Mental Health ATI Exam B | Latest 2025|
A charge nurse is developing an education program about
schizophrenia. What manifestation should the nurse include as a
negative symptom of schizophrenia? .....ANSWER.....Thought
blocking
A nurse is preparing to administer diazepam 7.5 mg IV bolus to
a client for alcohol withdrawal. Available is diazepam injection 5
mg/mL. How many mL should the nurse administer?
.....ANSWER.....1.5 mL
A nurse in a clinic is assessing a client whose partner died 4
months ago. What statement indicates that the client is at risk for
complicated grief? .....ANSWER....."I feel so empty without my
wife that it's hard to get up every morning."
A nurse in a mental health unit is admitting a client who is anxious
because he often hears voices telling him what to do. What
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action should the nurse take? .....ANSWER.....Ask the client what
the voices are saying.
A nurse in a community health center is counseling a family of two
parents and two children. What statement by a family member
indicates manipulative behavior? .....ANSWER....."If you do my
homework for me, I won't bother you for the rest of the day."
A nurse is planning discharge teaching with a family member of
a client who has a new diagnosis of depression. What
information about relapse should the nurse include?
.....ANSWER.....Early identification of changes, such as decreased
social involvement, is important.
A nurse is reviewing the medication administration record for a
client who is experiencing the adverse effects of chlorpromazine.
The nurse should administer benztropine to relieve which of the
following adverse effects? .....ANSWER.....Acute dystonia
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A nurse in the emergency department is admitting a client who
reports a headache along with heart palpitations after having a
glass of wine with dinner a few hours ago. The client has a
history of depression and has a blood pressure of 210/105
mmHg. What question should the nurse ask first?
.....ANSWER....."What medications are you currently taking?"
A nurse is teaching a client who has bipolar disorder and a
prescription for lithium. What instruction should the nurse include
in the teaching? .....ANSWER....."Take this medication with food."
A nurse is caring for a client who is taking clozapine. For what
finding should the nurse withhold the medication?
.....ANSWER.....The client reports a sore throat.
A nurse is caring for a client who was admitted following an
overdose of amitriptyline. The nurse should monitor the client for
what adverse effect associated with this medication?
.....ANSWER.....Urinary retention
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A nurse in a provider's office is collecting a health history from
the parent of a school-age child who has been taking
atomoxetine. What adverse effect reported by the parent is the
priority for the nurse to report to the provider?
.....ANSWER.....Dark urine
A nurse is preforming an admission assessment on a client and
notices that the client appears withdrawn and fearful. To
establish a trusting nurse-client relationship, what action should
the nurse take first? .....ANSWER.....Inform the client that her
admission is confidential
A nurse is caring for an older adult client who has dementia and
has wandered into the day room looking for her deceased
partner. What action should the nurse take? .....ANSWER.....Talk
with the client about activities she enjoyed with her partner
A nurse is caring for a client who is receiving hospice care for an
inoperable brain tumor. When completing a spiritual assessment