MENTAL HEALTH ATI QUESTIONS AND ANSWERS
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings?
1. Amenorrhea
2. Lanugo
3. Cold extremities
4. Tooth erosion
4. Tooth erosion
Rationale: A client who has bulimia nervosa is likel...
Rationale: A client who has bulimia nervosa is likely to have dental carries and tooth
erosion caused by frequent exposure to gastric acid from vomiting.
A nurse in a community health center is teaching families of clients who have
posttraumatic stress disorder (PTSD) about expected clinical manifestations.
Which of the following manifestations should the nurse include?
1. Repeatedly talks about the traumatic incident
2. Sleeps excessively
3. Experiences feelings of isolation
4. Uses repetitive speech
3. Experiences feelings of isolation
Rationale: Clients who have PTSD often feel estranged and detached from others.
A nurse observes a client on a mental health unit pushing on the locked unit
door. Which of the following statements should the nurse make?
1. "It appears as though you would like to open the door."
2. "You will feel more comfortable after you've been here for a while."
,3. "It is okay to not want to be here."
4. "You really shouldn't be pushing on the door."
1. "It appears as though you would like to open the door."
Rationale: This statement is an example of the therapeutic technique of making
observations. This technique encourages the client to notice the behavior so that she
can describe thoughts and feelings related to that behavior.
A nurse in a mental health clinic is planning care for a client who has a new
prescription for olanzapine. Which of the following interventions should the nurse
identify as the priority?
1. Advise the client to take frequent sips of water.
2. Instruct the client to avoid driving during initial therapy
3. Consult a dietitian for a calorie-controlled diet plan
4. Recommend that the client exercise regularly
2. Instruct the client to avoid driving during initial therapy
Rationale: The greatest risk to this client is injury resulting from drowsiness or dizziness.
Therefore, the nurse's priority intervention is to instruct the client to avoid activities that
require mental alertness during initial medication therapy.
A nurse is obtaining a mental health history from an older adult client. Which of
the following actions should the nurse plan to take?
1. Raise the pitch of the voice when speaking to the client
2. Begin the interview by explaining the plan of care.
3. Interview the client in a private setting
4. Ask the client to complete a detailed questionnaire
3. Interview the client in a private setting
Rationale: The nurse should question clients in a private place when conducting
interviews regarding client health.
,A nurse is facilitating a community meeting for acute care clients. One client is
constantly talking and using the majority of the group's time. Which of the
following interventions should the nurse implement?
1. Tell the client that he must talk less or he will be removed from the meeting
2. Ask group members to discuss their feelings about this client's monopolizing
behavior
3. End the group meeting and take the client aside to discuss his behavior
4. Focus on other group members and ignore the client who is doing all the
talking
2. Ask group members to discuss their feelings about this client's monopolizing
behavior.
Rationale: This intervention will validate other members' feelings toward the client who
is dominating the meeting. It also should encourage group problem-solving.
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a
decreased risk for suicide?
1. "I'm relieved now that my financial affairs are in order."
2. "It is easier to talk about my feelings now."
3. "Suddenly I have enough energy to do anything I want."
4. "Thank you for always taking such good care of me."
2. "It is easier to talk about my feelings now."
Rationale: When clients express their feelings, this indicates a positive treatment
outcome.
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?
, 1. Inability to communicate with others
2. Feelings of absence of self-worth
3. Lack of motivation to perform daily tasks
4. Command hallucinations
4. Command hallucinations
Rationale: 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.
A nurse is assessing a family's dynamic during a counseling session. The nurse
should recognize which of the following findings as an indication of a boundary
issue?
1. An adolescent family member who questions parental authority
2. A family with three generations in the same household
3. Older children who are responsible for their younger siblings
4. Two adults and their children from prior relationships in the same household
3. Older children who are responsible for their younger siblings
Rationale: This is an example of enmeshed boundaries in which there are no
distinctions between the roles of family members
A nurse in an emergency department is caring for a female adolescent who has a
diagnosis of bulimia nervosa and had a fainting episode during a ballet
performance. Which of the following statements by the mother acknowledges her
daughter's diagnosis?
1. "She works so hard at ballet. Will she still be able to perform?"
2. "She won't let me take the trash from her room. I'm concerned about what she
has in there."
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