ATI MENTAL HEALTH Practice B
1 A client is fearful of driving and enters a behavioral therapy program aimed at helping him overcome his anxiety. Using systematic desensitization, he is able to drive down a familiar street without experiencing a panic attack. The nurse recognizes that to continue p...
ATI MENTAL HEALTH Practice B
A nurse in a community Health center is working with a group of clients who have posttraumatic stress
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group members?
Guided imagery = Guided imagery involves assisting the client to imagine a restful and safe place. This
method is effective in reducing anxiety in clients who have post-traumatic stress disorder.
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, " my roommate never sleeps and keeps
me up, too."Which of the following actions should the nurse take?
Move the client who has bipolar disorder to a private room. = Clients who have bipolar disorder can
disrupt the therapeutic milieu for other clients. Therefore, the nurse should move this client to a private
room.
A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which
of the following values should the nurse identify as a contraindication for receiving clozapine?
WBC count, 2,500/mm3 = Clozapine can cause agranulocytosis, which can be fatal due to overwhelming
infection. The nurse should identify a WBC count of less than 3,000/mm3 as a possible manifestation of
agranulocytosis and should withhold the medication and notify the provider.
A nurse is caring for four clients in the emergency department. The nurse should identify that which of
the following clients can give informed consent?
A 35-year-old client who has major depressive disorder= A client who has major depressive disorder is
capable of making health care decisions unless the client is determined to be legally incompetent.
A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and
using the majority of the groups time. Which of the following intervention should the nurse implement?
Ask group members to discuss their feelings about the clients monopolizing behavior
A nurse in a community health centers teaching families of clients who have post traumatic stress
disorder about expected clinical manifestations. Which of the following manifestation should the nurse
include?
Experiences feelings of isolation = The nurse should expect clients who have PTSD to feel estranged and
detached from others.
A nurse is preparing to administer diazepam 7.5 MG Bolus to a client for alcohol withdrawal. Available is
diazepam injection 5 mg/ml. How many ML should the nurse administer? (round the answer to the
nearest 10th. Using a leading zero if it applies. Do not use a trailing zero.)
1.5
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A nurse is planning prevention strategies for a partner violence in the community. Which of the following
strategies should the nurse include as a method of secondary prevention?
Establish screening programs to identify at risk clients. = This is an example of secondary prevention. By
establishing screening programs, the nurse can identify individuals who are at risk for partner violence in
the community and can take the necessary steps to address individual client needs.
A nurse is assessing a client for risk factors for the development of depression. The nurse should identify
that which of the following factors places the client at increased risk for depression?
The client has COPD
A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives
alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate?
(select all that apply.)
Occupational therapy
Meal delivery services
Physical therapy
Home health services = An occupational therapist can assist the client to perform ADLs. Meal delivery
services are necessary due to the client's difficulty performing ADLs. A physical therapist can assess the
client's mobility needs and assist with ADLs. Home health services provide a nursing assessment of the
client's physical and mental status, as well as assistance with ADLs.
A nurse is receiving change of shift report for four clients. Which of the following should the nurse plan
to see first?
A client who is taking clozapine and reports a sore throat and chills =
A nurse in a mental health clinic is planning care for four clients. Which of the following Should the nurse
delegate to an assistive personnel?
Stay with a client who has anorexia nervosa for one hour after meal times = Staying with a client who has
anorexia nervosa following mealtimes is within the range of function of an AP. APs are allowed to attend
to the safety of clients who are stable, and this task does not require assessment or technical skill.
A nurse on a mental health unit observes a client who has acute mania hit another client.Which of the
following actions should the nurse take first?
Call for a team of staff members to help with the situation. = The greatest risk is injury to the client and
others. Therefore, the first action the nurse should take is to call for assistance to prevent further injury
to themselves or others.
A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of
the following information should the nurse include in the teaching?
Apply restraints when other means of managing the clients behavior have failed.
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