ATI mental health practice test A
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 the following actions should the nurse take? -
ANSWER talk with the client about activities they enjoyed with their partner
a nurse is documenting admission assessment findings for a client who has major depressive
disorder. the nurse should identify which of the following findings as clinical manifestations? -
ANSWER -feelings of hopelessness
-anhedonia
-flat facial expression
a nurse is admitting a client who has alcohol use disorder. which of the following statements by
the client indicates that the client is using denial as a defense mechanism? - ANSWER
"I am able to go to work every day, so I don't have a problem."
a nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. which
of the following interventions should the nurse include in the plan of care? - ANSWER
encourage the client to drink 125 mL of fluid each hour while awake.
,a nurse is caring for a client who has schizophrenia and is experiencing psychosis. the nurse
should identify that which of the following findings indicates a potential psychiatric emergency?
- ANSWER the client reports command hallucinations
a client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. during the discussion of the medication adherence portion of the plan, a nurse
notices that the family member seems distracted. which of the following actions should the
nurse take? - ANSWER ask the family member if they have any thoughts or
questions about the treatment plan
a nurse is planning care for an adolescent who is being admitted to an acute care unit following
a suicide attempt. which of the following interventions should the nurse identify as the priority?
- ANSWER arrange one-to-one observation of the client
a nurse is caring for a group of clients. which of the following findings should the nurse report? -
ANSWER a client who is taking lamotrigine and has developed a rash
a nurse is planning care for a client who is experiencing acute mania. which of the following
interventions should the nurse include in the plan to promote sleep? - ANSWER
encourage frequent rest periods throughout the day
, a nurse is reviewing routine lab values for several clients who are taking lithium carbonate.
which of the following clients should the nurse assess further for findings indicating lithium
toxicity? - ANSWER a client who has a sodium level of 128 mEq/L
a nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. which of the following
resources should the nurse recommend to the caregiver? - ANSWER respite care
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? -
ANSWER inappropriate dress
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? -
ANSWER substance use disorder
a nurse is admitting a female client who has anorexia nervosa. which of the following
manifestations should the nurse expect during the admission assessment? - ANSWER
orthostatic hypotension
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 the following actions should the nurse take? -
ANSWER talk with the client about activities they enjoyed with their partner
a nurse is documenting admission assessment findings for a client who has major depressive
disorder. the nurse should identify which of the following findings as clinical manifestations? -
ANSWER -feelings of hopelessness
-anhedonia
-flat facial expression
a nurse is admitting a client who has alcohol use disorder. which of the following statements by
the client indicates that the client is using denial as a defense mechanism? - ANSWER
"I am able to go to work every day, so I don't have a problem."
a nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. which
of the following interventions should the nurse include in the plan of care? - ANSWER
encourage the client to drink 125 mL of fluid each hour while awake.
,a nurse is caring for a client who has schizophrenia and is experiencing psychosis. the nurse
should identify that which of the following findings indicates a potential psychiatric emergency?
- ANSWER the client reports command hallucinations
a client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. during the discussion of the medication adherence portion of the plan, a nurse
notices that the family member seems distracted. which of the following actions should the
nurse take? - ANSWER ask the family member if they have any thoughts or
questions about the treatment plan
a nurse is planning care for an adolescent who is being admitted to an acute care unit following
a suicide attempt. which of the following interventions should the nurse identify as the priority?
- ANSWER arrange one-to-one observation of the client
a nurse is caring for a group of clients. which of the following findings should the nurse report? -
ANSWER a client who is taking lamotrigine and has developed a rash
a nurse is planning care for a client who is experiencing acute mania. which of the following
interventions should the nurse include in the plan to promote sleep? - ANSWER
encourage frequent rest periods throughout the day
, a nurse is reviewing routine lab values for several clients who are taking lithium carbonate.
which of the following clients should the nurse assess further for findings indicating lithium
toxicity? - ANSWER a client who has a sodium level of 128 mEq/L
a nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. which of the following
resources should the nurse recommend to the caregiver? - ANSWER respite care
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? -
ANSWER inappropriate dress
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? -
ANSWER substance use disorder
a nurse is admitting a female client who has anorexia nervosa. which of the following
manifestations should the nurse expect during the admission assessment? - ANSWER
orthostatic hypotension
