ATI Mental Health Assessment A 2023
Study online at https://quizlet.com/_ekk5x0
1. A school nurse is assessing a school-age child who experienced the traumatic
loss of a parent 8 months ago. Which of the filling findings should the nurse
identify as an indication that the child is experiencing post-traumatic stress
disorder (PTSD)?
A. Clinging behaviors directed toward a teacher
B. Increased time spent sleeping
C. Intense focus on school work
D. Lack of interest in an upcoming holiday: D. Lack of interest in an upcoming holiday
2. A nurse is caring for a group of clients. Which of the following findings should
the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3 (5,000
to 10,000/mm3)
B. A client who is taking lamotrigine and has developed a rash
C. A client who taking valproate and has a platelet count of 200,000/mm3
(150,000 to 400,000/mm3)
D. A client who is taking lithium and has increased thirst: B. A client who is taking
lamotrigine and has developed a rash
3. A nurse is caring for a male client who has schizophrenia and is taking
clozapine. Which of the following client findings should the nurse identify as
a contraindication for receiving clozapine?
A. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
B. Hgb 11.5 mg/dl (14 to 18 mg/dl)
C. Alogia
D. Client reports having a dry mouth: A. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
4. A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statement indicates the client
has a decreased risk for suicide?
A. "I'm relieved now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me.": B. "It is easier to talk about my
feelings now."
, ATI Mental Health Assessment A 2023
Study online at https://quizlet.com/_ekk5x0
5. During a client's initial interview in a mental health inpatient setting, a nurse
identifies that the client is maintaining eye contact and leaning forward. Which
of the following assumptions should the nurse make based on the client's
nonverbal behaviors?
A. The client is interested in what the nurse is saying
B. The client is attempting to manipulate the nurse
C. The client is physically attracted to the nurse
D. The client is seeking acceptance by the nurse: A. The client is interested in what the nurse
is saying
6. A nurse is caring for a client who has impaired cognition.
NGN Question: A nurse is updating the client's plan of care. For each of the
following potential nursing interventions, click to specify if the potential inter-
vention is anticipated, nonessential, or contraindicated for the client.: Anticipated:
1. When addressing the client, approach them from the front when possible; 5. Give the directions to the client slowly
and in a moderate tone of voice; 6. Decrease sensory stimulation: 8. Assign the client to a room near the nurses' station.
Nonessential: 4. Provide the client with high-calorie protein drinks hourly.
Contraindicated: 2. Use a vest restraint to keep the client in a medical recliner; 3. Ensure the bed is kept at a working
height for the nurse; 7. Keep the lights off in the client's bedroom and bathroom at night.
7. A nurse is planning care for a client who has schizophrenia and reports
auditory hallucinations. Which of the following interventions should the nurse
include in the plan?
A. Promote the use of music to compete with the client's auditory hallucina-
tions.
B. Inform the client that the auditory hallucinations are not real.
C. Avoid asking the client if they are experiencing auditory hallucinations.
D. Instruct the client on the use of voice recognition regarding the auditory
hallucinations.: A. Promote the use of music to compete with the client's auditory hallucinations.
8. A nurse is establishing a therapeutic relationship with a client who has anti-
social personality disorder. Which of the following strategies should the nurse
use when communicating with this client?
A. Behave in a friendly manner towards the client.
B. Set realistic limits on the client's behavior.
Study online at https://quizlet.com/_ekk5x0
1. A school nurse is assessing a school-age child who experienced the traumatic
loss of a parent 8 months ago. Which of the filling findings should the nurse
identify as an indication that the child is experiencing post-traumatic stress
disorder (PTSD)?
A. Clinging behaviors directed toward a teacher
B. Increased time spent sleeping
C. Intense focus on school work
D. Lack of interest in an upcoming holiday: D. Lack of interest in an upcoming holiday
2. A nurse is caring for a group of clients. Which of the following findings should
the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3 (5,000
to 10,000/mm3)
B. A client who is taking lamotrigine and has developed a rash
C. A client who taking valproate and has a platelet count of 200,000/mm3
(150,000 to 400,000/mm3)
D. A client who is taking lithium and has increased thirst: B. A client who is taking
lamotrigine and has developed a rash
3. A nurse is caring for a male client who has schizophrenia and is taking
clozapine. Which of the following client findings should the nurse identify as
a contraindication for receiving clozapine?
A. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
B. Hgb 11.5 mg/dl (14 to 18 mg/dl)
C. Alogia
D. Client reports having a dry mouth: A. WBC count 2,500/mm3 (5,000 to 10,000/mm3)
4. A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statement indicates the client
has a decreased risk for suicide?
A. "I'm relieved now that my financial affairs are in order."
B. "It is easier to talk about my feelings now."
C. "Suddenly I have enough energy to do anything I want."
D. "Thank you for always taking such good care of me.": B. "It is easier to talk about my
feelings now."
, ATI Mental Health Assessment A 2023
Study online at https://quizlet.com/_ekk5x0
5. During a client's initial interview in a mental health inpatient setting, a nurse
identifies that the client is maintaining eye contact and leaning forward. Which
of the following assumptions should the nurse make based on the client's
nonverbal behaviors?
A. The client is interested in what the nurse is saying
B. The client is attempting to manipulate the nurse
C. The client is physically attracted to the nurse
D. The client is seeking acceptance by the nurse: A. The client is interested in what the nurse
is saying
6. A nurse is caring for a client who has impaired cognition.
NGN Question: A nurse is updating the client's plan of care. For each of the
following potential nursing interventions, click to specify if the potential inter-
vention is anticipated, nonessential, or contraindicated for the client.: Anticipated:
1. When addressing the client, approach them from the front when possible; 5. Give the directions to the client slowly
and in a moderate tone of voice; 6. Decrease sensory stimulation: 8. Assign the client to a room near the nurses' station.
Nonessential: 4. Provide the client with high-calorie protein drinks hourly.
Contraindicated: 2. Use a vest restraint to keep the client in a medical recliner; 3. Ensure the bed is kept at a working
height for the nurse; 7. Keep the lights off in the client's bedroom and bathroom at night.
7. A nurse is planning care for a client who has schizophrenia and reports
auditory hallucinations. Which of the following interventions should the nurse
include in the plan?
A. Promote the use of music to compete with the client's auditory hallucina-
tions.
B. Inform the client that the auditory hallucinations are not real.
C. Avoid asking the client if they are experiencing auditory hallucinations.
D. Instruct the client on the use of voice recognition regarding the auditory
hallucinations.: A. Promote the use of music to compete with the client's auditory hallucinations.
8. A nurse is establishing a therapeutic relationship with a client who has anti-
social personality disorder. Which of the following strategies should the nurse
use when communicating with this client?
A. Behave in a friendly manner towards the client.
B. Set realistic limits on the client's behavior.
