Question 1
ATI RN MENTAL HEALTH 2023. A nurse in the emergency department is caring for a client who is exhibiting manifestations of a panic level of anxiety. Which of the following interventions should the nurse initiate?
- Guide the client to a location that is quiet and stay with the client.
- Encourage the client to reframe their perception of stress.
- Ask questions to clarify how the client feels and what they are thinking.
- Help the client identify factors that are contributing to the anxiety.
Question 2
A nurse is caring for a client who is in the emergency department. The nurse is preparing to use a standardized screening tool to assess the client for partner violence. Click to highlight the actions the nurse should take during the assessment.
- Interview the client with another nurse present.
- Ask questions in different ways until the client provides an answer.
- Ask the client if they have been hit, slapped, or kicked within the past year.
- Refrain from asking the client if they are afraid of their partner.
- Ask the client to clarify the circumstances of their injuries.
- Assure the client that their medical team feels sympathy for their injuries and disapproval for the person responsible for inflicting them.
- Inform the client that they should have fought back.
- Discuss with the client the factors that precipitate violence.
Question 3
A nurse is caring for a client on an acute care mental health unit. Drag words from the choices below to fill in each blank in the following sentence.
The nurse should immediately follow up on the client’s energy level and mood.
- cognitive orientation
- substance use history
- energy level
- mood
- family history
Question 4
A nurse is caring for a client in a provider’s office. Complete the diagram by selecting from the choices below to indicate what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
- Potential Condition:
- Moderate anxiety
- Mild anxiety
- Panic level of anxiety
- Severe anxiety
- Actions to Take:
- Encourage the client to problem solve.
- Encourage the client to engage in physical activity.
- Use low-pitched voice while speaking to the client.
- Use a firm and authoritative voice.
- Assist the client with activities of daily living.
- Parameters to Monitor:
- Ability to focus on the task at hand.
- Heart rate.
- Temperature.
- Presence of command hallucinations.
- Serum cortisol level.
Question 5
A nurse is providing discharge teaching to a client who has a new prescription for doxepin. Which of the following instructions should the nurse include?
- Sit on the side of the bed for a few minutes before standing.
- Limit intake of dietary fiber while taking this medication.
- Expect the medication to cause excessive salivation.
- Take the medication with an antacid if gastrointestinal upset occurs.
Question 6
A nurse is caring for a client who is the primary caregiver for a family member who has Alzheimer’s disease. The nurse should identify that which of the following statements by the client indicates a caregiver role change?
- “I would like to have information about support groups.”
- “I am glad that I am able to provide care for my family member.”
- “I find it easy to balance my work and caregiving responsibilities.”
- “I have plenty of time for my own hobbies and interests.”
Question 7
A nurse is caring for a client who has a mental health disorder and refuses to attend group therapy. Which of the following responses should the nurse make?
- “You have the right to refuse to attend group therapy.”
- “You are required to attend group therapy as part of your treatment plan.”
- “If you do not attend group therapy, you will not be allowed to have visitors.”
- “I will have to report your refusal to the provider.”
Question 8
A nurse is assessing a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? ATI RN MENTAL HEALTH 2023
- Hypervigilance and exaggerated startle response.
- Excessive sleeping and low energy levels.
- Feeling of euphoria and grandiosity.
- Avoidance of all social interactions.
Question 10
A nurse is assessing a client who is experiencing moderate level anxiety. Which of the following findings should the nurse expect?
- Difficulty concentrating
- Hallucinations
- Severe muscle tension
- Sense of impending doom
Question 11
A nurse is caring for a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider?
- Temperature 38.9°C (102°F)
- Weight gain of 1 kg (2.2 lb)
- Dry mouth
- Photophobia
Question 12
A nurse is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
- Observe the client for 60 min after meals.
- Weigh the client once per week.
- Permit the client to choose their own meal times.
- Allow the client to exercise for 30 min each day.
Question 13
A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take?
- Provide the client with high-calorie finger foods.
- Give the client detailed explanations of unit rules.
- Encourage the client to participate in group sports.
- Dim the lights in the client’s room during the day.
Question 14
A nurse is assessing a client who has major depressive disorder. Which of the following findings is the priority for the nurse to report to the provider?
- The client gave away a prized possession.
- The client reports feeling fatigued.
- The client has a poor appetite.
- The client sleeps for 10 hr each night.
Question 15
A nurse is teaching the guardian of a child who has ADHD about methylphenidate. Which of the following instructions should the nurse include?
- “Administer the last dose of the day before 4:00 p.m.”
- “Monitor your child for weight gain.”
- “Give the medication just before your child goes to bed.”
- “Expect your child to have an increased appetite.”
Question 16
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
- Visual hallucinations
- Bradycardia
- Hypotension
- Hypothermia
Question 17
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT). Which of the following adverse effects should the nurse monitor for following the procedure?
- Short-term memory loss
- Hyperreflexia
- Polyuria
- Tinnitus
Question 18
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should identify that which of the following findings is the priority to report to the provider?
- High fever
- Blurred vision
- Dry mouth
- Constipation
Question 19
A nurse is teaching a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?
- Aged cheese
- Fresh apples
- Grilled chicken
- Roasted potatoes
Question 20
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take?
- Initially allow the client to perform rituals.
- Set strict limits on the rituals immediately upon admission.
- Confront the client about the senselessness of the rituals.
- Isolate the client when they begin performing a ritual. ATI RN MENTAL HEALTH 2023
Question 21
A nurse is assessing a client for tardive dyskinesia. Which of the following findings should the nurse expect?
- Tongue protrusion
- Foot tapping
- Muscle rigidity
- Shuffling gait
Question 22
A nurse is caring for a client who is experiencing a manic episode. Which of the following activities is appropriate for the nurse to suggest?
- Walking with the nurse in the hallway.
- Participating in a group volleyball game.
- Playing a game of chess in the dayroom.
- Attending a dance party on the unit.
Question 23
A nurse is assessing a client who is taking amitriptyline. Which of the following adverse effects should the nurse instruct the client to report to the provider?
- Urinary retention
- Increased salivation
- Diarrhea
- Weight loss
Question 24
A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
- Emotional lability
- Self-sacrificing behavior
- Suspicion of others
- Grandiosity
Question 25
A nurse is reviewing the laboratory report of a client who is taking clozapine. Which of the following results should the nurse report to the provider?
- WBC count 2,500/mm³
- Hgb 14 g/dL
- Platelets 200,000/mm³
- Sodium 138 mEq/L
Question 26
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe?
- Chlordiazepoxide
- Disulfiram
- Methadone
- Varenicline
Question 27
A nurse is assessing a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take?
- Ask the client, “What are the voices telling you?”
- Tell the client that the voices are not real.
- Leave the client alone to provide them with privacy.
- Turn up the volume of the television in the client’s room.
Question 28
A nurse is caring for a client who has depression and is scheduled for transcranial magnetic stimulation (TMS). Which of the following information should the nurse include in the teaching?
- “You might experience a mild headache after the procedure.”
- “You will be unconscious during the treatment.”
- “You may experience a seizure during the procedure.”
- “You will need to be NPO for 8 hours prior to the treatment.”
Question 29
A nurse is providing teaching to a client who has a new prescription for buspirone. Which of the following statements should the nurse include?
- “It may take 2 to 4 weeks for this medication to reach its full effect.”
- “This medication causes physical dependence.”
- “You should take this medication only when you feel anxious.”
- “Avoid eating grapefruit while taking this medication.”
Question 30
A nurse is assessing a client who has anorexia nervosa. Which of the following physical findings should the nurse expect?
- Lanugo
- Tachycardia
- Hypertension
- Hyperkalemia
Question 31
A nurse is assessing a client who is taking valproic acid for the treatment of bipolar disorder. Which of the following laboratory results should the nurse monitor?
- Liver function tests (ALT/AST)
- Serum potassium
- Serum creatinine
- Arterial blood gases. ATI RN MENTAL HEALTH 2023
Question 32
A nurse is caring for a client who is experiencing serotonin syndrome. Which of the following findings should the nurse expect?
- Muscle rigidity and tremors
- Bradycardia
- Urinary retention
- Hypothermia
Question 33
A nurse is assessing a client who has bulimia nervosa. Which of the following findings should the nurse expect?
- Dental erosion
- Amenorrhea
- Lanugo
- Peripheral edema
Question 34
A nurse is providing teaching to a client who has a new prescription for disulfiram. Which of the following instructions should the nurse include?
- “Avoid using mouthwash that contains alcohol.”
- “You can stop taking this medication when you no longer feel the urge to drink.”
- “This medication will help reduce your cravings for alcohol.”
- “Take this medication with a glass of wine to test its effectiveness.”
Question 35
A nurse is assessing a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?
- Lack of empathy
- Self-mutilation
- Fear of abandonment
- Social isolation
Question 36
A nurse is caring for a client who has a prescription for thioridazine. Which of the following adverse effects should the nurse monitor for and report to the provider?
- Hand tremors
- Weight loss
- Diarrhea
- Polyuria
Question 37
A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take?
- Set clear and consistent limits on behavior.
- Encourage the client to participate in competitive sports.
- Allow the client to lead the community meeting.
- Provide the client with extra attention when they act out.
Question 38
A nurse is assessing a client who has delirium. Which of the following findings should the nurse expect?
- Fluctuating levels of consciousness
- Stable mood throughout the day
- Normal sleep-wake cycle
- Ability to focus on tasks for a long period
