ATI Mental Health: 2024 Entire Question
Bank With 100% Verified Answers
Guaranteed Pass
A 25 year old patient is brought to the emergency department by the police. He is a
poor historian but the police tell the nurse that they were called because he was
wandering down the middle of the freeway. He appears confused, disheveled, and
malnourished. Which problem statement on the care plan would be of highest priority for
this patient?
A. Altered self-care ability
B. Wandering due to disorientation to time and place
C. Potential for injury due to impaired decision making
D. Altered nutrition - CORRECT ANSWERS: Potential for injury due to impaired
decision making
A 31-year-old patient with a history of borderline personality disorder is admitted to the
psychiatric unit after cutting both wrists with a kitchen knife. Which nursing approach
would be most therapeutic for this patient?
A. Open and flexible
B. Nonintrusive and passive
C. Structured and consistent
D. Warm and nurturing - CORRECT ANSWERS: Structured and consistent
*The nurse should be consistent and keep the environment structured when caring for a
patient with borderline personality disorder. Open and flexible, warm and nurturing, and
nonintrusive and passive do not provide boundaries for a patient with borderline
personality disorder, and boundaries are crucial to the patient's management.
A 38-year-old patient has been admitted to the unit after ingesting a high dose of "bath
salts." Which of the following conditions is the patient at the greatest risk for
developing?
A. Muscle cramping and abdominal pain
B. Tachycardia and euphoria
C. Diaphoresis and tachypnea
D. Psychosis and suicidal ideation - CORRECT ANSWERS: Psychosis and suicidal
ideation
*"Bath salts" or "plant food," a powder that is inhaled, injected, ingested, or smoked to
produce an effect close to that of cocaine or amphetamine. High doses bring a risk of
violence, paranoid psychoses, and suicide. Tachycardia, euphoria, diaphoresis,
,tachypnea, muscle cramping, and abdominal pain are not associated with bath salts;
rather, they are associated with opiate withdrawal. Amphetamine withdrawal causes
bradycardia and depression.
A 53-year-old female is diagnosed with generalized anxiety disorder. Which behavior do
you anticipate?
A. Runs out of the room when she notices a spider in the corner
B. Continuously checks to see if doors are shut and locked
C. Has difficulty concentrating and excessively worries about her family
D. Wakes at night screaming because of recurrent nightmares - CORRECT ANSWERS:
Has difficulty concentrating and excessively worries about her family
*Difficulty concentrating and excessive worry are part of the diagnostic criteria for
general anxiety disorder (GAD). (1) Excessive fear of spiders is an example of phobic
disorder. (2) Repetitive checking and rechecking doors is an example of behavior
associated with obsessive-compulsive disorder. (4) Recurrent nightmares are
associated with post-traumatic stress disorder (PTSD).
A 62-year-old woman is admitted to an assisted-living facility with symptoms of
forgetfulness, anger outbursts, wandering, and paranoia. These would suggest which
stage of AD?
A. Mild
B. Severe
C. Moderate
D. Moderate to severe - CORRECT ANSWERS: Moderate to severe
*This patient's symptoms indicate her AD has progressed beyond the early stage. Later
signs of disease progression include increasing confusion and inability to recognize self
or others.
A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates understanding?
A. "This medication increases the release of serotonin and norepinephrine."
B. "I should tell the client about the likelihood of insomnia while taking this medication."
C. "This medication is contraindicated for clients who have an eating disorder."
D. "Sexual dysfunction is a common adverse effect of this medication." - CORRECT
ANSWERS: "This medication increases the release of serotonin and norepinephrine."
*Mirtazapine provides relief from depression by increasing the release of serotonin and
norepinephrine
*Tell the client about the likelihood of drowsiness rather than insomnia when taking this
medication
,*Buproprion, rather than mirtazapine, is contraindicated in clients who have an eating
disorder
*Sexual dysfunction is an adverse effect of SSRIs rather than mirtazapine
A charge nurse is discussing the care of a client who has major depressive disorder
(MDD) with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "Care during the continuation phase focuses on treating continued manifestations of
MDD."
B. "The treatment of MDD during the maintenance phase lasts for 6 to 12 weeks."
C. "The client is at greatest risk for suicide during the first weeks of an MDD episode."
D. "Medication and psychotherapy are most effective during the acute phase of MDD." -
CORRECT ANSWERS: "The client is at greatest risk for suicide during the first weeks
of an MDD episode."
*The client is at greatest risk of suicide during the acute phase of MDD
*The focus on the continuation phase is relapse prevention. Treatment of manifestations
occurs during the acute phase of MDD
*The maintenance phase of treatment for MDD can last for 1 year or more
*Medication therapy and psychotherapy are used during the continuation phase to
prevent relapse of MDD
A charge nurse is discussing TMS with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the procedure?
A. "TMS is indicated for clients who have schizophrenia spectrum disorders."
B. "I will provide postanesthesia care following TMS."
C. "TMS treatments usually last 5 to 10 minutes."
D. "I will schedule the client for TMS treatments 3 to 5 times a week for the first several
weeks." - CORRECT ANSWERS: "I will schedule the client for TMS treatments 3 to 5
times a week for the first several weeks."
*TMS is commonly prescribed 3 to 5 times a week for the first 4 to 6 weeks
*TMS is indicated for the treatment of major depressive disorder that is not responsive
to pharmacological treatment. ECT is indicated for the treatment of schizophrenia
spectrum disorders
*Postanesthesia care is not necessary after TMS because the client does not receive
anesthesia and is alert during the procedure
*The TMS procedure lasts 30 to 40 min
A charge nurse is leading a peer group discussion about family and community
violence. Which of the following statements by a member of the group indicates an
understanding of teaching?
, A. "Children older than 5 are at greater risk for abuse."
B. "Substance use disorder does not increase the risk for violence."
C. "Entering an intimate relationship increases the risk for violence."
D. "Pregnancy increases the risk for violence from a spouse of partner." - CORRECT
ANSWERS: "Pregnancy increases the risk for violence from a spouse of partner."
*Pregancy tends to increase the likelihood of violence from a spouse or partner
*Children younger than 4 years of age are at an increased risk for abuse
*Substance use disorder increases the risk for violence
*Vulnerable persons are an increased risl for violence when they try to leave the
relationship
A charge nurse is reviewing Kubler-Ross: Five stages of Grief with a group of newly
licensed nurses. Which of the following stages should the charge nurse include in the
review? (Select all that apply)
A. Disequilibrium
B. Denial
C. Bargaining
D. Anger
E. Depression - CORRECT ANSWERS: 1. Denial
2. Bargaining
3. Anger
4. Depression
*Disequilibrium is the second stage of Bowlby's four stages of grief
A client recently diagnosed with terminal cancer states to the nurse, "I wish I were dead.
I have no reason to live." Which of the following responses should the nurse offer?
A. "You still have a lot to live for."
B. "Please don't talk about that."
C. "Your prescribed medication will make you feel better."
D. "Have you been thinking of hurting yourself." - CORRECT ANSWERS: "Have you
been thinking of hurting yourself."
*The nurse's response focuses on the client's underlying feelings and begins to
examine the obvious verbal clues of suicidal thoughts. Asking the client about suicidal
thoughts is an important intervention by the nurse because if the client is contemplating
suicide, the client should be able to discuss these feelings with the nurse
A client states, "I haven't seen my child for 2 weeks." The nurse responds, "Your child
has not visited you for 2 weeks?" Which of the following communication techniques is
the nurse using?
Bank With 100% Verified Answers
Guaranteed Pass
A 25 year old patient is brought to the emergency department by the police. He is a
poor historian but the police tell the nurse that they were called because he was
wandering down the middle of the freeway. He appears confused, disheveled, and
malnourished. Which problem statement on the care plan would be of highest priority for
this patient?
A. Altered self-care ability
B. Wandering due to disorientation to time and place
C. Potential for injury due to impaired decision making
D. Altered nutrition - CORRECT ANSWERS: Potential for injury due to impaired
decision making
A 31-year-old patient with a history of borderline personality disorder is admitted to the
psychiatric unit after cutting both wrists with a kitchen knife. Which nursing approach
would be most therapeutic for this patient?
A. Open and flexible
B. Nonintrusive and passive
C. Structured and consistent
D. Warm and nurturing - CORRECT ANSWERS: Structured and consistent
*The nurse should be consistent and keep the environment structured when caring for a
patient with borderline personality disorder. Open and flexible, warm and nurturing, and
nonintrusive and passive do not provide boundaries for a patient with borderline
personality disorder, and boundaries are crucial to the patient's management.
A 38-year-old patient has been admitted to the unit after ingesting a high dose of "bath
salts." Which of the following conditions is the patient at the greatest risk for
developing?
A. Muscle cramping and abdominal pain
B. Tachycardia and euphoria
C. Diaphoresis and tachypnea
D. Psychosis and suicidal ideation - CORRECT ANSWERS: Psychosis and suicidal
ideation
*"Bath salts" or "plant food," a powder that is inhaled, injected, ingested, or smoked to
produce an effect close to that of cocaine or amphetamine. High doses bring a risk of
violence, paranoid psychoses, and suicide. Tachycardia, euphoria, diaphoresis,
,tachypnea, muscle cramping, and abdominal pain are not associated with bath salts;
rather, they are associated with opiate withdrawal. Amphetamine withdrawal causes
bradycardia and depression.
A 53-year-old female is diagnosed with generalized anxiety disorder. Which behavior do
you anticipate?
A. Runs out of the room when she notices a spider in the corner
B. Continuously checks to see if doors are shut and locked
C. Has difficulty concentrating and excessively worries about her family
D. Wakes at night screaming because of recurrent nightmares - CORRECT ANSWERS:
Has difficulty concentrating and excessively worries about her family
*Difficulty concentrating and excessive worry are part of the diagnostic criteria for
general anxiety disorder (GAD). (1) Excessive fear of spiders is an example of phobic
disorder. (2) Repetitive checking and rechecking doors is an example of behavior
associated with obsessive-compulsive disorder. (4) Recurrent nightmares are
associated with post-traumatic stress disorder (PTSD).
A 62-year-old woman is admitted to an assisted-living facility with symptoms of
forgetfulness, anger outbursts, wandering, and paranoia. These would suggest which
stage of AD?
A. Mild
B. Severe
C. Moderate
D. Moderate to severe - CORRECT ANSWERS: Moderate to severe
*This patient's symptoms indicate her AD has progressed beyond the early stage. Later
signs of disease progression include increasing confusion and inability to recognize self
or others.
A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates understanding?
A. "This medication increases the release of serotonin and norepinephrine."
B. "I should tell the client about the likelihood of insomnia while taking this medication."
C. "This medication is contraindicated for clients who have an eating disorder."
D. "Sexual dysfunction is a common adverse effect of this medication." - CORRECT
ANSWERS: "This medication increases the release of serotonin and norepinephrine."
*Mirtazapine provides relief from depression by increasing the release of serotonin and
norepinephrine
*Tell the client about the likelihood of drowsiness rather than insomnia when taking this
medication
,*Buproprion, rather than mirtazapine, is contraindicated in clients who have an eating
disorder
*Sexual dysfunction is an adverse effect of SSRIs rather than mirtazapine
A charge nurse is discussing the care of a client who has major depressive disorder
(MDD) with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "Care during the continuation phase focuses on treating continued manifestations of
MDD."
B. "The treatment of MDD during the maintenance phase lasts for 6 to 12 weeks."
C. "The client is at greatest risk for suicide during the first weeks of an MDD episode."
D. "Medication and psychotherapy are most effective during the acute phase of MDD." -
CORRECT ANSWERS: "The client is at greatest risk for suicide during the first weeks
of an MDD episode."
*The client is at greatest risk of suicide during the acute phase of MDD
*The focus on the continuation phase is relapse prevention. Treatment of manifestations
occurs during the acute phase of MDD
*The maintenance phase of treatment for MDD can last for 1 year or more
*Medication therapy and psychotherapy are used during the continuation phase to
prevent relapse of MDD
A charge nurse is discussing TMS with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the procedure?
A. "TMS is indicated for clients who have schizophrenia spectrum disorders."
B. "I will provide postanesthesia care following TMS."
C. "TMS treatments usually last 5 to 10 minutes."
D. "I will schedule the client for TMS treatments 3 to 5 times a week for the first several
weeks." - CORRECT ANSWERS: "I will schedule the client for TMS treatments 3 to 5
times a week for the first several weeks."
*TMS is commonly prescribed 3 to 5 times a week for the first 4 to 6 weeks
*TMS is indicated for the treatment of major depressive disorder that is not responsive
to pharmacological treatment. ECT is indicated for the treatment of schizophrenia
spectrum disorders
*Postanesthesia care is not necessary after TMS because the client does not receive
anesthesia and is alert during the procedure
*The TMS procedure lasts 30 to 40 min
A charge nurse is leading a peer group discussion about family and community
violence. Which of the following statements by a member of the group indicates an
understanding of teaching?
, A. "Children older than 5 are at greater risk for abuse."
B. "Substance use disorder does not increase the risk for violence."
C. "Entering an intimate relationship increases the risk for violence."
D. "Pregnancy increases the risk for violence from a spouse of partner." - CORRECT
ANSWERS: "Pregnancy increases the risk for violence from a spouse of partner."
*Pregancy tends to increase the likelihood of violence from a spouse or partner
*Children younger than 4 years of age are at an increased risk for abuse
*Substance use disorder increases the risk for violence
*Vulnerable persons are an increased risl for violence when they try to leave the
relationship
A charge nurse is reviewing Kubler-Ross: Five stages of Grief with a group of newly
licensed nurses. Which of the following stages should the charge nurse include in the
review? (Select all that apply)
A. Disequilibrium
B. Denial
C. Bargaining
D. Anger
E. Depression - CORRECT ANSWERS: 1. Denial
2. Bargaining
3. Anger
4. Depression
*Disequilibrium is the second stage of Bowlby's four stages of grief
A client recently diagnosed with terminal cancer states to the nurse, "I wish I were dead.
I have no reason to live." Which of the following responses should the nurse offer?
A. "You still have a lot to live for."
B. "Please don't talk about that."
C. "Your prescribed medication will make you feel better."
D. "Have you been thinking of hurting yourself." - CORRECT ANSWERS: "Have you
been thinking of hurting yourself."
*The nurse's response focuses on the client's underlying feelings and begins to
examine the obvious verbal clues of suicidal thoughts. Asking the client about suicidal
thoughts is an important intervention by the nurse because if the client is contemplating
suicide, the client should be able to discuss these feelings with the nurse
A client states, "I haven't seen my child for 2 weeks." The nurse responds, "Your child
has not visited you for 2 weeks?" Which of the following communication techniques is
the nurse using?
