EXAM 2025/2026 WITH ACTUAL CORRECT
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A nurse observes a client who is pacing and wringing his hands. The client states, "I don't know
why, but I've worried every day for over a year that my son will die a horrible death." The nurse
identifies that this finding is consistent with which of the following disorders?
A. Generalized anxiety disorder
B. Panic disorder
C. Posttraumatic stress disorder
D. Acute stress disorder.
ATI RN Mental Health Nursing Modules Ch. 11 Notes
A:
Generalized anxiety disorder is characterized by uncontrollable, excessive worry for more
than 3 months.
ATI RN Mental Health Nursing Modules Ch. 11 Notes
A nurse working on an acute mental health unit is caring for a client who has posttraumatic
stress disorder (PTSD). Which of the following is an expected finding? (SATA)
A. Hallucinations
B. Obsessive need to talk about the traumatic event
C. Exaggerated displays of emotion
D. Recurring nightmares
E. Diminished reflexes
ATI RN Mental Health Nursing Modules Ch. 11 Notes
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,A, D:
PTSD:
Hallucinations
Avoidance of stimuli associated with event
Inability to show feelings
Recurring nightmares
Increased arousal
ATI RN Mental Health Nursing Modules Ch. 11 Notes
A nurse working in an acute mental health facility is caring for a 35-year-old female client who
has clinical findings of depression. The client lives at home with her husband and two young
children. She currently smokes and has a history of chronic asthma. The nurse should identify
which of the following as risk factors for depression for this client? (SATA)
A. Age of 35 years old
B. Female gender
C. History of chronic asthma
D. Currently smokes
E. Being married
ATI RN Mental Health Nursing M
A, B, C, D:
Depression:
15-40 yo
> females
Chronic medical illness
Substance use disorder
Unmarried
ATI RN Mental Health Nursing Modules Ch. 12 Notes
A nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis
of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client
indicates understanding of the teaching?
A. "I can expect my problems with PMDD to be worse when I'm menstruating."
B. "I will use light therapy 30 min a day to prevent further recurrences of PMDD."
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,C. "I am aware that my PMDD causes me to have rapid mood swings."
D. "I should increase my caloric intake with
C:
Clinical findings:
During luteal phase of menstrual cycle before menses.
Emotional lability
Weight gain
ATI RN Mental Health Nursing Modules Ch. 12 Notes
A charge nurse is discussing the care of a client who has major depressive disorder (MDD) with
a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates
a need for further teaching?
A. "Care during the continuation phase focuses on treating continued manifestations of MDD."
B. "The goal of treatment during the maintenance phase is prevention of future episodes of
MDD."
C. "The client is at greatest risk for suicide during the first weeks of an MDD episode.
A:
The focus for the continuation phase is relapse prevention. Treatment of manifestations
occurs during the acute phase of MDD.
ATI RN Mental Health Nursing Modules Ch. 12 Notes
A nurse working on an acute mental health unit is admitting a client who has major depressive
disorder and comorbid anxiety disorder. Which of the following is the highest priority action by
the nruse?
A. Placing the client on one-to-one observation.
B. Assisting the client to perform ADLs.
C. Encouraging the client to participate in counseling.
D. Teaching the client about medication adverse effects.
ATI RN Mental Health Nursing Modules Ch. 12 Notes
A:
Injury due to self-harm.
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, ATI RN Mental Health Nursing Modules Ch. 12 Notes
A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthymia. Which of the
following findings should the nurse expect?
A. There are wide fluctuations in mood.
B. The report of a minimum of five clinical findings of depression.
C. The presence of manifestations for at least 2 years.
D. There is an inflated sense of self-esteem.
ATI RN Mental Health Nursing Modules Ch. 12 Notes
C:
The manifestations of dysthymic disorder last for at least 2 years in adults.
MDD rather than dysthymic disorder contains a minimum of five clinical findings of depression.
A nurse is planning care for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following is appropriate for the nurse to include in the plan of care?
(SATA)
A. Provide flexible client behavior expectations.
B. Offer concise explanations.
C. Establish consistent limits.
D. Disregard client complaints.
E. Use a firm approach with communication.
ATI RN Mental Health Nursing Modules Ch. 13 Notes
B, C, E:
Consistent client behavior expectations decrease the risk for client manipulation.
Offering concise explanations improves the client's ability to focus and comprehend the
information.
The nurse should respond to valid client complaints to foster a trusting nurse-client
relationship.
Using a firm approach with client communication promotes structure and minimizes
inappropriate client behaviors.
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