ATI mental health practice test A
1. 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 Ans: talk with the client about activities they enjoyed
with their partner
2. 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 Ans: -feelings of hopelessness
-anhedonia
-flat facial expression
3. 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 Ans: "I am able to go to work every day, so I don't have a
problem."
4. 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 Ans: encourage the client to drink 125 mL of fluid each hour while awake.
5. a nurse is caring for a client who has schizophrenia and is experiencing psy- chosis.
the nurse should identify that which of the following findings indicates a potential
psychiatric emergency Ans: the client reports command hallucinations
6. 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 Ans: ask the family
member if they have any thoughts or questions about the treatment plan
7. 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 Ans: arrange one-to-one observation of the client
8. a nurse is caring for a group of clients. which of the following findings should
the nurse report Ans: a client who is taking lamotrigine and has developed a
rash
9. 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 Ans:
encourage frequent rest periods throughout the day
10. 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 Ans: a client who has a sodium level of 128
mEq/L
, 11. 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 Ans: respite care
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 Ans: inappropriate dress
13. a community health nurse is planning an education program about de-
pressive disorders. which of the following factors should the nurse include as
increasing the risk for depression Ans: substance use disorder
14. a nurse is admitting a female client who has anorexia nervosa. which of the
following manifestations should the nurse expect during the admission
assessment Ans: orthostatic hypotension
15. 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 Ans: "it is not uncommon to feel
angry toward yourself or others."
16. a nurse on a mental health unit is caring for a recently admitted client.
exhibit 1: 0800 - BP: 110/78, HR: 76/min, RR: 18/min, Temp: 98.6; 1200 - BP:
116/80, HR: 88/min, RR: 20/min, temp: 100.4
exhibit 2: 22 year old client admitted following episodes of hallucinations and
delusions. outpatient treatment has been ineffective. client has been unable to
1. 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 Ans: talk with the client about activities they enjoyed
with their partner
2. 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 Ans: -feelings of hopelessness
-anhedonia
-flat facial expression
3. 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 Ans: "I am able to go to work every day, so I don't have a
problem."
4. 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 Ans: encourage the client to drink 125 mL of fluid each hour while awake.
5. a nurse is caring for a client who has schizophrenia and is experiencing psy- chosis.
the nurse should identify that which of the following findings indicates a potential
psychiatric emergency Ans: the client reports command hallucinations
6. 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 Ans: ask the family
member if they have any thoughts or questions about the treatment plan
7. 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 Ans: arrange one-to-one observation of the client
8. a nurse is caring for a group of clients. which of the following findings should
the nurse report Ans: a client who is taking lamotrigine and has developed a
rash
9. 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 Ans:
encourage frequent rest periods throughout the day
10. 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 Ans: a client who has a sodium level of 128
mEq/L
, 11. 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 Ans: respite care
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 Ans: inappropriate dress
13. a community health nurse is planning an education program about de-
pressive disorders. which of the following factors should the nurse include as
increasing the risk for depression Ans: substance use disorder
14. a nurse is admitting a female client who has anorexia nervosa. which of the
following manifestations should the nurse expect during the admission
assessment Ans: orthostatic hypotension
15. 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 Ans: "it is not uncommon to feel
angry toward yourself or others."
16. a nurse on a mental health unit is caring for a recently admitted client.
exhibit 1: 0800 - BP: 110/78, HR: 76/min, RR: 18/min, Temp: 98.6; 1200 - BP:
116/80, HR: 88/min, RR: 20/min, temp: 100.4
exhibit 2: 22 year old client admitted following episodes of hallucinations and
delusions. outpatient treatment has been ineffective. client has been unable to
