ATI RN Mental Health 2019 A Comprehensive Practical Exam With 100% Verified Answers|2024.

RN is admitting client who has a alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? A. I put in extra hours at work so I won't think about drinking B. I know that wine is good for my heart, so that's why I drink some each evening C. I make up for my drinking by taking my partner on nice vacations D. I am able to go to work every day, so I don't have a problem - correct answer A. I put in extra hours at work so I won't think about drinking A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take? A. Gather supplies for endotracheal intubation B. Administer a beta blocker intravenously C. Position the client in a low-Fowler's position D. Place a cooling blanket over the client - correct answer A. Gather supplies for endotracheal suctioning (Indicates respiratory depression) A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? A. St. John's wort B. Saw palmetto C. Echinacea D. Ginkgo - correct answer A. St. John's wort A nurse is caring for a client who is undergoing ECT and will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? A. Succinylcholine will enhance the therapeutic effects of this treatment B. Succinylcholine is given to reduce muscle movements during therapy C. Succinylcholine will decrease the anxiety level that you might experience with this treatment D. Succinylcholine is used as a general anesthetic to make sure you are sleeping during the procedure - correct answer B. Succinylcholine is given to reduce muscle movements during therapy A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? A. Polyphagia B. HTN C. Decreased temp. D. Depressed mood - correct answer b. Hypertension A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? A. If you do my homework for me, I won't bother you for the rest of the day B. Mom is always upset C. It's not the children's fault, it's mine D. It's your fault that we're having problems as a family - correct answer A. If you do my homework for me, I won't bother you for the rest of the day A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lbs. Available is chlorpromazine syrup 10 mg/5 ml. How many ml should the nurse administer? - correct answer 14 ml 110 lb --> kg = 50 kg 50 kg*0.55 mg = 27.5 mg 27.5 mg*(5 ml/10 mg) = 14 ml 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 hallucinations 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 - correct answer A. Promote the use of music to compete with the client's auditory hallucinations Competing reality-based stimulation such as the use of music or television during auditory hallucinations can assist in limiting the effect the hallucinations have on the client's stress level A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? A. Call the family member to the side to inquire if they have questions or concerns about the treatment plan B. Advise the family member that this treatment plan has been developed specifically for the client to follow C. Ask the family member if they have any thoughts or questions about the treatment plan D. Document that the family member does not support the medication treatment plan - correct answer C. Ask the family member if they have any thoughts or questions about the treatment plan A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? A. Controls anger outbursts to avoid being placed in seclusion B. No longer exhibits a fear of social or public situations C. Refrains from manipulating others to earn dining room privileges D. Imitates the therapist's use of a relaxation technique - correct answer C. Refrains from manipulating others to earn dining room privileges A nurse is assessing a school-age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate? A. Feelings of remorse B. Extended periods of depression C. Deficits in intellectual functioning D. Aggression toward animals - correct answer D. Aggression toward animals A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client? A. Allow the client time to formulate an answer B. Prompt the client to give a response C. Move on to the next client D. Offer the client a suggestion for a goal - correct answer A. Allow the client time to formulate an answer A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? A. Raise the pitch of the voice when speaking to the client B. Begin the interview by explaining the plan of care C. Interview the client in a private setting D. Ask the client to complete a detailed questionnaire - correct answer C. Interview the client in a private setting The nurse should question the client in a private place when conducting interviews regarding client health A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? A. A client refuses ECT after signing the consent form B. A client who was voluntarily admitted left the unit against medical advice C. A client was administered one-half of the prescribed dose of medication D. A client was placed in restraints after attempts to de-escalate aggressive behaviors failed - correct answer C. A client was administered one-half of the prescribed dose of medication A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicate the nurse should administer benztropine 2 mg IM? A. Shuffling gait B. Hypotension C. Decreased WBC count D. Blurred vision - correct answer A. Shuffling gait Benztropine is used to treat parkinsonism manifestations such as shuffling gait A nurse is delegating client care tasks to a LPN and AP. Which of the following tasks should the nurse assign to the LPN? A. Obtain the weight of a client who has bipolar disorder and is experiencing mania. B. Assess the nutritional intake of a client who has anorexia nervosa and has refused to eat for the past 2 days C. Monitor the cardiovascular status of a client experiencing serotonin syndrome D. Change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds - correct answer D. Change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds A client is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following is the priority action by the nurse? A. Schedule the client for group therapy sessions B. Maintain consistent rules C. Provide frequent high-calorie snacks D. Avoid the use of value judgements - correct answer C. Provide frequent high-calorie snacks A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? SATA A. Feelings of hopelessness B. Pressured Speech C. Grandiosity D. Anhedonia E. Flat facial expression - correct answer A. Feelings of hopelessness D. Anhedonia E. Flat facial expression A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommend to the caregiver? A. Respite care B. Partial hospitalization C. Adult day care program D. Geropsychiatric unit - correct answer A. Respite care A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicate a potential psychiatric emergency? A. The client is exhibiting echolalia B. The client reports command hallucinations C. The client reports loss of motivation D. The client is exhibiting blunted affect - correct answer B. The client reports command hallucinations A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? A. Advi