ATI RN Mental Health Assessment A
Exam with NGN Questions and Verified
Answers
With 70 (Questions and Answers)
A nurse in mental health facility observes a client who is experiencing
panic level of anxiety. Which of the following actions should the nurse
take first? -
Correct Answer-Accompany the client to a quiet room. (Greatest risk
for this client is injury due to severe anxiety. Therefore, first action
nurse should take is to stay with client and bring him to a room with
minimal stimuli.)
A nurse is obtaining a history and physical on a client who presents to
the emergency department of a mental health facility. The nurse
recognizes which of the following assessment findings as being
consistent with PTSD? (Select all that apply) -
Correct Answer-Distressing dreams
Difficulty concentrating
,Exaggerated startle response
A nurse is providing teaching to a client who has a new prescription
for haloperidol. Which of the following side effects should the nurse
instruct the client to report to the provider? -
Correct Answer-Shuffling gait. (Clinical findings of
pseudoparkinsonism such as shuffling gait may occur 5hr - 30 days
after beginning treatment. The client should notify the provider who
might prescribe an anti parkinsonism agent.)
A home health nurse is assessing an older adult client who lives alone.
Which of the following findings should indicate to the nurse that the
client is experiencing delirium? -
Correct Answer-Sudden onset. (Clients usually develop delirium
suddenly over hours to days.)
A nurse is caring for a client receiving imipramine for depression. For
which of the following adverse effects should the nurse monitor? -
Correct Answer-Urinary retention.
A nurse is providing care for a client who has bipolar disorder and is
experiencing acute mania. Client's morning lithium level is 1.5 mEq/L.
Which of the following additional laboratory data has the highest
priority?
a) Serum erythrocyte sedimentation rate 18 mm/hr
b) Hemoglobin 15 g/dL
, c) serum T4 5 mcg/dL
d) Serum sodium 125 mEq/L -
Correct Answer-Serum sodium 125 mEq/L (In the presence of low
sodium levels, renal excretion of lithium is reduced and client is at risk
for lithium toxicity. Therefore, this finding is highest priority because
it places client at greatest risk for injury.)
A nurse is caring for a client who has a history of substance use 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? -
Correct Answer-Do not administer the lorazepam. (Clients who are
involuntarily admitted retain the right to refuse treatment.)
A nurse is developing a discharge plan for a client who has a history of
gambling dependency and includes participation in support group.
The nurse should tell the client that which of the following is the
purpose of attending a support group? -
Correct Answer-Provide assurance that others have a similar problem.
(Participating in a support group with other individuals who have
similar problems will show the client that he is not the only one with
this problem. The client can learn alternative ways to solve problems
that other members of the group have also experienced.)
A nurse is caring for a client who is deaf and is scheduled to have
electroconvulsive therapy (ECT). Provider needs to explain procedure
to client in order to obtain informed consent. Which of the following
Exam with NGN Questions and Verified
Answers
With 70 (Questions and Answers)
A nurse in mental health facility observes a client who is experiencing
panic level of anxiety. Which of the following actions should the nurse
take first? -
Correct Answer-Accompany the client to a quiet room. (Greatest risk
for this client is injury due to severe anxiety. Therefore, first action
nurse should take is to stay with client and bring him to a room with
minimal stimuli.)
A nurse is obtaining a history and physical on a client who presents to
the emergency department of a mental health facility. The nurse
recognizes which of the following assessment findings as being
consistent with PTSD? (Select all that apply) -
Correct Answer-Distressing dreams
Difficulty concentrating
,Exaggerated startle response
A nurse is providing teaching to a client who has a new prescription
for haloperidol. Which of the following side effects should the nurse
instruct the client to report to the provider? -
Correct Answer-Shuffling gait. (Clinical findings of
pseudoparkinsonism such as shuffling gait may occur 5hr - 30 days
after beginning treatment. The client should notify the provider who
might prescribe an anti parkinsonism agent.)
A home health nurse is assessing an older adult client who lives alone.
Which of the following findings should indicate to the nurse that the
client is experiencing delirium? -
Correct Answer-Sudden onset. (Clients usually develop delirium
suddenly over hours to days.)
A nurse is caring for a client receiving imipramine for depression. For
which of the following adverse effects should the nurse monitor? -
Correct Answer-Urinary retention.
A nurse is providing care for a client who has bipolar disorder and is
experiencing acute mania. Client's morning lithium level is 1.5 mEq/L.
Which of the following additional laboratory data has the highest
priority?
a) Serum erythrocyte sedimentation rate 18 mm/hr
b) Hemoglobin 15 g/dL
, c) serum T4 5 mcg/dL
d) Serum sodium 125 mEq/L -
Correct Answer-Serum sodium 125 mEq/L (In the presence of low
sodium levels, renal excretion of lithium is reduced and client is at risk
for lithium toxicity. Therefore, this finding is highest priority because
it places client at greatest risk for injury.)
A nurse is caring for a client who has a history of substance use 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? -
Correct Answer-Do not administer the lorazepam. (Clients who are
involuntarily admitted retain the right to refuse treatment.)
A nurse is developing a discharge plan for a client who has a history of
gambling dependency and includes participation in support group.
The nurse should tell the client that which of the following is the
purpose of attending a support group? -
Correct Answer-Provide assurance that others have a similar problem.
(Participating in a support group with other individuals who have
similar problems will show the client that he is not the only one with
this problem. The client can learn alternative ways to solve problems
that other members of the group have also experienced.)
A nurse is caring for a client who is deaf and is scheduled to have
electroconvulsive therapy (ECT). Provider needs to explain procedure
to client in order to obtain informed consent. Which of the following
