ATI Mental Health Practice B 202 bn bn bn bn bn
0 NGN bn
1.A nurse is caring for 4 clients who are displaying the use of defense
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
mechanisms. Which of the following clients should the nurse identify as
bn bn bn bn bn bn bn bn bn bn bn
using a maladaptive defense mechanism?
bn bn bn bn
A. A client with multiple sclerosis stops taking their medication and says
bn bn bn bn bn bn bn bn bn bn bn
their diagnosis is wrong.
bn bn bn
B. An adolescent client who has difficulty with reading and becomes a
bn bn bn bn bn bn bn bn bn bn b
nstar athlete. bn
C. A client admires a high school principal who separated two students
bn bn bn bn bn bn bn bn bn bn bn
who were having a fight.
bn bn bn bn
D. A client who has a gambling disorder volunteers at a head start progra
bn bn bn bn bn bn bn bn bn bn bn bn
m.: A. A client with multiple sclerosis stops taking their medication an
bn bn bn bn bn bn bn bn bn bn bn
d says their diagnosis is wrong.
bn bn bn bn bn
Suppression is the blocking of thoughts or feelings that a client finds
bn bn bn bn bn bn bn bn bn bn bn bn
unacceptable. Denying the presence of an illness is a maladaptive us
bn bn bn bn bn bn bn bn bn bn
e of a defense mechanism.
bn bn bn bn
2.A nurse is caring for a client who is taking lithium and reports presci
bn bn bn bn bn bn bn bn bn bn bn bn bn
ent nausea and vomiting for 2 days. Which of the following lab values s
bn bn bn bn bn bn bn bn bn bn bn bn bn
hould the nurse report to the provider?
bn bn bn bn bn bn
A. Potassium 4.0 mEq/L bn bn
B. Lithium 0.9 mEq/L bn bn
C. BUN 12 mg/dL bn bn
D. Sodium 132 mEq/L: D. Sodium 132 mEq/L bn bn bn bn bn bn
The nurse should identify that a sodium level of 132 mEq/
bn bn bn bn bn bn bn bn bn bn
L is not within the expected reference range of 136 to 145 mEq/
bn bn bn bn bn bn bn bn bn bn bn bn
L. This finding indicates hyponatremia, which can lead to lithium accu
bn bn bn bn bn bn bn bn bn bn
mulation and places the client at risk for lithium toxicity. The nurse s
bn bn bn bn bn bn bn bn bn bn bn bn
hould report this finding to the provider.
bn bn bn bn bn bn
3.A nurse is collecting data from a client who is taking valproic acid f
bn bn bn bn bn bn bn bn bn bn bn bn bn
or the treatment of BPD. Which of the following findings is priority to r
bn bn bn bn bn bn bn bn bn bn bn bn bn
eport to the provider? bn bn bn
A. Dizziness
B. Weight gain bn
C. Constipation
D.Yellow sclerae: D. Yellow sclerae bn bn bn bn
1bn/
bn46
, ATI Mental Health Practice B 202 bn bn bn bn bn
0 NGN bn
When using the urgent vs. nonurgent approach to client care, the nurse
bn bn bn bn bn bn bn bn bn bn bn bn
should deter- bn
mine that the priority finding is yellow sclerae because of the risk f
bn bn bn bn bn bn bn bn bn bn bn bn bn
or hepatotoxicity.
bn
4.A nurse is reinforcing teaching about foods that contain tyramine wi
bn bn bn bn bn bn bn bn bn bn
th a client who has a prescription for phenelzine. Which of the followi
bn bn bn bn bn bn bn bn bn bn bn bn
ng foods should the nurse instruct the client to avoid?
bn bn bn bn bn bn bn bn bn
A. Fried chicken bn
B. Oranges
C. Smoked sausage bn
D. Lentils: C. Smoked sausage bn bn bn
Smoked sausages are high in tyramine. Clients who are prescribed mono
bn bn bn bn bn bn bn bn bn bn
amine oxi- bn
dase inhibitors (MAOIs) should avoid food that contain tyramine beca
bn bn bn bn bn bn bn bn bn bn
use consuming them can cause a hypertensive crisis.
bn bn bn bn bn bn bn
5.A nurse is caring for a client who recently lost their child in a motor-
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
vehicle crash. The client is expressing feelings of hopelessness. Which o
bn bn bn bn bn bn bn bn bn bn
f the follow- ing questions is the most important for the nurse to ask?
bn bn bn bn bn bn bn bn bn bn bn bn bn
A. "Are there times when you feel more upset than others?"
bn bn bn bn bn bn bn bn bn
B. "Have you had any thoughts of harming yourself?"
bn bn bn bn bn bn bn
C. "What type of support system do you currently have?"
bn bn bn bn bn bn bn bn
D. "During difficult times in the past, what did you do to cope?": B. "Ha
bn bn bn bn bn bn bn bn bn bn bn bn bn
ve you had any thoughts of harming yourself?"
bn bn bn bn bn bn bn
The greatest risk to this client is self-
bn bn bn bn bn bn bn
injury due to suicide. Asking whether or not the client has plans to hu
bn bn bn bn bn bn bn bn bn bn bn bn bn
rt themselves is the most important question for the nurse to ask at
bn bn bn bn bn bn bn bn bn bn bn bn bn
this time because a positive response can alert the nurse to the nee
bn bn bn bn bn bn bn bn bn bn bn bn
d for suicide precautions and intervention.
bn bn bn bn bn
6.A nurse on a mental health unit is reinforcing teaching about informed
bn bn bn bn bn bn bn bn bn bn bn bn
con-
sent with a newly licensed nurse. Which of the following statement indi
bn bn bn bn bn bn bn bn bn bn bn bn
cates an understanding of the teaching?
bn bn bn bn bn
A. "The consent form should be written at a seventh-grade reading level."
bn bn bn bn bn bn bn bn bn bn
B. "If the consent form is signed, I can send a client for a procedure e
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
2bn/
bn46
, ATI Mental Health Practice B 202
bn bn bn bn bn
0 NGN bn
ven if they have questions."
bn bn bn bn
C. "I should explain everything to the client about the procedure before
bn bn bn bn bn bn bn bn bn bn
the client signs the consent form."
bn bn bn bn bn bn
D. "The consent form should have the name of the provider who is perfor
bn bn bn bn bn bn bn bn bn bn bn bn
ming the procedure on the form.": D. "The consent form should have t
bn bn bn bn bn bn bn bn bn bn bn bn
he name of the
bn bn bn
3bn/
bn46
, ATI Mental Health Practice B 202 bn bn bn bn bn
0 NGN bn
provider who is performing the procedure on the form." bn bn bn bn bn bn bn bn
The consent form should include the name of the provider who will be
bn bn bn bn bn bn bn bn bn bn bn bn bn
performing the procedure. This should be present on the form before bn bn bn bn bn bn bn bn bn bn b
the client signs it. bn bn bn
7.A nurse is contributing to the plan of care for a client who has antiso
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
cial personality disorder. Which of the following short-
bn bn bn bn bn bn bn
term goals should the nurse recommend be included in the plan?
bn bn bn bn bn bn bn bn bn bn
A. The client will participate in assertiveness training.
bn bn bn bn bn bn
B. The client will discuss feelings that cause hostility.
bn bn bn bn bn bn bn
C. The client will describe an activity they found enjoyable.
bn bn bn bn bn bn bn bn
D. The client will dress in a manner appropriate for the setting and tem
bn bn bn bn bn bn bn bn bn bn bn bn
pera- ture.: B. The client will discuss feelings that cause hostility.
bn bn bn bn bn bn bn bn bn bn
Clients who have antisocial personality disorder are frequently aggressiv
bn bn bn bn bn bn bn bn
e and are at risk for injuring themselves or others. A short-
bn bn bn bn bn bn bn bn bn bn bn
term goal for these clients should be to discuss feelings that precipit
bn bn bn bn bn bn bn bn bn bn bn
ate aggression or hostility. bn bn bn
8.A nurse is caring for a client who has depressive disorder and decl
bn bn bn bn bn bn bn bn bn bn bn bn
ines ECT despite the providers recommendation. Which of the followin
bn bn bn bn bn bn bn bn bn
g ethical principles is the nurse demonstrating by supporting the clie
bn bn bn bn bn bn bn bn bn bn
nts decision? bn
A. Autonomy
B. Nonmaleficence
C. Fidelity
D. Justice: A. Autonomy bn bn
The nurse is demonstrating the principle of autonomy by respecting and
bn bn bn bn bn bn bn bn bn bn
supporting the client's right to make decisions about their treatment.
n bn bn bn bn bn bn bn bn bn
9.A nurse is participating in group therapy for clients who have major de
bn bn bn bn bn bn bn bn bn bn bn bn
pres-
sive disorder. Which of the following topics should the nurse include in
bn bn bn bn bn bn bn bn bn bn bn bn
the orientation phase of group therapy?
bn bn bn bn bn bn
A. Confidentiality
B. Developing goals bn
4bn/
bn46
0 NGN bn
1.A nurse is caring for 4 clients who are displaying the use of defense
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
mechanisms. Which of the following clients should the nurse identify as
bn bn bn bn bn bn bn bn bn bn bn
using a maladaptive defense mechanism?
bn bn bn bn
A. A client with multiple sclerosis stops taking their medication and says
bn bn bn bn bn bn bn bn bn bn bn
their diagnosis is wrong.
bn bn bn
B. An adolescent client who has difficulty with reading and becomes a
bn bn bn bn bn bn bn bn bn bn b
nstar athlete. bn
C. A client admires a high school principal who separated two students
bn bn bn bn bn bn bn bn bn bn bn
who were having a fight.
bn bn bn bn
D. A client who has a gambling disorder volunteers at a head start progra
bn bn bn bn bn bn bn bn bn bn bn bn
m.: A. A client with multiple sclerosis stops taking their medication an
bn bn bn bn bn bn bn bn bn bn bn
d says their diagnosis is wrong.
bn bn bn bn bn
Suppression is the blocking of thoughts or feelings that a client finds
bn bn bn bn bn bn bn bn bn bn bn bn
unacceptable. Denying the presence of an illness is a maladaptive us
bn bn bn bn bn bn bn bn bn bn
e of a defense mechanism.
bn bn bn bn
2.A nurse is caring for a client who is taking lithium and reports presci
bn bn bn bn bn bn bn bn bn bn bn bn bn
ent nausea and vomiting for 2 days. Which of the following lab values s
bn bn bn bn bn bn bn bn bn bn bn bn bn
hould the nurse report to the provider?
bn bn bn bn bn bn
A. Potassium 4.0 mEq/L bn bn
B. Lithium 0.9 mEq/L bn bn
C. BUN 12 mg/dL bn bn
D. Sodium 132 mEq/L: D. Sodium 132 mEq/L bn bn bn bn bn bn
The nurse should identify that a sodium level of 132 mEq/
bn bn bn bn bn bn bn bn bn bn
L is not within the expected reference range of 136 to 145 mEq/
bn bn bn bn bn bn bn bn bn bn bn bn
L. This finding indicates hyponatremia, which can lead to lithium accu
bn bn bn bn bn bn bn bn bn bn
mulation and places the client at risk for lithium toxicity. The nurse s
bn bn bn bn bn bn bn bn bn bn bn bn
hould report this finding to the provider.
bn bn bn bn bn bn
3.A nurse is collecting data from a client who is taking valproic acid f
bn bn bn bn bn bn bn bn bn bn bn bn bn
or the treatment of BPD. Which of the following findings is priority to r
bn bn bn bn bn bn bn bn bn bn bn bn bn
eport to the provider? bn bn bn
A. Dizziness
B. Weight gain bn
C. Constipation
D.Yellow sclerae: D. Yellow sclerae bn bn bn bn
1bn/
bn46
, ATI Mental Health Practice B 202 bn bn bn bn bn
0 NGN bn
When using the urgent vs. nonurgent approach to client care, the nurse
bn bn bn bn bn bn bn bn bn bn bn bn
should deter- bn
mine that the priority finding is yellow sclerae because of the risk f
bn bn bn bn bn bn bn bn bn bn bn bn bn
or hepatotoxicity.
bn
4.A nurse is reinforcing teaching about foods that contain tyramine wi
bn bn bn bn bn bn bn bn bn bn
th a client who has a prescription for phenelzine. Which of the followi
bn bn bn bn bn bn bn bn bn bn bn bn
ng foods should the nurse instruct the client to avoid?
bn bn bn bn bn bn bn bn bn
A. Fried chicken bn
B. Oranges
C. Smoked sausage bn
D. Lentils: C. Smoked sausage bn bn bn
Smoked sausages are high in tyramine. Clients who are prescribed mono
bn bn bn bn bn bn bn bn bn bn
amine oxi- bn
dase inhibitors (MAOIs) should avoid food that contain tyramine beca
bn bn bn bn bn bn bn bn bn bn
use consuming them can cause a hypertensive crisis.
bn bn bn bn bn bn bn
5.A nurse is caring for a client who recently lost their child in a motor-
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
vehicle crash. The client is expressing feelings of hopelessness. Which o
bn bn bn bn bn bn bn bn bn bn
f the follow- ing questions is the most important for the nurse to ask?
bn bn bn bn bn bn bn bn bn bn bn bn bn
A. "Are there times when you feel more upset than others?"
bn bn bn bn bn bn bn bn bn
B. "Have you had any thoughts of harming yourself?"
bn bn bn bn bn bn bn
C. "What type of support system do you currently have?"
bn bn bn bn bn bn bn bn
D. "During difficult times in the past, what did you do to cope?": B. "Ha
bn bn bn bn bn bn bn bn bn bn bn bn bn
ve you had any thoughts of harming yourself?"
bn bn bn bn bn bn bn
The greatest risk to this client is self-
bn bn bn bn bn bn bn
injury due to suicide. Asking whether or not the client has plans to hu
bn bn bn bn bn bn bn bn bn bn bn bn bn
rt themselves is the most important question for the nurse to ask at
bn bn bn bn bn bn bn bn bn bn bn bn bn
this time because a positive response can alert the nurse to the nee
bn bn bn bn bn bn bn bn bn bn bn bn
d for suicide precautions and intervention.
bn bn bn bn bn
6.A nurse on a mental health unit is reinforcing teaching about informed
bn bn bn bn bn bn bn bn bn bn bn bn
con-
sent with a newly licensed nurse. Which of the following statement indi
bn bn bn bn bn bn bn bn bn bn bn bn
cates an understanding of the teaching?
bn bn bn bn bn
A. "The consent form should be written at a seventh-grade reading level."
bn bn bn bn bn bn bn bn bn bn
B. "If the consent form is signed, I can send a client for a procedure e
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
2bn/
bn46
, ATI Mental Health Practice B 202
bn bn bn bn bn
0 NGN bn
ven if they have questions."
bn bn bn bn
C. "I should explain everything to the client about the procedure before
bn bn bn bn bn bn bn bn bn bn
the client signs the consent form."
bn bn bn bn bn bn
D. "The consent form should have the name of the provider who is perfor
bn bn bn bn bn bn bn bn bn bn bn bn
ming the procedure on the form.": D. "The consent form should have t
bn bn bn bn bn bn bn bn bn bn bn bn
he name of the
bn bn bn
3bn/
bn46
, ATI Mental Health Practice B 202 bn bn bn bn bn
0 NGN bn
provider who is performing the procedure on the form." bn bn bn bn bn bn bn bn
The consent form should include the name of the provider who will be
bn bn bn bn bn bn bn bn bn bn bn bn bn
performing the procedure. This should be present on the form before bn bn bn bn bn bn bn bn bn bn b
the client signs it. bn bn bn
7.A nurse is contributing to the plan of care for a client who has antiso
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
cial personality disorder. Which of the following short-
bn bn bn bn bn bn bn
term goals should the nurse recommend be included in the plan?
bn bn bn bn bn bn bn bn bn bn
A. The client will participate in assertiveness training.
bn bn bn bn bn bn
B. The client will discuss feelings that cause hostility.
bn bn bn bn bn bn bn
C. The client will describe an activity they found enjoyable.
bn bn bn bn bn bn bn bn
D. The client will dress in a manner appropriate for the setting and tem
bn bn bn bn bn bn bn bn bn bn bn bn
pera- ture.: B. The client will discuss feelings that cause hostility.
bn bn bn bn bn bn bn bn bn bn
Clients who have antisocial personality disorder are frequently aggressiv
bn bn bn bn bn bn bn bn
e and are at risk for injuring themselves or others. A short-
bn bn bn bn bn bn bn bn bn bn bn
term goal for these clients should be to discuss feelings that precipit
bn bn bn bn bn bn bn bn bn bn bn
ate aggression or hostility. bn bn bn
8.A nurse is caring for a client who has depressive disorder and decl
bn bn bn bn bn bn bn bn bn bn bn bn
ines ECT despite the providers recommendation. Which of the followin
bn bn bn bn bn bn bn bn bn
g ethical principles is the nurse demonstrating by supporting the clie
bn bn bn bn bn bn bn bn bn bn
nts decision? bn
A. Autonomy
B. Nonmaleficence
C. Fidelity
D. Justice: A. Autonomy bn bn
The nurse is demonstrating the principle of autonomy by respecting and
bn bn bn bn bn bn bn bn bn bn
supporting the client's right to make decisions about their treatment.
n bn bn bn bn bn bn bn bn bn
9.A nurse is participating in group therapy for clients who have major de
bn bn bn bn bn bn bn bn bn bn bn bn
pres-
sive disorder. Which of the following topics should the nurse include in
bn bn bn bn bn bn bn bn bn bn bn bn
the orientation phase of group therapy?
bn bn bn bn bn bn
A. Confidentiality
B. Developing goals bn
4bn/
bn46
