ATI RN MENTAL HEALTH NURSING ; RN ATI MENTAL HEALTH NURSING FI
d d d d d d d d d d d
NAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS ( MARKINGSC
d d d d d d d d d
HEME 2024 ) VERIFIED AND UNTIL NOW GRADED A+
d d d d d d d d
Adnursedisdcounselingdandadolescentdwhodhasdanorexiadnervosadanddreportsdexcessivedla
xativedusedanddfeardofdgainingdweight.dThedClientdstates,d"I'mdsodfatdIdcan'tdevendstanddtodlo
okdatdmyself.".dWhichdofdthedfollowingdtherapeuticdresponsesddemonstratesdthednurse'sdu
sedofdsummarizing?
1. "You'veddiscusseddseveraldconcernsdaboutdyourdweight.dLet'sdgodbackdanddtalkdaboutdy
ourdbeliefdthatdyoudaredfat."
2. "You'redsayingdthatdyoudthinkdyoudaredfatdanddaredusingdlaxativesdbecausedyoudareda
fraiddofdgainingdweight."
3. "Youddon'tdwantdtodlookdatdyourselfdbecausedyoudthinkdyoudaredfat."
4. "YoudanddIdcandworkdtogetherdtodovercomedyourdfearsdofdgainingdweight."d-dCorrectd=
2.d"You'redsayingdthatdyoudthinkdyoudaredfatdanddaredusingdlaxativesdbecausedyoudaredafrai
ddofdgainingdweight."
- Thednursedisdusingdthedtherapeuticdtechniquedofdsummarizingdtodreviewdthedkeydpointsdo
fdtheddiscussion.
Adnursedisdadmittingdadclientdwhodhasdschizophreniadtodandacutedcaredsetting.dWhendthednur
sedquestionsdthedclientdregardingdtheirdadmission,dthedclientdstates,d"I'mdred,dindthedhead,dan
ddI'mdgoingdtodbed!".dThednursedshouldddocumentdthedclient'sdspeechdpatterndasdwhichdofdthed
following?
1. ClangdAssociation
2. WorddSalad
3. Neologism
4. Echolaliad-dCorrectd=d1.dClangdAssociation
- Thednursedshouldddocumentdthatdthedclient'sdspeechdusesdclangdassociations,dwhichdo
ftendrhymedordcontaindadstringdofdwordsdthatdcandhavedadsimilardsound.
NGN:dAdnursedisdcaringdfordadClientdwhodhasdandalcoholduseddisorder.dCompleted
thedfollowingdsentencedbydusingdthedlistdofdoptions...
Dropdownd1:d"ThedClientdisdatdgreatestdriskdfordd
1. Dehydration
2. ViolentdBehavior
3. IneffectivedCoping
,Dropdownd2:d"asdevidenceddbydthedClient'sdd
4. InabilitydtodPerformdSimpledTasks
5. LossdofdAppetite
6. Agitationd-dCorrectd=
Dropdownd1:
2.dViolentdBehavior
- Thedgreatestdriskdfordthedclientdisdengagingdindviolentdbehaviordduedtodthedwithdrawaldofdal
cohol,dwhichdisdcausingdthemdincreasingdagitation.dThednursedshoulddcloselydmonitordthed
clientdanddbedprepareddtodintervenedtodprotectdthedclientdanddothersdfromdinjury.
Dropdownd2:
6.dAgitation
- Thedclientdisdatdgreatestdriskdofdengagingdindviolentdbehaviordasdevidenceddbydthedclient'sd
agitation,dwhichdcandbedindicateddbydpacing,drestlessness,dstaring,dsilence,drigiddposture,d
anddclencheddjaw.dThednursedshoulddcloselydmonitordthedclientdanddbedprepareddtodinterve
nedtodprotectdthedclientdanddothersdfromdinjury.
Adnursedindadmentaldhealthdclinicdisdcaringdfordadclientdwhodhasdbipolarddisorderdanddreports
dthatdtheydstoppeddtakingdlithiumd2dweeksdago.dThednursedshoulddrecognizedwhichd ofdthedfol
lowingdasdandexpecteddadversedeffectdthatdmightdhavedcauseddthedclientdtodspotdtakingdthed
medication?
1. Soredthroat
2. Photophobia
3. Handdtremors
4. Constipationd-dCorrectd=d3.dHanddTremors
- Finedhanddtremorsdaredandexpecteddadversedeffectdofdlithiumdanddcandinterferedwithdp
erformancedofdADLs,dcausingdthedclientdtodstopdtakingdthedmedication.
*Diarrheadisdandearlydmanifestationdofdlithiumdtoxicity
Adnursedisdupdatingdthedplandofdcaredfordadclientdwhodhasdbulimiadnervosadanddisd5%da
bovedtheirdidealdbodydweight.dWhichdofdthedfollowingdinterventionsdshoulddthednursedin
cludedindthedplan?
1. Includedadliquiddsupplementdwithdmeals.
2. Identifydthedclient'sdtriggerdfoods.
3. Allowdthedclientdatdleastd1dhrdfordeachdmeal.
4. Weighdthedclientdatdbedtimedeachdday.d-dCorrectd=d2.dIdentifydthedclient'sdtriggerdfoods.
- Thednursedshoulddidentifydthedtriggerdfoodsdthatdinitiatedthedclient'sdbingedanddassistdthedcl
ientdtodunderstandingdtheirdthoughtsdanddbehaviordthatdrelatedtodthedfood.
, Thednursedshoulddlimitdthedclient'sdmealdtimesdtodaboutd30dmindtodpreventdputtingdexcessiv
edfocusdondfood.
Thednursedshoulddweighdthedclientdimmediatelydafterdtheydwakedupdanddvoiddanddpriordtodor
aldintake.dThednursedshoulddweighdthedclientddailydfordthedfirstdweekdanddthendthreedtimesd
perdweek.
*Thednursedshoulddincludedadliquiddsupplementdfordadclientdwhodisdbelowdtheirdidealdbodydw
eightdanddmightdnotdbedabledtodeatdsoliddfoodsdatdfirstdordmightdneeddthedadditionaldnutritio
ndtodgaindweight.
Adnursedisdcaringdfordadclientdwhosedchilddhasdadterminaldillness.dThedclientdrequestsdinforma
tiondaboutdhowdtoddealdwithdthedupcomingdloss.dWhichdofdthedfollowingdstatementsdshoulddthe
dnursedmake?
1. "Itdwilldbedbetterdfordyoudtodkeepdbusydtodavoiddthinkingdaboutdyourdchild'sddeath."
2. "Youdwilldcompletedthedgrievingdprocessdaboutdadyeardafterdyourdchild'sddeath."
3. "Thedgriefdprocessdwilldstartdoncedyourdchilddactuallyddies."
4. "Itdisdnotduncommondtodfeeldangrydtowarddyourselfdordothers."d-
dCorrectd=d4.d"Itdisdnotduncommondtodfeeldangrydtowarddyourselfdordothers."
- Feelingsdofdblamedanddangerdtowarddoneselfdordothersdaredandexpecteddreactiondwhenda
dclientdisdexperiencingdadloss.
Thedgriefdprocessdhasdnodtimeline.dItdvariesdfordeachdindividual.dThed
clientdcandbegindanticipatorydgrievingdduringdthedchild'sdillness.
Adnursedindadmentaldhealthdclinicdisdplanningdcaredfordadclientdwhodhasdadnewdprescriptiondfo
rdolanzapine.dWhichdofdthedfollowingdinterventionsdshoulddthednursedidentifydasdthedpriority
?
1. Advisedthedclientdtodtakedfrequentdsipsdofdwater.
2. Recommenddthatdthedclientdexercisedregularly.
3. Consultdaddietitiandfordadcalorie-controlledddietdplan.
4. Instructdthedclientdtodavoidddrivingdduringdinitialdtherapy.d-
dCorrectd=d4.dInstructdthedclientdtodavoidddrivingdduringdinitialdtherapy.
- Thedgreatestdriskdtodthisdclientdisdinjurydresultingdfromddrowsinessdorddizziness.dTherefor
e,dthednurse'sdprioritydinterventiondisdtodinstructdthedclientdtodavoiddactivitiesdthatdrequiredm
entaldalertnessdduringdinitialdmedicationdtherapy.
Thednursedshoulddadvisedthedclientdtodtakedfrequentdsipsdofdwaterdduedtodthedadversedeffec
tdofddrydmouth.dHowever,dthisdisdnotdthednurse'sdprioritydintervention.
Thednursedshoulddadvisedthedclientdtodexercisedregularlydduedtodthedadversedeffectsdofdwei
ghtdgaindanddconstipation.dHowever,dthisdisdnotdthednurse'sdprioritydintervention.
Thednursedshoulddconsultdaddietitiandfordadcalorie-
controlledddietdplandduedtodthedadversedeffectdofdweightdgain.dHowever,dthisdisdnotdthednurs
e'sdprioritydintervention.
d d d d d d d d d d d
NAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS ( MARKINGSC
d d d d d d d d d
HEME 2024 ) VERIFIED AND UNTIL NOW GRADED A+
d d d d d d d d
Adnursedisdcounselingdandadolescentdwhodhasdanorexiadnervosadanddreportsdexcessivedla
xativedusedanddfeardofdgainingdweight.dThedClientdstates,d"I'mdsodfatdIdcan'tdevendstanddtodlo
okdatdmyself.".dWhichdofdthedfollowingdtherapeuticdresponsesddemonstratesdthednurse'sdu
sedofdsummarizing?
1. "You'veddiscusseddseveraldconcernsdaboutdyourdweight.dLet'sdgodbackdanddtalkdaboutdy
ourdbeliefdthatdyoudaredfat."
2. "You'redsayingdthatdyoudthinkdyoudaredfatdanddaredusingdlaxativesdbecausedyoudareda
fraiddofdgainingdweight."
3. "Youddon'tdwantdtodlookdatdyourselfdbecausedyoudthinkdyoudaredfat."
4. "YoudanddIdcandworkdtogetherdtodovercomedyourdfearsdofdgainingdweight."d-dCorrectd=
2.d"You'redsayingdthatdyoudthinkdyoudaredfatdanddaredusingdlaxativesdbecausedyoudaredafrai
ddofdgainingdweight."
- Thednursedisdusingdthedtherapeuticdtechniquedofdsummarizingdtodreviewdthedkeydpointsdo
fdtheddiscussion.
Adnursedisdadmittingdadclientdwhodhasdschizophreniadtodandacutedcaredsetting.dWhendthednur
sedquestionsdthedclientdregardingdtheirdadmission,dthedclientdstates,d"I'mdred,dindthedhead,dan
ddI'mdgoingdtodbed!".dThednursedshouldddocumentdthedclient'sdspeechdpatterndasdwhichdofdthed
following?
1. ClangdAssociation
2. WorddSalad
3. Neologism
4. Echolaliad-dCorrectd=d1.dClangdAssociation
- Thednursedshouldddocumentdthatdthedclient'sdspeechdusesdclangdassociations,dwhichdo
ftendrhymedordcontaindadstringdofdwordsdthatdcandhavedadsimilardsound.
NGN:dAdnursedisdcaringdfordadClientdwhodhasdandalcoholduseddisorder.dCompleted
thedfollowingdsentencedbydusingdthedlistdofdoptions...
Dropdownd1:d"ThedClientdisdatdgreatestdriskdfordd
1. Dehydration
2. ViolentdBehavior
3. IneffectivedCoping
,Dropdownd2:d"asdevidenceddbydthedClient'sdd
4. InabilitydtodPerformdSimpledTasks
5. LossdofdAppetite
6. Agitationd-dCorrectd=
Dropdownd1:
2.dViolentdBehavior
- Thedgreatestdriskdfordthedclientdisdengagingdindviolentdbehaviordduedtodthedwithdrawaldofdal
cohol,dwhichdisdcausingdthemdincreasingdagitation.dThednursedshoulddcloselydmonitordthed
clientdanddbedprepareddtodintervenedtodprotectdthedclientdanddothersdfromdinjury.
Dropdownd2:
6.dAgitation
- Thedclientdisdatdgreatestdriskdofdengagingdindviolentdbehaviordasdevidenceddbydthedclient'sd
agitation,dwhichdcandbedindicateddbydpacing,drestlessness,dstaring,dsilence,drigiddposture,d
anddclencheddjaw.dThednursedshoulddcloselydmonitordthedclientdanddbedprepareddtodinterve
nedtodprotectdthedclientdanddothersdfromdinjury.
Adnursedindadmentaldhealthdclinicdisdcaringdfordadclientdwhodhasdbipolarddisorderdanddreports
dthatdtheydstoppeddtakingdlithiumd2dweeksdago.dThednursedshoulddrecognizedwhichd ofdthedfol
lowingdasdandexpecteddadversedeffectdthatdmightdhavedcauseddthedclientdtodspotdtakingdthed
medication?
1. Soredthroat
2. Photophobia
3. Handdtremors
4. Constipationd-dCorrectd=d3.dHanddTremors
- Finedhanddtremorsdaredandexpecteddadversedeffectdofdlithiumdanddcandinterferedwithdp
erformancedofdADLs,dcausingdthedclientdtodstopdtakingdthedmedication.
*Diarrheadisdandearlydmanifestationdofdlithiumdtoxicity
Adnursedisdupdatingdthedplandofdcaredfordadclientdwhodhasdbulimiadnervosadanddisd5%da
bovedtheirdidealdbodydweight.dWhichdofdthedfollowingdinterventionsdshoulddthednursedin
cludedindthedplan?
1. Includedadliquiddsupplementdwithdmeals.
2. Identifydthedclient'sdtriggerdfoods.
3. Allowdthedclientdatdleastd1dhrdfordeachdmeal.
4. Weighdthedclientdatdbedtimedeachdday.d-dCorrectd=d2.dIdentifydthedclient'sdtriggerdfoods.
- Thednursedshoulddidentifydthedtriggerdfoodsdthatdinitiatedthedclient'sdbingedanddassistdthedcl
ientdtodunderstandingdtheirdthoughtsdanddbehaviordthatdrelatedtodthedfood.
, Thednursedshoulddlimitdthedclient'sdmealdtimesdtodaboutd30dmindtodpreventdputtingdexcessiv
edfocusdondfood.
Thednursedshoulddweighdthedclientdimmediatelydafterdtheydwakedupdanddvoiddanddpriordtodor
aldintake.dThednursedshoulddweighdthedclientddailydfordthedfirstdweekdanddthendthreedtimesd
perdweek.
*Thednursedshoulddincludedadliquiddsupplementdfordadclientdwhodisdbelowdtheirdidealdbodydw
eightdanddmightdnotdbedabledtodeatdsoliddfoodsdatdfirstdordmightdneeddthedadditionaldnutritio
ndtodgaindweight.
Adnursedisdcaringdfordadclientdwhosedchilddhasdadterminaldillness.dThedclientdrequestsdinforma
tiondaboutdhowdtoddealdwithdthedupcomingdloss.dWhichdofdthedfollowingdstatementsdshoulddthe
dnursedmake?
1. "Itdwilldbedbetterdfordyoudtodkeepdbusydtodavoiddthinkingdaboutdyourdchild'sddeath."
2. "Youdwilldcompletedthedgrievingdprocessdaboutdadyeardafterdyourdchild'sddeath."
3. "Thedgriefdprocessdwilldstartdoncedyourdchilddactuallyddies."
4. "Itdisdnotduncommondtodfeeldangrydtowarddyourselfdordothers."d-
dCorrectd=d4.d"Itdisdnotduncommondtodfeeldangrydtowarddyourselfdordothers."
- Feelingsdofdblamedanddangerdtowarddoneselfdordothersdaredandexpecteddreactiondwhenda
dclientdisdexperiencingdadloss.
Thedgriefdprocessdhasdnodtimeline.dItdvariesdfordeachdindividual.dThed
clientdcandbegindanticipatorydgrievingdduringdthedchild'sdillness.
Adnursedindadmentaldhealthdclinicdisdplanningdcaredfordadclientdwhodhasdadnewdprescriptiondfo
rdolanzapine.dWhichdofdthedfollowingdinterventionsdshoulddthednursedidentifydasdthedpriority
?
1. Advisedthedclientdtodtakedfrequentdsipsdofdwater.
2. Recommenddthatdthedclientdexercisedregularly.
3. Consultdaddietitiandfordadcalorie-controlledddietdplan.
4. Instructdthedclientdtodavoidddrivingdduringdinitialdtherapy.d-
dCorrectd=d4.dInstructdthedclientdtodavoidddrivingdduringdinitialdtherapy.
- Thedgreatestdriskdtodthisdclientdisdinjurydresultingdfromddrowsinessdorddizziness.dTherefor
e,dthednurse'sdprioritydinterventiondisdtodinstructdthedclientdtodavoiddactivitiesdthatdrequiredm
entaldalertnessdduringdinitialdmedicationdtherapy.
Thednursedshoulddadvisedthedclientdtodtakedfrequentdsipsdofdwaterdduedtodthedadversedeffec
tdofddrydmouth.dHowever,dthisdisdnotdthednurse'sdprioritydintervention.
Thednursedshoulddadvisedthedclientdtodexercisedregularlydduedtodthedadversedeffectsdofdwei
ghtdgaindanddconstipation.dHowever,dthisdisdnotdthednurse'sdprioritydintervention.
Thednursedshoulddconsultdaddietitiandfordadcalorie-
controlledddietdplandduedtodthedadversedeffectdofdweightdgain.dHowever,dthisdisdnotdthednurs
e'sdprioritydintervention.
