Mental Health ATI, 334 Mental
Health ATI, Mental Health ATI
Practice Assessment
1. A nurse is caring for a client who gave birth to a stillborn baby. Which
of the following statements should the nurse make?
a. you probably want to hold your baby
b. i'll stay with you just in case you want to talk
c. I know how you must be feeling
d. It hurts now, but things will be better
B. indicates the nurse's interest and a desire to understand the client
a is an assumption
c minimizes feelings
d minimizes feelings
2. Physical manifestations of alcohol withdrawal
psychological symptoms
hypertension, tachycardia, fever
agitation, insomnia, irritability
3. A nurse is admitting a client who has major depressive disorder and a
new prescription for tranylcypromine. Which of the following over the
counter meds the client reports taking should alert the nurse to a potential
adverse reaction?
a. lansoprazole
b. naproxen
c. magnesium hydroxide
d. phenylephrine
d. phenylephrine-
tranylcypromine is an MAOI antidepressent and over-the-counter
medications for sinus congestion, colds, or allergies should not be
taken at the same time due to their actions on the SNS than can cause
severe hypertension
,4. Definition of:
neolgisms
echolalia
anhedonia
echopraxia
made-up words
repeating of someone else's words
inability to enjoy pleasurable activities
mimicking someone else's movements
5. Lanugo
fine, downy, unpigmented hair
6. Nursing considerations for working with a client with antisocial
personality disorder
the nurse should set clear and realistic limits on behavior that ALL
staff members adhere to
identify undesirable behaviors and communicate consequences
7. Intellectualization
A coping mechanism in which the person analyzes a situation from an
emotionally detached viewpoint
8. A nurse in a substance use disorder program is interacting with a client.
Which of the following statements indicates the client is using
intellectualization as a means of coping with the anxiety of admission?
a. "I was just using the medication to help me during a rough time in my
life. I can stop whenever I want."
b. "this all happened because my spouse is unemployed. That puts an
enormous amount of stress on me."
c. "I've read that problems with substances can have a variety of
predisposing factors"
d. "I just don't want to talk. Anyway, there is nothing you can do to help."
c.- this response uses intellectualization to avoid expressing the
emotions stemming from stressful situations
, a represents denial
b represents rationalization (making up excuses to justify
unacceptable behavior)
d represents suppression (the client consciously avoiding a discussion
of substance use disorder)
9. Conduct disorder
A pattern of behavior in which the rights of others or basic social
rules are violated
10. Priority needs for a client with bipolar disorder experiencing acute
mania
Preventing physical exhaustion, maintaining health, and meet
nutritional and rest needs
consider Maslow's hierarchy of needs
11. The use of lorazepam (a benzodiazepine) for a client experiencing
alcohol withdrawal
(what are the expected outcomes?)
stabilize vital signs
prevent seizures
treating delirium tremens
12. Countertransference
Circumstances in which a psychoanalyst develops personal feelings
about a client because of perceived similarity of the client to
significant people in the therapist's life.
unconsciously attributes positive or negative feelings about another
person or client
13. Modeling therapy
a type of therapy characterized by watching and imitating models that
demonstrate desirable behaviors
(for example, a nurse demonstrating the performance of hand hygiene
at scheduled times to a client with OCD who performs hand hygiene
to decrease anxiety)
14. Anhedonia
, The inability to experience pleasure (this is especially concerning
when a client no longer enjoys activities that once produced pleasure)
15. Anergia
total passivity or lack of energy
16. memantine
an expected prescription for a client with moderate to severe
alzheimer's (an NMDA receptor agonist, is shown to slow the
progression of manifestations and to improve cognitive function)
17. Which of the following manifestations is a common adverse effect of
buspirone?
a. confusion
b. bradycardia
c. dizziness
d. insomnia
c. dizziness. clients should be informed of this adverse effect and be
instructed to avoid driving and operating heavy machinery until the
presence of adverse effects is determined
18. Phases of a therapeutic relationship
orientation, working, termination
19. Orientation phase of a therapeutic relationship includes what?
-introduction
-contract
-set goals
-build trust
-enforce limites
20. Working phase of a therapeutic relationship
-performing ongoing assessments
-encourage problem-solving
-recognize transference and countertransference
-remind client of date of termination
21. Termination phase of therapeutic relationship
Health ATI, Mental Health ATI
Practice Assessment
1. A nurse is caring for a client who gave birth to a stillborn baby. Which
of the following statements should the nurse make?
a. you probably want to hold your baby
b. i'll stay with you just in case you want to talk
c. I know how you must be feeling
d. It hurts now, but things will be better
B. indicates the nurse's interest and a desire to understand the client
a is an assumption
c minimizes feelings
d minimizes feelings
2. Physical manifestations of alcohol withdrawal
psychological symptoms
hypertension, tachycardia, fever
agitation, insomnia, irritability
3. A nurse is admitting a client who has major depressive disorder and a
new prescription for tranylcypromine. Which of the following over the
counter meds the client reports taking should alert the nurse to a potential
adverse reaction?
a. lansoprazole
b. naproxen
c. magnesium hydroxide
d. phenylephrine
d. phenylephrine-
tranylcypromine is an MAOI antidepressent and over-the-counter
medications for sinus congestion, colds, or allergies should not be
taken at the same time due to their actions on the SNS than can cause
severe hypertension
,4. Definition of:
neolgisms
echolalia
anhedonia
echopraxia
made-up words
repeating of someone else's words
inability to enjoy pleasurable activities
mimicking someone else's movements
5. Lanugo
fine, downy, unpigmented hair
6. Nursing considerations for working with a client with antisocial
personality disorder
the nurse should set clear and realistic limits on behavior that ALL
staff members adhere to
identify undesirable behaviors and communicate consequences
7. Intellectualization
A coping mechanism in which the person analyzes a situation from an
emotionally detached viewpoint
8. A nurse in a substance use disorder program is interacting with a client.
Which of the following statements indicates the client is using
intellectualization as a means of coping with the anxiety of admission?
a. "I was just using the medication to help me during a rough time in my
life. I can stop whenever I want."
b. "this all happened because my spouse is unemployed. That puts an
enormous amount of stress on me."
c. "I've read that problems with substances can have a variety of
predisposing factors"
d. "I just don't want to talk. Anyway, there is nothing you can do to help."
c.- this response uses intellectualization to avoid expressing the
emotions stemming from stressful situations
, a represents denial
b represents rationalization (making up excuses to justify
unacceptable behavior)
d represents suppression (the client consciously avoiding a discussion
of substance use disorder)
9. Conduct disorder
A pattern of behavior in which the rights of others or basic social
rules are violated
10. Priority needs for a client with bipolar disorder experiencing acute
mania
Preventing physical exhaustion, maintaining health, and meet
nutritional and rest needs
consider Maslow's hierarchy of needs
11. The use of lorazepam (a benzodiazepine) for a client experiencing
alcohol withdrawal
(what are the expected outcomes?)
stabilize vital signs
prevent seizures
treating delirium tremens
12. Countertransference
Circumstances in which a psychoanalyst develops personal feelings
about a client because of perceived similarity of the client to
significant people in the therapist's life.
unconsciously attributes positive or negative feelings about another
person or client
13. Modeling therapy
a type of therapy characterized by watching and imitating models that
demonstrate desirable behaviors
(for example, a nurse demonstrating the performance of hand hygiene
at scheduled times to a client with OCD who performs hand hygiene
to decrease anxiety)
14. Anhedonia
, The inability to experience pleasure (this is especially concerning
when a client no longer enjoys activities that once produced pleasure)
15. Anergia
total passivity or lack of energy
16. memantine
an expected prescription for a client with moderate to severe
alzheimer's (an NMDA receptor agonist, is shown to slow the
progression of manifestations and to improve cognitive function)
17. Which of the following manifestations is a common adverse effect of
buspirone?
a. confusion
b. bradycardia
c. dizziness
d. insomnia
c. dizziness. clients should be informed of this adverse effect and be
instructed to avoid driving and operating heavy machinery until the
presence of adverse effects is determined
18. Phases of a therapeutic relationship
orientation, working, termination
19. Orientation phase of a therapeutic relationship includes what?
-introduction
-contract
-set goals
-build trust
-enforce limites
20. Working phase of a therapeutic relationship
-performing ongoing assessments
-encourage problem-solving
-recognize transference and countertransference
-remind client of date of termination
21. Termination phase of therapeutic relationship
