ATI PN MENTAL HEALTH PROCTORED 2024 VERSION
CONTAINS QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |ALREADY GRADED
A+
1. A nurse is caring for a client who has major depressive
disorder. Which of the following findings should the nurse
expect?
o a) Pressured speech
o b) Anhedonia
o c) Grandiosity
o d) Flight of ideas
Rationale: Anhedonia, or the inability to experience pleasure, is a
common symptom of major depressive disorder.
2. A client with schizophrenia is experiencing auditory
hallucinations. Which of the following statements should the
nurse make?
o a) "The voices you hear are not real."
o b) "You should ignore the voices."
o c) "What are the voices saying to you?"
o d) "I don’t hear any voices."
Rationale: Asking the client what the voices are saying allows the
nurse to assess the content of the hallucinations, which is important
for safety and intervention planning.
3. A nurse is reviewing the medical record of a client who has a
new prescription for clozapine. Which of the following findings
should the nurse identify as a contraindication to the
medication?
o a) WBC count 2,500/mm³
o b) Blood glucose 130 mg/dL
, o c) BMI 28
o d) ALT 30 IU/L
Rationale: Clozapine can cause agranulocytosis, a potentially life-
threatening decrease in WBCs. A WBC count of 2,500/mm³ is
below the normal range and contraindicates its use.
4. A nurse is caring for a client who is experiencing opioid
withdrawal. Which of the following medications should the
nurse expect to administer?
o a) Methadone
o b) Disulfiram
o c) Diazepam
o d) Bupropion
Rationale: Methadone is used to manage withdrawal symptoms
and reduce cravings in clients with opioid dependence.
5. A nurse is assessing a client who has generalized anxiety
disorder. Which of the following findings should the nurse
expect?
o a) Recurrent panic attacks
o b) Excessive worry for 6 months
o c) Fear of social situations
o d) Obsessions and compulsions
Rationale: Generalized anxiety disorder is characterized by
excessive anxiety and worry occurring more days than not for at
least 6 months.
6. A nurse is planning care for a client who has bipolar disorder
and is experiencing mania. Which of the following
interventions should the nurse include in the plan?
o a) Encourage group therapy sessions
o b) Offer high-calorie finger foods
o c) Place the client in a seclusion room
, o d) Encourage frequent naps during the day
Rationale: Clients in a manic state are often too active to sit down
for meals. High-calorie finger foods can be eaten on the go and
help maintain nutritional status.
7. A client with borderline personality disorder exhibits self-
mutilating behaviors. Which of the following interventions is
appropriate for this client?
o a) Implementing a no-harm contract
o b) Administering an anxiolytic medication
o c) Applying wrist restraints
o d) Conducting a behavior modification program
Rationale: A no-harm contract is a therapeutic tool that can help
clients with borderline personality disorder agree to seek help
instead of engaging in self-harm.
8. A nurse is assessing a client with anorexia nervosa. Which of
the following findings should the nurse expect?
o a) Tachycardia
o b) Amenorrhea
o c) Hypertension
o d) Hyperkalemia
Rationale: Amenorrhea, or the absence of menstruation, is a
common finding in clients with anorexia nervosa due to significant
weight loss and hormonal changes.
9. A nurse is providing teaching to a client who has a new
prescription for fluoxetine. Which of the following information
should the nurse include?
o a) "You may experience a low-grade fever while taking this
medication."
o b) "It can take several weeks for you to feel the full
benefit of the medication."
, o c) "You should avoid foods containing tyramine."
o d) "You will need to have your blood pressure monitored
frequently."
Rationale: Fluoxetine, an SSRI, can take several weeks to achieve
its full therapeutic effect. Clients should be informed about this
delay to set realistic expectations.
10. A nurse is developing a discharge plan for a client who
has schizophrenia and is taking olanzapine. Which of the
following instructions should the nurse include?
o a) "Avoid driving during initial therapy."
o b) "Take the medication on an empty stomach."
o c) "Monitor for weight loss."
o d) "Expect increased salivation."
Rationale: Olanzapine can cause sedation, especially at the
beginning of therapy, which can impair the client's ability to drive
safely.
11. A nurse is planning care for a client who has obsessive-
compulsive disorder (OCD). Which of the following
interventions should the nurse include in the plan of care?
o a) Discourage the client from performing rituals.
o b) Encourage the client to verbalize concerns.
o c) Teach the client to use thought-stopping techniques.
o d) Provide negative reinforcement for ritualistic behaviors.
Rationale: Thought-stopping techniques can help clients with
OCD manage and reduce their compulsive behaviors.
12. A nurse is providing discharge teaching for a client who
has a new prescription for lithium carbonate. Which of the
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MEGAMINDS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
