nurse is providing teaching to the client. Which of
the following statements should the nurse include in the teaching? (Select all that apply.)
- ANS---"You should seek help if you have thoughts of self-harm." (The nurse
should inform the client that they should seek help immediately if they experience
thoughts of self-harm or suicidal ideation.)
--"A support group might be helpful to you during this time." (The nurse should
encourage the client to participate in a support group, which can provide
emotional support for a client who has experienced a traumatic event.)
--"It is common for people who survived a traumatic event to experience feelings
of anxiety." (Clients who have experienced a traumatic event can demonstrate
manifestations of severe anxiety and panic attacks, including impulsivity and
regression.)
7. A nurse in a mental health clinic is caring for a client who has bipolar disorder and
reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which
of the following as an expected adverse effect that might have caused the client to stop
taking the medication? - ANS--Hand tremors(adverse effect of taking lithium)
, 8. A nurse in a mental health clinic is planning care for a client who has a new prescription
for olanzapine. Which of the following interventions should the nurse identify as the
priority? - ANS--Instruct the client to avoid driving during initial therapy.(Due to
potential drowsiness)
9. A nurse in an emergency department is caring for an adolescent who has a diagnosis of
bulimia nervosa and had a fainting episode during a ballet performance. Which of the
following statements by the parent acknowledges the client's diagnosis? - ANS-- "They
won't let me take the trash from their room. I'm concerned about what they have in
there."
10.A nurse in an outpatient clinic is reviewing the medical record of a client who has
anorexia nervosa.
Click to highlight the information in the client's medical record that indicate the client's
condition is deteriorating. To deselect information, click on the information again. -
ANS-— 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
working 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
esophageal irritation or ulceration due to the increase in the frequency of
induction of vomiting. Continued induction of vomiting can cause esophageal
rupture. Therefore, hematemesis is an indication that the client's condition is
deteriorating.
— 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
is deteriorating.
11.A nurse in the emergency department (ED) is admitting a client who was dropped off at
the front door. For each of the client assessment findings below, click to specify if the
finding is consistent with alcohol toxicity or major depressive disorder. Each finding may
support more than one disease process. - ANS-- Weight change is consistent with
major depressive disorder. Clients who have major depressive disorder can
experience significant weight loss. A 5% or greater loss in weight in a month is
considered significant.
-Level of consciousness (LOC) is consistent with alcohol toxicity. Alcohol is a
psychotropic drug and, when ingested at an excessive volume, can affect a
client's mood, behavior, and consciousness.
-Nausea and vomiting is consistent with alcohol toxicity. A BAC of 150 mg/dL can
result in nausea and vomiting.
-Mental status is consistent with alcohol toxicity and major depressive disorder.
Alcohol is a psychotropic drug and can result in decreased thinking ability,
impaired judgment, and slowed thinking when ingested. A client who has a history
