ATI RN MENTAL HEALTH ONLINE PRACTICE 2019 A, B, C & STUDY GUIDE UPDATED
2025/26
A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse
expect?
Polyphagia
Hypertension
Decreased temperature
Depressed mood - (ANSWER)Hypertension
Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body temperature,
energy levels, and metabolism.
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
A client who is taking lithium and has a lithium level of 1.2 mEq/L - (ANSWER)A client who is taking
lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify
that a rash is a potentially life-threatening adverse effect of the medication and report this finding
immediately.
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices
telling me what to do." Which of the following actions should the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying. - (ANSWER)Ask the client what the voices are saying.
,ATI RN MENTAL HEALTH ONLINE PRACTICE 2019 A, B, C & STUDY GUIDE UPDATED
2025/26
It is important for the nurse to ask the client directly about the hallucinations to determine if the client
or others are at risk for injury.
A nurse is communicating with a client in an inpatient mental health facility. Which of the following
actions by the nurse demonstrates the use of active listening?
Offering self
Use of silence
Attention to body language
Reflection of feelings - (ANSWER)Attention to body language
Use of active listening involves identifying verbal and nonverbal communication by the client, which
includes attention to body language.
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?
Call the family member to the side to inquire if they have questions or concerns about the treatment
plan.
Advise the family member that this treatment plan has been developed specifically for the client to
follow.
Ask the family member if they have any thoughts or questions about the treatment plan.
Document that the family member does not support the medication treatment plan. - (ANSWER)Ask the
family member if they have any thoughts or questions about the treatment plan.
This action involves the family member and allows them a venue to communicate about the client's
medication treatment plan.
, ATI RN MENTAL HEALTH ONLINE PRACTICE 2019 A, B, C & STUDY GUIDE UPDATED
2025/26
A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should
identify that which of the following findings indicates a potential psychiatric emergency?
The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation.
The client is exhibiting blunted affect. - (ANSWER)The client reports command hallucinations.
The nurse should identify that command hallucinations can indicate a potential psychiatric emergency
for a client who has schizophrenia. Command hallucinations can direct the client to harm themselves or
others.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications
should the nurse administer first?
Exhibit 1: HR 110/min; BP 170/96; Temp 38.9 (102)
Exhibit 2: Client states drank alcohol 12 hr prior; Client has 2 pack/day smoking history
Exhibit 3: Tremors of hands and fingers; emesis of 30 mL bile; Client is restless and unable to sit still;
client is diaphoretic and has flushed skin
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO - (ANSWER)Diazepam 5 mg IV bolus
The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate,
and elevated blood pressure. IV diazepam acts rapidly to prevent seizures, stabilize vital signs, and
decrease the intensity of withdrawal manifestations.
A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
2025/26
A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse
expect?
Polyphagia
Hypertension
Decreased temperature
Depressed mood - (ANSWER)Hypertension
Cocaine is a stimulant that increases blood pressure. It also increases heart rate, body temperature,
energy levels, and metabolism.
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
A client who is taking lithium and has a lithium level of 1.2 mEq/L - (ANSWER)A client who is taking
lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify
that a rash is a potentially life-threatening adverse effect of the medication and report this finding
immediately.
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices
telling me what to do." Which of the following actions should the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying. - (ANSWER)Ask the client what the voices are saying.
,ATI RN MENTAL HEALTH ONLINE PRACTICE 2019 A, B, C & STUDY GUIDE UPDATED
2025/26
It is important for the nurse to ask the client directly about the hallucinations to determine if the client
or others are at risk for injury.
A nurse is communicating with a client in an inpatient mental health facility. Which of the following
actions by the nurse demonstrates the use of active listening?
Offering self
Use of silence
Attention to body language
Reflection of feelings - (ANSWER)Attention to body language
Use of active listening involves identifying verbal and nonverbal communication by the client, which
includes attention to body language.
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?
Call the family member to the side to inquire if they have questions or concerns about the treatment
plan.
Advise the family member that this treatment plan has been developed specifically for the client to
follow.
Ask the family member if they have any thoughts or questions about the treatment plan.
Document that the family member does not support the medication treatment plan. - (ANSWER)Ask the
family member if they have any thoughts or questions about the treatment plan.
This action involves the family member and allows them a venue to communicate about the client's
medication treatment plan.
, ATI RN MENTAL HEALTH ONLINE PRACTICE 2019 A, B, C & STUDY GUIDE UPDATED
2025/26
A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should
identify that which of the following findings indicates a potential psychiatric emergency?
The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation.
The client is exhibiting blunted affect. - (ANSWER)The client reports command hallucinations.
The nurse should identify that command hallucinations can indicate a potential psychiatric emergency
for a client who has schizophrenia. Command hallucinations can direct the client to harm themselves or
others.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications
should the nurse administer first?
Exhibit 1: HR 110/min; BP 170/96; Temp 38.9 (102)
Exhibit 2: Client states drank alcohol 12 hr prior; Client has 2 pack/day smoking history
Exhibit 3: Tremors of hands and fingers; emesis of 30 mL bile; Client is restless and unable to sit still;
client is diaphoretic and has flushed skin
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO - (ANSWER)Diazepam 5 mg IV bolus
The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate,
and elevated blood pressure. IV diazepam acts rapidly to prevent seizures, stabilize vital signs, and
decrease the intensity of withdrawal manifestations.
A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
