ATI mental health practice B
A nurse in an emergency department is caring for a femail adolescent who has a
diagnosis of bulimia nervose and has a fainting episode during a ballet performance.
Which of the following statements by the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in
there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." - B. "She
won't let me take the trash from her room. I'm concerned about what she has in there."
The client might be binge eating and attempting to hide food containers, which is a
common behavior among clients who have bulimia nervosa. The parent's statement
indicates awareness of the client's behavior.
A nurse is performing an admission assessment on a client and notices that the client
appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of
the following actions should the nurse take first?
A. Inform the client that this administration is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitation behavior change
D. Determine coping strategies 1that 1the 1client 1has 1used 1in 1the 1past 1- 1A. 1Inform
1the 1client 1that 1this 1administration 1is 1confidential
According 1to 1evidence-based 1practice, 1the 1nurse 1should 1first 1inform 1the 1client 1about
1confidentiality 1during 1the 1orientation 1phase 1of 1the 1nurse-client 1relationship.
A 1nurse 1is 1teaching 1coping 1strategies 1to 1a 1client 1who 1is 1experiencing 1depression
1related 1to 1partner 1violence. 1Which 1of 1the 1following 1statements 1by 1the 1client
1indicates 1an 1understanding 1of 1the 1teaching?
A. "I 1will 1spend 1extra 1time 1at 1work 1to 1keep 1from 1feeling 1depressed."
B. "I 1will 1talk 1about 1my 1feelings 1with 1a 1close 1friend."
C. "I 1will 1be 1able 1to 1learn 1how 1to 1prevent 1my 1partner's 1attacks."
D. "I 1will 1use 1meditation 1instead 1of 1taking 1my 1antidepressant." 1- 1B. 1"I 1will 1talk
1about 1my 1feelings 1with 1a 1close 1friend."
Discussing 1feelings, 1such 1as 1fear 1and 1depression, 1with 1a 1support 1person 1is 1an
1effective 1coping 1strategy 1and 1can 1provide 1the 1client 1with 1emotional 1support 1and
1other 1resources.
A 1nurse 1is 1caring 1for 1a 1client 1who 1gave 1birth 1to 1a 1stillborn 1baby. 1Which 1of 1the
1following 1statements 1should 1the 1nurse 1make?
A. "you 1probably 1want 1to 1hold 1your 1baby"
B. "I'll 1stay 1with 1you 1just 1in 1case 1you 1want 1to 1talk."
C. "I 1know 1how 1you 1must 1be 1feeling."
D. "It 1hurts 1now, 1but 1things 1will 1be 1better 1soon." 1- 1B. 1"I'll 1stay 1with 1you 1just 1in
1case 1you 1want 1to 1talk."
,ATI mental health practice B
This 1response 1demonstrates 1the 1therapeutic 1communication 1techniques 1of 1offering
1self 1and 1indicates 1the 1nurse's 1interest 1in 1the 1client 1and 1a 1desire 1to 1understand
1the 1client's 1feelings.
A 1charge 1nurse 1on 1a 1mental 1health 1unit 1is 1discussing 1client 1rights 1with 1a 1newly
1licensed 1nurse. 1Which 1of 1the 1following 1statements 1should 1the 1charge 1nurse
1make?
A. "Clients 1can't 1refuse 1to 1take 1medications 1if 1they 1are 1admitted 1involuntarily."
B. "You 1can 1notify 1a 1client's 1family 1if 1they 1are 1admitted 1involuntarily."
C. "Clients 1who 1are 1admitted 1involuntarily 1maintain 1the 1right 1to 1give 1informed
1consent 1for 1procedures."
D. "You 1can 1remove 1a 1client's 1privileges 1if 1they 1are 1admitted 1involuntarily 1and
1refuse 1to 1attend 1therapy 1sessions." 1- 1C. 1"Clients 1who 1are 1admitted 1involuntarily
1maintain 1the 1right 1to 1give 1informed 1consent 1for 1procedures."
Clients 1who 1are 1admitted 1involuntarily 1maintain 1the 1right 1to 1give 1informed 1consent
1for 1treatment. 1They 1also 1have 1the 1right 1to 1give 1informed 1consent 1for 1procedures.
A 1nurse 1is 1caring 1for 1a 1child 1who 1has 1conduct 1disorder 1and 1is 1behaving 1in 1a
1destructive 1manner, 1throwing 1objects, 1and 1kicking 1orders. 1Which 1of 1the 1following
1therapeutic 1nursing 1interventions 1is 1the 1priority?
A. Encourage 1expression 1of 1feelings
B. Support 1the 1child's 1attendance 1at 1an 1assertiveness 1training 1group
C. Assist 1the 1child 1to 1perform 1relaxation 1breathing
D. Reduce 1environmental 1stimuli 1- 1D. 1Reduce 1environmental 1stimuli
The 1greatest 1risk 1to 1the 1child 1and 1others 1is 1harm. 1Therefore, 1the 1nurse's 1priority
1intervention 1is 1to 1reduce 1environmental 1stimuli 1in 1an 1attempt 1to 1de-escalate 1the
1behavior 1and 1prevent 1injury.
A 1nurse 1in 1a 1community 1health 1center 1is 1teaching 1families 1of 1clients 1who 1have
1post- 1traumatic 1stress 1disorder 1(PTSD) 1about 1expected 1clinical 1manifestations.
1Which 1of 1the 1following 1manifestations 1should 1the 1nurse 1include?
A. Repeatedly 1talks 1about 1the 1traumatic 1incident
B. sleeps 1excessively
C. experiences 1feelings 1of 1isolation
D. uses 1repetitive 1speech 1- 1C. 1experiences 1feelings 1of 1isolation
The 1nurse 1should 1expect 1clients 1who 1have 1PTSD 1to 1feel 1estranged 1and 1detached
1from 1others.
A 1nurse 1is 1assessing 1a 1client 1for 1risk 1factors 1for 1the 1development 1of 1depression.
1The 1nurse 1should 1identify 1that 1which 1of 1the 1following 1factors 1places 1the 1client 1at
1an 1increased 1risk 1for 1depression?
A. The 1client 1is 1married
B. The 1client 1recently 1received 1a 1promotion 1at 1work
C. The 1client 1has 1COPD
, ATI mental health practice B
D. The 1client 1is 1a 1male 1- 1C. 1The 1client 1has 1COPD
The 1nurse 1should 1identify 1that 1clients 1who 1have 1a 1chronic 1medical 1illness 1are 1at
1an 1increased 1risk 1for 1the 1development 1of 1depression.
A 1nurse 1is 1caring 1for 1a 1client 1who 1has 1alcoholic 1cardiomyopathy. 1Which 1of 1the
1following 1laboratory 1findings 1should 1the 1nurse 1expect?
A. Increased 1creatine 1phosphokinase 1(CPK)
B. Increase 1low-density 1lipoproteins 1(LDL)
C. Decreased 1fasting 1blood 1glucose
D. Decreased 1aspartate 1aminotransferase 1(AST) 1- 1A. 1Increased 1creatine
1phosphokinase 1(CPK)
An 1increase 1in 1CPK, 1a 1muscle 1enzyme 1released 1when 1muscle 1tissue 1is
1damaged, 1occurs 1with 1cardiomyopathy.
A 1nurse 1is 1caring 1for 1an 1older 1adult 1client 1who 1is 1experiencing 1delirium. 1Which 1of
1the 1following 1interventions 1should 1the 1nurse 1include 1in 1the 1client's 1plan 1of 1care?
A. Offer 1the 1clients 1various 1choices 1for 1meal 1selection
B. Assign 1different 1nursing 1personnel 1for 1each 1shift
C. Permit 1the 1client 1to 1perform 1daily 1rituals 1to 1decrease 1anxiety
D. Maintain 1an 1environment 1that 1has 1low 1lightning 1- 1C. 1Permit 1the 1client 1to
1perform 1daily 1rituals 1to 1decrease 1anxiety
The 1nurse 1should 1provide 1a 1client 1who 1has 1delirium 1with 1a 1plan 1of 1care 1that
1decreases 1agitation 1and 1anxiety 1by 1permitting 1the 1client 1to 1perform 1daily 1rituals.
A 1nurse 1at 1a 1providers 1office 1is 1interviewing 1an 1older 1adult 1client. 1Which 1of 1the
1following 1actions 1should 1the 1nurse 1plan 1to 1take?
Nurse's 1Notes
The 1client 1reports 1a 1history 1of 1anxiety; 1diagnosed 1with 1Alzheimer's 1disease 12
1months 1ago. 1The 1client's 1partner 1died 16 1months 1ago. 1Reports 1decreased
1appetite, 1low 1energy 1levels, 1and 1insomnia 1for 1several 1weeks; 1some 1memory
1loss.
Graphic 1 Results
1 SaO2 196% 1on
1room 1air
Respiratory 1rate 120/min
Blood 1pressure 1112/76 1mm 1Hg 1(lying)
1Blood 1pressure 1104/68 1mm 1Hg
1(standing) 1Heart 1rate 168/min
Temperature 136° 1C 1(96.8° 1F)
Medication 1Administration 1Record
Captopril 112.5 1mg 1by 1mouth 1three 1times 1daily
A nurse in an emergency department is caring for a femail adolescent who has a
diagnosis of bulimia nervose and has a fainting episode during a ballet performance.
Which of the following statements by the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in
there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." - B. "She
won't let me take the trash from her room. I'm concerned about what she has in there."
The client might be binge eating and attempting to hide food containers, which is a
common behavior among clients who have bulimia nervosa. The parent's statement
indicates awareness of the client's behavior.
A nurse is performing an admission assessment on a client and notices that the client
appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of
the following actions should the nurse take first?
A. Inform the client that this administration is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitation behavior change
D. Determine coping strategies 1that 1the 1client 1has 1used 1in 1the 1past 1- 1A. 1Inform
1the 1client 1that 1this 1administration 1is 1confidential
According 1to 1evidence-based 1practice, 1the 1nurse 1should 1first 1inform 1the 1client 1about
1confidentiality 1during 1the 1orientation 1phase 1of 1the 1nurse-client 1relationship.
A 1nurse 1is 1teaching 1coping 1strategies 1to 1a 1client 1who 1is 1experiencing 1depression
1related 1to 1partner 1violence. 1Which 1of 1the 1following 1statements 1by 1the 1client
1indicates 1an 1understanding 1of 1the 1teaching?
A. "I 1will 1spend 1extra 1time 1at 1work 1to 1keep 1from 1feeling 1depressed."
B. "I 1will 1talk 1about 1my 1feelings 1with 1a 1close 1friend."
C. "I 1will 1be 1able 1to 1learn 1how 1to 1prevent 1my 1partner's 1attacks."
D. "I 1will 1use 1meditation 1instead 1of 1taking 1my 1antidepressant." 1- 1B. 1"I 1will 1talk
1about 1my 1feelings 1with 1a 1close 1friend."
Discussing 1feelings, 1such 1as 1fear 1and 1depression, 1with 1a 1support 1person 1is 1an
1effective 1coping 1strategy 1and 1can 1provide 1the 1client 1with 1emotional 1support 1and
1other 1resources.
A 1nurse 1is 1caring 1for 1a 1client 1who 1gave 1birth 1to 1a 1stillborn 1baby. 1Which 1of 1the
1following 1statements 1should 1the 1nurse 1make?
A. "you 1probably 1want 1to 1hold 1your 1baby"
B. "I'll 1stay 1with 1you 1just 1in 1case 1you 1want 1to 1talk."
C. "I 1know 1how 1you 1must 1be 1feeling."
D. "It 1hurts 1now, 1but 1things 1will 1be 1better 1soon." 1- 1B. 1"I'll 1stay 1with 1you 1just 1in
1case 1you 1want 1to 1talk."
,ATI mental health practice B
This 1response 1demonstrates 1the 1therapeutic 1communication 1techniques 1of 1offering
1self 1and 1indicates 1the 1nurse's 1interest 1in 1the 1client 1and 1a 1desire 1to 1understand
1the 1client's 1feelings.
A 1charge 1nurse 1on 1a 1mental 1health 1unit 1is 1discussing 1client 1rights 1with 1a 1newly
1licensed 1nurse. 1Which 1of 1the 1following 1statements 1should 1the 1charge 1nurse
1make?
A. "Clients 1can't 1refuse 1to 1take 1medications 1if 1they 1are 1admitted 1involuntarily."
B. "You 1can 1notify 1a 1client's 1family 1if 1they 1are 1admitted 1involuntarily."
C. "Clients 1who 1are 1admitted 1involuntarily 1maintain 1the 1right 1to 1give 1informed
1consent 1for 1procedures."
D. "You 1can 1remove 1a 1client's 1privileges 1if 1they 1are 1admitted 1involuntarily 1and
1refuse 1to 1attend 1therapy 1sessions." 1- 1C. 1"Clients 1who 1are 1admitted 1involuntarily
1maintain 1the 1right 1to 1give 1informed 1consent 1for 1procedures."
Clients 1who 1are 1admitted 1involuntarily 1maintain 1the 1right 1to 1give 1informed 1consent
1for 1treatment. 1They 1also 1have 1the 1right 1to 1give 1informed 1consent 1for 1procedures.
A 1nurse 1is 1caring 1for 1a 1child 1who 1has 1conduct 1disorder 1and 1is 1behaving 1in 1a
1destructive 1manner, 1throwing 1objects, 1and 1kicking 1orders. 1Which 1of 1the 1following
1therapeutic 1nursing 1interventions 1is 1the 1priority?
A. Encourage 1expression 1of 1feelings
B. Support 1the 1child's 1attendance 1at 1an 1assertiveness 1training 1group
C. Assist 1the 1child 1to 1perform 1relaxation 1breathing
D. Reduce 1environmental 1stimuli 1- 1D. 1Reduce 1environmental 1stimuli
The 1greatest 1risk 1to 1the 1child 1and 1others 1is 1harm. 1Therefore, 1the 1nurse's 1priority
1intervention 1is 1to 1reduce 1environmental 1stimuli 1in 1an 1attempt 1to 1de-escalate 1the
1behavior 1and 1prevent 1injury.
A 1nurse 1in 1a 1community 1health 1center 1is 1teaching 1families 1of 1clients 1who 1have
1post- 1traumatic 1stress 1disorder 1(PTSD) 1about 1expected 1clinical 1manifestations.
1Which 1of 1the 1following 1manifestations 1should 1the 1nurse 1include?
A. Repeatedly 1talks 1about 1the 1traumatic 1incident
B. sleeps 1excessively
C. experiences 1feelings 1of 1isolation
D. uses 1repetitive 1speech 1- 1C. 1experiences 1feelings 1of 1isolation
The 1nurse 1should 1expect 1clients 1who 1have 1PTSD 1to 1feel 1estranged 1and 1detached
1from 1others.
A 1nurse 1is 1assessing 1a 1client 1for 1risk 1factors 1for 1the 1development 1of 1depression.
1The 1nurse 1should 1identify 1that 1which 1of 1the 1following 1factors 1places 1the 1client 1at
1an 1increased 1risk 1for 1depression?
A. The 1client 1is 1married
B. The 1client 1recently 1received 1a 1promotion 1at 1work
C. The 1client 1has 1COPD
, ATI mental health practice B
D. The 1client 1is 1a 1male 1- 1C. 1The 1client 1has 1COPD
The 1nurse 1should 1identify 1that 1clients 1who 1have 1a 1chronic 1medical 1illness 1are 1at
1an 1increased 1risk 1for 1the 1development 1of 1depression.
A 1nurse 1is 1caring 1for 1a 1client 1who 1has 1alcoholic 1cardiomyopathy. 1Which 1of 1the
1following 1laboratory 1findings 1should 1the 1nurse 1expect?
A. Increased 1creatine 1phosphokinase 1(CPK)
B. Increase 1low-density 1lipoproteins 1(LDL)
C. Decreased 1fasting 1blood 1glucose
D. Decreased 1aspartate 1aminotransferase 1(AST) 1- 1A. 1Increased 1creatine
1phosphokinase 1(CPK)
An 1increase 1in 1CPK, 1a 1muscle 1enzyme 1released 1when 1muscle 1tissue 1is
1damaged, 1occurs 1with 1cardiomyopathy.
A 1nurse 1is 1caring 1for 1an 1older 1adult 1client 1who 1is 1experiencing 1delirium. 1Which 1of
1the 1following 1interventions 1should 1the 1nurse 1include 1in 1the 1client's 1plan 1of 1care?
A. Offer 1the 1clients 1various 1choices 1for 1meal 1selection
B. Assign 1different 1nursing 1personnel 1for 1each 1shift
C. Permit 1the 1client 1to 1perform 1daily 1rituals 1to 1decrease 1anxiety
D. Maintain 1an 1environment 1that 1has 1low 1lightning 1- 1C. 1Permit 1the 1client 1to
1perform 1daily 1rituals 1to 1decrease 1anxiety
The 1nurse 1should 1provide 1a 1client 1who 1has 1delirium 1with 1a 1plan 1of 1care 1that
1decreases 1agitation 1and 1anxiety 1by 1permitting 1the 1client 1to 1perform 1daily 1rituals.
A 1nurse 1at 1a 1providers 1office 1is 1interviewing 1an 1older 1adult 1client. 1Which 1of 1the
1following 1actions 1should 1the 1nurse 1plan 1to 1take?
Nurse's 1Notes
The 1client 1reports 1a 1history 1of 1anxiety; 1diagnosed 1with 1Alzheimer's 1disease 12
1months 1ago. 1The 1client's 1partner 1died 16 1months 1ago. 1Reports 1decreased
1appetite, 1low 1energy 1levels, 1and 1insomnia 1for 1several 1weeks; 1some 1memory
1loss.
Graphic 1 Results
1 SaO2 196% 1on
1room 1air
Respiratory 1rate 120/min
Blood 1pressure 1112/76 1mm 1Hg 1(lying)
1Blood 1pressure 1104/68 1mm 1Hg
1(standing) 1Heart 1rate 168/min
Temperature 136° 1C 1(96.8° 1F)
Medication 1Administration 1Record
Captopril 112.5 1mg 1by 1mouth 1three 1times 1daily
