ATI RN UPDATED 2024/2025
MENTAL HEALTH AND
PSYCHIATRIC NURSING EXAM
A nurse is planning overall strategies to address
problems for a client who
has a borderline personality disorder. Which of the
following strategies is the
,priority for the nurse to incorporate into the plan of
care?
a. discuss the appropriate use of assertive behavior
with the client
b. encourage the client to attend weekly support
group meetings
c. assist the client to maintain awareness of her
thoughts and feelings
d. implement measures to prevent intentional self-
inflicted injury - ✔✔ANSWER✔✔-d. implement
measures to prevent intentional self-inflicted injury
A nurse is admitting a client who has a 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 -
✔✔ANSWER✔✔-a. Provide the client with a quiet
environment
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. - ✔✔ANSWER✔✔-
b. Reports eating twice in the past two weeks.
A nurse is planning care for a client who has
obsessive-compulsive disorder. Which of the
following recommendation should the nurse include
in the client's plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ✔✔ANSWER✔✔-b.
Thought stopping
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 client's room
c. Provide detailed explanations to the client
, d. Administer methylphenidate - ✔✔ANSWER✔✔-b.
Dim the lights in the client's room
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 -
✔✔ANSWER✔✔-c. Identify prior coping skills
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 - ✔✔ANSWER✔✔-d. Clang
association
A nurse is caring for a client who is prescribed
massage therapy to treat panic disorder. The client
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