Mental Health ATI, 334 Mental
Health ATI, Mental Health ATI
Practice Assessment B
1. A nurse is admitting a client who has schizophrenia to an acute care
setting. When the nurse questions the client regarding his admission,
the client states, "I'm red, in the head, and I'm going to bed!" The
nurse should document the client's speech pattern as which of the
following?
Clang association
2. A nurse is caring for a client who has a recent diagnosis of
Alzheimer's disease. The client's partner asks the nurse about
expected manifestations. The nurse should teach the partner to expect
which of the following manifestations to occur first?
A. Inability to recognize family members
B. Chooses clothing that is inappropriate for the weather
C. Exhibits a change in personality
D. Frequently misplaces objects
D. Frequently misplaces objects
According to evidence-based practice, the nurse should identify that
mild cognitive impairment, such as frequently misplacing objects, is
one of the first manifestations expected to occur for a client who has
Alzheimer's disease. As the disease progresses, other manifestations
of moderate and severe cognitive impairment will occur.
3. Risk factors for substance use and addictive disorders disorders
Genetics: predisposition to developing a substance use disorder due to
family history
Chronic stress: socioeconomic factors
History of trauma: abuse, combat experience
Lowered self-esteem
Lowered tolerance for pain and frustration
, Few meaningful personal relationships
Few life successes
Risk-taking tendencies
4. Milieu Therapy
Environment that is supportive, therapeutic, and safe. Pt will learn the
tools necessary to cope.
5. Dysthymic Disorder
Mild form of depression that usually has an early onset, such as in
childhood and lasts at least 2 years in length
6. Opioid use disorder
impaired coordination, euphoria, decreased respirations, drowsiness.
think clumsy sleepy person
7. A nurse who is working on a mental health unit should recognize that
which of the following are indications for the use of electroconvulsive
therapy (ECT)? (Select all that apply)
- Pt who is suicidal and need rapid tx
R: ECT is a rapid, definitive response for suicidal pt
-pt w bipolar d/o w rapid cycling
R: works best for these pt
-pt w mania and not responding to med therapy
8. Displacement
Shifting feelings related to an object, person, or situation to another
less threatening object, person, or situation
9. What is included in cognitive reframing
-priority restructuring
-journal keeping
-assertiveness training
-monitoring thoughts.
10. A nurse is caring for a client who is borderline personality disorder.
Which of the following goals is the priority when planning care for
this client?
The client will refrain from self- mutilation
,11. 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 in case you want to talk."
C. "I know how you must be feeling."
D. "It hurts now, but things will be better soon."
B. "I'll stay with you in case you want to talk."
This response indicates the nurse's interest in the client and a desire to
understand the client's feelings.
12. Open-ended questions to ask for a nursing history of substance use
and addiction disorders
Type of substance or addictive behavior
Pattern and frequency of substance use
Amount of substance used
Age at onset of substance use
Changes in occupational or school performance
Changes in use patterns
Periods of abstinence in history
Previous withdrawal manifestations
Date of last substance use or addictive behavior
13. Transference
Client views a member of the team as having characteristics of
another person who has been significant to the client's personal life.
14. A therapist or others serve as a role models for a client, who imitates
this modeling to improve behavior
Modeling
15. St. John's Wort adverse effects
Photosensitivity
Skin rash
Rapid heart rate
GI distress
Abdominal pain
16. For schizos what increases hallucinations?
anxiety
, 17. A nurse is caring for a client who has a history of substance use
disorder and was involuntarily admitted to a mental health facility.
When the nurse attempts to administer oral lorazepam, the client
refuses to take the medication and becomes physically aggressive.
Which of the following actions should the nurse take
Do not administer the lorazepam
R: pt who is involuntarily admitted have the right to refuse tx
18. Reaction formation
Overcompensating or demonstrating the opposite behavior of what is
felt
19. A nurse is assessing a client who recently used cocaine. Which of the
following findings should the nurse expect?
Hypertension
20. A nurse is caring for a child who has conduct disorder and is
behaving in a destructive manner, throwing objects and kicking others.
Which of the following therapeutic nursing interventions is the
priority?
A. Encourage expression of feelings.
B. Promote attendance at an assertiveness training group.
C. Assist the client to perform relaxation breathing.
D. Reduce environmental stimuli.
D. Reduce environmental stimuli.
The greatest risk to the child and others is harm. Therefore, the
nurse's priority intervention is to use a therapeutic holding technique
to deescalate the behavior and prevent injury.
21. Medications for substance use disorders
Alcohol withdrawal: Diazepam, carbamazepine, clonidine,
chlordiazepoxide, phenobarbital, naltrexone
Alcohol abstinence: Disulfiram, naltrexone, acamprosate
Opioid withdrawal: Methadone substitution, clonidine, buprenorphine,
naltrexone, levo-alpha-acetylmethadol
Nicotine withdrawal from tobacco use: Bupropion, nicotine
replacement therapy (nicotine gum and nicotine patch), varenicline,
Health ATI, Mental Health ATI
Practice Assessment B
1. A nurse is admitting a client who has schizophrenia to an acute care
setting. When the nurse questions the client regarding his admission,
the client states, "I'm red, in the head, and I'm going to bed!" The
nurse should document the client's speech pattern as which of the
following?
Clang association
2. A nurse is caring for a client who has a recent diagnosis of
Alzheimer's disease. The client's partner asks the nurse about
expected manifestations. The nurse should teach the partner to expect
which of the following manifestations to occur first?
A. Inability to recognize family members
B. Chooses clothing that is inappropriate for the weather
C. Exhibits a change in personality
D. Frequently misplaces objects
D. Frequently misplaces objects
According to evidence-based practice, the nurse should identify that
mild cognitive impairment, such as frequently misplacing objects, is
one of the first manifestations expected to occur for a client who has
Alzheimer's disease. As the disease progresses, other manifestations
of moderate and severe cognitive impairment will occur.
3. Risk factors for substance use and addictive disorders disorders
Genetics: predisposition to developing a substance use disorder due to
family history
Chronic stress: socioeconomic factors
History of trauma: abuse, combat experience
Lowered self-esteem
Lowered tolerance for pain and frustration
, Few meaningful personal relationships
Few life successes
Risk-taking tendencies
4. Milieu Therapy
Environment that is supportive, therapeutic, and safe. Pt will learn the
tools necessary to cope.
5. Dysthymic Disorder
Mild form of depression that usually has an early onset, such as in
childhood and lasts at least 2 years in length
6. Opioid use disorder
impaired coordination, euphoria, decreased respirations, drowsiness.
think clumsy sleepy person
7. A nurse who is working on a mental health unit should recognize that
which of the following are indications for the use of electroconvulsive
therapy (ECT)? (Select all that apply)
- Pt who is suicidal and need rapid tx
R: ECT is a rapid, definitive response for suicidal pt
-pt w bipolar d/o w rapid cycling
R: works best for these pt
-pt w mania and not responding to med therapy
8. Displacement
Shifting feelings related to an object, person, or situation to another
less threatening object, person, or situation
9. What is included in cognitive reframing
-priority restructuring
-journal keeping
-assertiveness training
-monitoring thoughts.
10. A nurse is caring for a client who is borderline personality disorder.
Which of the following goals is the priority when planning care for
this client?
The client will refrain from self- mutilation
,11. 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 in case you want to talk."
C. "I know how you must be feeling."
D. "It hurts now, but things will be better soon."
B. "I'll stay with you in case you want to talk."
This response indicates the nurse's interest in the client and a desire to
understand the client's feelings.
12. Open-ended questions to ask for a nursing history of substance use
and addiction disorders
Type of substance or addictive behavior
Pattern and frequency of substance use
Amount of substance used
Age at onset of substance use
Changes in occupational or school performance
Changes in use patterns
Periods of abstinence in history
Previous withdrawal manifestations
Date of last substance use or addictive behavior
13. Transference
Client views a member of the team as having characteristics of
another person who has been significant to the client's personal life.
14. A therapist or others serve as a role models for a client, who imitates
this modeling to improve behavior
Modeling
15. St. John's Wort adverse effects
Photosensitivity
Skin rash
Rapid heart rate
GI distress
Abdominal pain
16. For schizos what increases hallucinations?
anxiety
, 17. A nurse is caring for a client who has a history of substance use
disorder and was involuntarily admitted to a mental health facility.
When the nurse attempts to administer oral lorazepam, the client
refuses to take the medication and becomes physically aggressive.
Which of the following actions should the nurse take
Do not administer the lorazepam
R: pt who is involuntarily admitted have the right to refuse tx
18. Reaction formation
Overcompensating or demonstrating the opposite behavior of what is
felt
19. A nurse is assessing a client who recently used cocaine. Which of the
following findings should the nurse expect?
Hypertension
20. A nurse is caring for a child who has conduct disorder and is
behaving in a destructive manner, throwing objects and kicking others.
Which of the following therapeutic nursing interventions is the
priority?
A. Encourage expression of feelings.
B. Promote attendance at an assertiveness training group.
C. Assist the client to perform relaxation breathing.
D. Reduce environmental stimuli.
D. Reduce environmental stimuli.
The greatest risk to the child and others is harm. Therefore, the
nurse's priority intervention is to use a therapeutic holding technique
to deescalate the behavior and prevent injury.
21. Medications for substance use disorders
Alcohol withdrawal: Diazepam, carbamazepine, clonidine,
chlordiazepoxide, phenobarbital, naltrexone
Alcohol abstinence: Disulfiram, naltrexone, acamprosate
Opioid withdrawal: Methadone substitution, clonidine, buprenorphine,
naltrexone, levo-alpha-acetylmethadol
Nicotine withdrawal from tobacco use: Bupropion, nicotine
replacement therapy (nicotine gum and nicotine patch), varenicline,
