ATI Mental Health Test Bank | High-Yield A+
Updated Questions & Verified Answers
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT)
and will receive succinylcholine. The client asks the nurse about this
medication. Which of the following responses should the nurse make? -
CORRECT ANSWER ✅✅✅"Succinylcholine is given to reduce muscle
movements during therapy." - Succinylcholine is a muscle-paralyzing agent that
will decrease muscle movement during the procedure so the client is less likely
to be injured.
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? - CORRECT ANSWER ✅✅✅Respite care
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? - CORRECT ANSWER ✅✅✅The
client reports an inability to breathe easily.
A nurse is caring for a client who has schizophrenia and began taking a
conventional antipsychotic medication yesterday. Which of the following
findings indicates the nurse should administer benztropine 2 mg IM? -
CORRECT ANSWER ✅✅✅Shuffling gait
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 therapy? - CORRECT
ANSWER ✅✅✅Refrains from manipulating others to earn dining room
privileges
,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? - CORRECT ANSWER ✅✅✅Encourage the client to drink
125 mL of fluid each hour while awake.
A nurse is obtaining a mental health history from an older adult client. Which
of the following actions should the nurse plan to take? - CORRECT ANSWER
✅✅✅Interview the client in a private setting.
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? - CORRECT ANSWER ✅✅✅Substance use disorder
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? - CORRECT ANSWER ✅✅✅"I am able to go to work
every day, so I don't have a problem."
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? - CORRECT
ANSWER ✅✅✅Ask the family member if they have any thoughts or
questions about the treatment plan.
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? (Select all that apply.) - CORRECT ANSWER
✅✅✅Feelings of hopelessness
Anhedonia
Flat facial expression
, 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 flings indicating lithium toxicity? - CORRECT ANSWER
✅✅✅A client who has a sodium level of 128 mEq/L
A nurse is assessing a client who recently used cocaine. Which of the following
findings should the nurse expect? - CORRECT ANSWER ✅✅✅Hypertension
A nurse is planning care for a client who has schizophrenia and reports
auditory hallucinations. Which of the following interventions should the nurse
include in the plan? - CORRECT ANSWER ✅✅✅Promote the use of music to
compete with the client's auditory hallucinations.
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? -
CORRECT ANSWER ✅✅✅Allow the client time to formulate an answer.
A nurse in an emergency department is admitting a client who reports
experiencing a headache and heart palpitations after having a glass of wine 1
hr ago. The client has a history of depression and a blood pressure of 210/105
mm Hg and temperature of 39.9 C (103.8 F). Which of the following actions
should the nurse take first? - CORRECT ANSWER ✅✅✅Determine the
client's prescribed medication regimen.- The first action the nurse should take
when using the nursing process is to assess the client. By determining the
client's prescribed medications, the nurse can determine the cause of the
hypertension, such as the client taking an MAOI to treat depression. These
medications can precipitate a hypertensive crisis if consumed with tyramine-
containing foods, including wine.
Updated Questions & Verified Answers
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT)
and will receive succinylcholine. The client asks the nurse about this
medication. Which of the following responses should the nurse make? -
CORRECT ANSWER ✅✅✅"Succinylcholine is given to reduce muscle
movements during therapy." - Succinylcholine is a muscle-paralyzing agent that
will decrease muscle movement during the procedure so the client is less likely
to be injured.
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? - CORRECT ANSWER ✅✅✅Respite care
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? - CORRECT ANSWER ✅✅✅The
client reports an inability to breathe easily.
A nurse is caring for a client who has schizophrenia and began taking a
conventional antipsychotic medication yesterday. Which of the following
findings indicates the nurse should administer benztropine 2 mg IM? -
CORRECT ANSWER ✅✅✅Shuffling gait
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 therapy? - CORRECT
ANSWER ✅✅✅Refrains from manipulating others to earn dining room
privileges
,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? - CORRECT ANSWER ✅✅✅Encourage the client to drink
125 mL of fluid each hour while awake.
A nurse is obtaining a mental health history from an older adult client. Which
of the following actions should the nurse plan to take? - CORRECT ANSWER
✅✅✅Interview the client in a private setting.
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? - CORRECT ANSWER ✅✅✅Substance use disorder
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? - CORRECT ANSWER ✅✅✅"I am able to go to work
every day, so I don't have a problem."
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? - CORRECT
ANSWER ✅✅✅Ask the family member if they have any thoughts or
questions about the treatment plan.
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? (Select all that apply.) - CORRECT ANSWER
✅✅✅Feelings of hopelessness
Anhedonia
Flat facial expression
, 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 flings indicating lithium toxicity? - CORRECT ANSWER
✅✅✅A client who has a sodium level of 128 mEq/L
A nurse is assessing a client who recently used cocaine. Which of the following
findings should the nurse expect? - CORRECT ANSWER ✅✅✅Hypertension
A nurse is planning care for a client who has schizophrenia and reports
auditory hallucinations. Which of the following interventions should the nurse
include in the plan? - CORRECT ANSWER ✅✅✅Promote the use of music to
compete with the client's auditory hallucinations.
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? -
CORRECT ANSWER ✅✅✅Allow the client time to formulate an answer.
A nurse in an emergency department is admitting a client who reports
experiencing a headache and heart palpitations after having a glass of wine 1
hr ago. The client has a history of depression and a blood pressure of 210/105
mm Hg and temperature of 39.9 C (103.8 F). Which of the following actions
should the nurse take first? - CORRECT ANSWER ✅✅✅Determine the
client's prescribed medication regimen.- The first action the nurse should take
when using the nursing process is to assess the client. By determining the
client's prescribed medications, the nurse can determine the cause of the
hypertension, such as the client taking an MAOI to treat depression. These
medications can precipitate a hypertensive crisis if consumed with tyramine-
containing foods, including wine.
