ATI Mental Health Exam
A nurse is interviewing a client at a temporary shelter after
surviving the destruction of her home by a tornado. When assessing
the client, the nurse should ask which of the following questions to
determine the patient’s ability to cope with this situation?
- "To whom do you talk when you feel overwhelmed?"
- By asking this question, the nurse is assessing the client’s
support system, which is an important factor in the client’s
ability to cope with the situation.
A nurse is caring for a patient who gave birth to a stillborn baby.
Which of the following statements should the nurse make?
- "I'll stay with you just 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.
A nurse on a medical-surgical unit is assessing a client who
sustained injuries 12 hours ago following a motor-vehicle crash. The
client’s admission blood alcohol level was 325 mg/dL. Which of the
following findings should indicate to the nurse that the client is
experiencing alcohol withdrawal?
- BP 154/96 mm Hg
, - Physical manifestations of alcohol withdrawal occur in
addition to psychological effects. A client who is experiencing
alcohol withdrawal is expected to have hypertension,
tachycardia, and fever greater than 38.3°C (101°F). It will be
important for the nurse to rule out infection in the client who
has fever.
A nurse is teaching a family member and a client who has a sew
diagnosis of Alzheimer’s disease and is to start taking donepezil.
Which of the following statements should the nurse include in the
teaching?
- "Take this medication in the evening at bedtime."
- The client should take this medication in the evening for
optimal effectiveness.
- A client should never double the dose after a missed dose due
to adverse effects of the medication but should notify the
provider. Chewing, crushing, or splitting the medication can
affect the absorption of the medication. If the client has
difficulty swallowing, the provider can prescribe orally
disintegrating tablets.
A nurse is discussing a 12-step program with a patient who has
alcohol use disorder and is in an acute care facility undergoing
detoxification. Which of the following information should the nurse
include in the teaching?
, - The client should obtain a sponsor before discharge for an
increased chance of recovery.
- This is because the client-sponsor relationship has been shown
to increase program attendance and the chances of recovery.
During morning rounds, a nurse finds a client who has
schizophrenia trembling and tearful in her bed. She reports that a
bomb was placed in her room by a family member during visiting
hours. Which of the following actions should the nurse take?
- Assess the client for evidence of a perceptual disturbance.
- The nurse should assess the situation to determine if the client
is hallucinating or misperceiving external stimuli (experiencing
illusions).
A nurse is admitting a patient with major depression disorder and a
new prescription for tranylcypromine. Which of the following OTC
medications that the patient reports taking should alert the nurse to a
potential adverse reaction?
- Phenylephrine
- Tranylcypromine is an MAOI antidepressant, which should not
be taken with phenylephrine and other OTC medications for
sinus congestions, colds, or allergies due to their actions on the
sympathetic nervous system, which can result in severe
hypertension.
A nurse is interviewing a client at a temporary shelter after
surviving the destruction of her home by a tornado. When assessing
the client, the nurse should ask which of the following questions to
determine the patient’s ability to cope with this situation?
- "To whom do you talk when you feel overwhelmed?"
- By asking this question, the nurse is assessing the client’s
support system, which is an important factor in the client’s
ability to cope with the situation.
A nurse is caring for a patient who gave birth to a stillborn baby.
Which of the following statements should the nurse make?
- "I'll stay with you just 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.
A nurse on a medical-surgical unit is assessing a client who
sustained injuries 12 hours ago following a motor-vehicle crash. The
client’s admission blood alcohol level was 325 mg/dL. Which of the
following findings should indicate to the nurse that the client is
experiencing alcohol withdrawal?
- BP 154/96 mm Hg
, - Physical manifestations of alcohol withdrawal occur in
addition to psychological effects. A client who is experiencing
alcohol withdrawal is expected to have hypertension,
tachycardia, and fever greater than 38.3°C (101°F). It will be
important for the nurse to rule out infection in the client who
has fever.
A nurse is teaching a family member and a client who has a sew
diagnosis of Alzheimer’s disease and is to start taking donepezil.
Which of the following statements should the nurse include in the
teaching?
- "Take this medication in the evening at bedtime."
- The client should take this medication in the evening for
optimal effectiveness.
- A client should never double the dose after a missed dose due
to adverse effects of the medication but should notify the
provider. Chewing, crushing, or splitting the medication can
affect the absorption of the medication. If the client has
difficulty swallowing, the provider can prescribe orally
disintegrating tablets.
A nurse is discussing a 12-step program with a patient who has
alcohol use disorder and is in an acute care facility undergoing
detoxification. Which of the following information should the nurse
include in the teaching?
, - The client should obtain a sponsor before discharge for an
increased chance of recovery.
- This is because the client-sponsor relationship has been shown
to increase program attendance and the chances of recovery.
During morning rounds, a nurse finds a client who has
schizophrenia trembling and tearful in her bed. She reports that a
bomb was placed in her room by a family member during visiting
hours. Which of the following actions should the nurse take?
- Assess the client for evidence of a perceptual disturbance.
- The nurse should assess the situation to determine if the client
is hallucinating or misperceiving external stimuli (experiencing
illusions).
A nurse is admitting a patient with major depression disorder and a
new prescription for tranylcypromine. Which of the following OTC
medications that the patient reports taking should alert the nurse to a
potential adverse reaction?
- Phenylephrine
- Tranylcypromine is an MAOI antidepressant, which should not
be taken with phenylephrine and other OTC medications for
sinus congestions, colds, or allergies due to their actions on the
sympathetic nervous system, which can result in severe
hypertension.
