ATI RN MENTAL HEALTH ONLINE PRACTICE TEST WITH ANS 2024 : Psych ATI Practice Exam A LATEST VERSION
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A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? ○ Tooth erosion - A client who has bulimia nervosa is likely to have dental caries and tooth erosion caused by frequent exposure to gastric acid from vomiting
2. A nurse in a mental he...
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Psych ATI Practice Exam A
1. A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of
the following findings?
○ Tooth erosion - A client who has bulimia nervosa is likely to have dental caries and tooth
erosion caused by frequent exposure to gastric acid from vomiting
2. A nurse in a mental health unit observes a client who has acute mania hit another client.
Which fo 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 himself or others.
3. A nurse is performing a cognitive assessment to distinguish delirium from dementia in a
client whose family reports episodes of confusion. Which of the following assessment
findings supports the nurse’s suspicion of delirium?
○ Easily distracted - Extreme distractibility is a hallmark manifestation of delirium.
4. A nurse is caring for a client who has anorexia nervosa. Which of the following criteria
requires hospitalization?
○ Temperature 35.6° C (96.1° F) - Severe hypothermia, a temperature lower than 36° C
(96.8° F) due to loss of subcutaneous tissue or dehydration, requires hospitalization.
5. A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports
that she stopped taking lithium 2 weeks ago. The nurse should recognize which of the
following as an expected adverse effect that might have caused the client to stop taking
the medication?
○ Hand tremors - Fine hand tremors are an expected adverse effect of lithium and can
interfere with the client's ADLs, causing the client to stop taking the medication.
6. A nurse is caring for a client who has antisocial personality disorder and is receiving
behavioral therapy through operant conditioning. Which of the following client behaviors
indicates effectiveness of the therapy?
○ Refrains from manipulating others to earn dining-room privileges - The goal of operant
conditioning is to provide positive reinforcement in return for a desired behavior.
Refraining from manipulative behavior is a desired response.
7. A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight.
Which of the following interventions should the nurse include in the plan of care?
○ Encourage the client to drink 125 mL of fluid each hour while awake. - The nurse should
encourage the client to drink 125 mL of fluid each waking hour to maintain hydration.
8. A nurse is assessing a client who has major depressive disorder and has been receiving
amitriptyline for 1 week. Which of the following outcomes should the nurse expect?
○ Greater risk of attempting suicide as affect and energy improve - An initial response to
amitriptyline can develop in 1 week. For a client who has been severely depressed with
suicidal ideation, the energy to carry out a plan is more possible after 1 week of treatment
9. A nurse is admitting a client who has major depressive disorder and a new prescription for
tranylcypromine. Which of the following over-the-counter medications that the client
reports taking should alert the nurse to a potential adverse reaction?
○ Phenylephrine - Clients who are taking tranylcypromine, an MAOI antidepressant, should
not take phenylephrine and other over-the-counter medications for sinus congestion,
colds, or allergies due to their actions on the sympathetic nervous system, which can
result in severe hypertension.
, 10. A nurse is caring for a client who has a recent diagnosis of Alzheimer's disease. The
client's partner asks the nurse about expected manifestations. The nurse should teach the
partner to expect which of the following manifestations to occur first?
○ Frequently misplaces objects - According to evidence-based practice, the nurse should
identify that mild cognitive impairment, such as frequently misplacing objects, is one of
the first manifestations expected to occur for a client who has Alzheimer's disease. As the
disease progresses, other manifestations of moderate and severe cognitive impairment
will occur.
11. A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago
following a motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL.
Which of the following findings should indicate to the nurse that the client is experiencing
alcohol withdrawal?
○ Blood pressure 154/96 mm Hg - Physical manifestations of alcohol withdrawal occur in
addition to psychological effects. A client who is experiencing alcohol withdrawal is
expected to have hypertension, tachycardia, and fever greater than 38.3° C (101° F). It
will be important for the nurse to rule out infection in the client who has a fever.
12. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of
the following places the client at the greatest risk for self-directed injury or injuring
others?
○ Command hallucinations - A client who has schizophrenia and is experiencing command
hallucinations can hear voices telling him to hurt himself or others. Therefore, a client
who is experiencing command hallucinations is at the greatest risk for self-directed injury
or injuring others.
13. A nurse is assessing a family's dynamics during a counseling session. The nurse should
recognize which of the following findings as an indication of a boundary issue?
○ Older children who are responsible for their younger siblings - This is an example of
enmeshed boundaries in which there are no distinctions between the roles of family
members.
14. A nurse is providing teaching to a client who is to begin undergoing light therapy at home
to treat seasonal affective disorder. Which of the following should the nurse include in the
teaching?
○ Wear sunglasses when outdoors. - Light therapy, or phototherapy, can cause eye strain
and sensitivity to light.
15. A nurse is caring for a child who has conduct disorder and is behaving in a destructive
manner, throwing objects and kicking others. Which of the following therapeutic nursing
interventions is the priority?
○ Use a therapeutic holding technique. - The greatest risk to the child and others is harm.
Therefore, the nurse's priority intervention is to use a therapeutic holding technique to
de-escalate the behavior and prevent injury.
16. A nurse in an outpatient mental health setting is collecting a health history from a client
who is taking paroxetine for depression. The client reports to the nurse that he also takes
herbal supplements. The nurse should advise the client that which of the following
supplements interacts adversely with paroxetine?
○ St. John's wort - St. John's wort is an herbal preparation that decreases the reuptake of
serotonin. The nurse should advise the client that taking St. John's wort with another
medication that also inhibits the reuptake of serotonin, such as paroxetine, places the
client at risk for serotonin syndrome.
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