ATI RN MENTAL HEALTH EXAM - Copy (1).docx

NGN ATI RN MENTAL HEALTH
PROCTORED NEWEST 2024
TEST BANK AND 2025 TEST
BANK
COMPILATION 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS)
|ALREADY GRADED A+




A nurse in a mental health unit is admitting a client who is
anxious because he often hears voices telling him what to
do. Which of the following actions should the nurse take?

1. Tell the client that the voices do not really exist
2. Touch the client to help reduce his anxiety
3. Instruct the client to go to a quiet room when he
hears voices
4. Ask the client what the voices are saying -
...ANSWER...4. Ask the client what the voices are saying

Rationale: 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 planning care for a newly admitted client who
has bipolar disorder. Which of the following is the priority
action by the nurse?

1. Schedule the client for group therapy sessions
2. Maintain consistent rules
3. Provide frequent high-calorie snacks
4. Avoid the use of value judgments - ...ANSWER...3.
Provide frequent high-calorie snacks

Rationale: The priority action the nurse should take when
using Maslow's hierarchy of needs is to meet the client's
need for adequate nutrition. Therefore, providing high-
calorie snacks is the priority action for the nurse to take.

A nurse is teaching a client who has a depressive disorder
about fluoxetine. Which of the following information should
the nurse include in the teaching?

1. "You may notice an increase in saliva while taking
this medication."
2. "You may experience difficulties with sexual
functioning while taking this medication."
3. "You should expect an improvement in symptoms
of depression in 3 to 4 days."
4. "You may notice a temporary ringing in the ears when
starting this medication." - ...ANSWER...2. "You may
experience difficulties with sexual functioning while
taking this medication."

Rationale: Fluoxetine is a selective serotonin reuptake
inhibitor that can cause sexual dysfunction such as

,anorgasmia and impotence. The nurse should instruct the
client to notify the provider if sexual dysfunction occurs.

A nurse is educating the parent of a child who has a new
diagnosis of autism spectrum disorder. Which of the
following manifestations of this disorder should the nurse
include in the teaching?

1. Fear of abandonment
2. Motor and verbal tics
3. Hostile behavior
4. Language delay - ...ANSWER...4. Language delay

Rationale: A child who has autism spectrum disorder
usually has language delay

A nurse is caring for an older client who is experiencing
delirium. Which of the following interventions should the
nurse include in the client's plan of care?

1. Offer the client various choices for meal selection
2. Assign different nursing personnel for each shift
3. Permit the client to perform daily rituals to
decrease anxiety
4. Maintain an environment that has low lighting -
...ANSWER...3. Permit the client to perform daily rituals to
decrease anxiety

A nurse in an acute mental health facility is
receiving change-of-shift report for four clients.
Which of the following clients should the nurse
assess first?

, 1. A client who does not recognize familiar people
2. A client who is awake and disoriented at night
3. A client who is awake and disoriented at night
4. A client who is experiencing delusions of persecution -
...ANSWER...4. A client who is experiencing delusions of
persecution

Rationale: The presence of delusions of persecution
indicates that this client is at the greatest risk for injury due
to the client's belief that a person in power is out to harm
him. Therefore, the nurse should assess this client first.

During a client's initial interview in a mental health inpatient
setting, the nurse identifies that the client is maintaining eye
contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's
nonverbal behaviors?

1. The client is interested in what the nurse is saying
2. The client is attempting to manipulate the nurse
3. The client is physically attracted to the nurse
4. The client needs to feel accepted by the nurse -
...ANSWER...1. The client is interested in what the nurse is
saying.

Rationale: The client's posture and eye contact demonstrate
that she is interested in the interview and what the nurse is
saying.

A nurse who works with newborns is assessing the potential
for abuse or neglect. Which of the following family groups