ATI Mental Health A and B
1) A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of
the following statements should the nurse include in the teaching?
a. “You should continue this medication if you develop muscle rigidity”.
b. “You will exp...
1) A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of
the following statements should the nurse include in the teaching?
a. “You should continue this medication if you develop muscle rigidity”.
b. “You will experience weight loss while taking this medication.”
c. “You will notice your symptoms improve within 24 hours of taking this medication.”
d. “You should increase your consumption of complex carbohydrates.”
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should
the nurse plan to take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths
3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the
following should the nurse report to the provider?
a. States that he hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the
following actions should the nurse take?
a. Encourage the client to join group activities
b. Dim the lights in the clients room
c. Provide detailed explanations to the client
d. Administer methylphenidate
6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate.
Which of the following actions should the nurse take first.
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality
7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is
up high." The nurse should document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association
8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her
mother is not eating and seems uninterested in routine activities. The daughter states "I'm so worried that
my mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because depressive disorder is easily treated.
c. Older adults are usually diagnosed with depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed.
9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following
outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
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, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real.
10) A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client
repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse
give the client when using thought stopping technique?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night.
11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following
actions indicate the nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawl.
12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been
stealing belongings from other clients. Which of the following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior.
13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the
nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag.
14) The nurse is caring for a client following a physical assault. The client states "I don’t remember what
happened to me." The nurse should recognize that the client is using which of the following defense
mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial
15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate
intervention by the nurse?
a. +2 edema of the lower extremities
b. BUN 21 mg/dL
c. Lanugo covering the body
d. Blood pH 7.60
16) A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself
and others. Which of the following is the priority intervention?
a. Place the client in restraints
b. Administer an anti-anxiety medication to the client
c. Put the client in seclusion
d. Set limits on the client's behavior
17) Dosage Calculation Question.
18) A nurse is caring for a client who was involuntarily committed and is scheduled to receive
electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health
care team. Which of the following actions should the nurse take?
a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
c. Document the client's refusal of the treatment in the medical record.
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