Mental Health ATI mastery Test Bank/ Solution guide, Updated 2021/2022
Clinical finding of anorexia nervosa - Amenorrhea- what to look for?
Clinical finding of bulimia - Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - Increased serum amylase levels
What ...
Mental Health ATI mastery Test Bank/
Solution guide, Updated 2021/2022
Clinical finding of anorexia nervosa - Amenorrhea- what to look for?
Clinical finding of bulimia - Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - Increased serum amylase levels
What lab value would you expect to see in a client with alcoholic cardiomyopathy -
Increased CPK- enzyme released when tissue is damaged
Common behavior associated with dependent personality disorder - Needing excessive
external input from others to make everyday decisions
Characteristic of avoidant personality disorder - Difficulty starting new relationships,
unless he feels accepted. Are unwilling to get involved socially unless one feels
accepted.
What is part of healthy adolescent behavior - Exhibiting a realistic self-concept
What age group displays an egocentric approach to problem solving - Pre schoolers
What age group demonstrates distrust of others - Infants
What is a common characteristic of autism spectrum disorder - Language delays
What disorder is associated with fears of abandonment - Separation anxiety disorder
What places a client with schizo at greatest risk of self-directed injury or harm to others -
Command hallucinations
Example of active listening - Attention to body language (identifying verbal and
nonverbal communication)
How much percentage of weight loss must occur in order for a pt to be required
hospitalization - Over 30% within 6 months
What clinical finding of a pt with anorexia nervosa requires hospitalization - Temp of
96.1 degrees - severe hypothermia due to loss of SQ tissue or dehydration
How offer should a pt in seclusion be offered food?
,( Prescribed haloperidol and seclusion, what should be included in plan of care?) -
Every hour
also document behavior every 15-30 min
vitals every 1 to 2 hrs;
keep communication w/client direct and brief;
obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review Rx
every 24 hr
What is an early indication of depression - Decreased social involvement
Signs of heroin intoxication - Constricted pupils & decreased BP
Adverse effects of imipramine- for depression - Urinary retention, tinnitus, weight gain &
tachycardia, Tricyclic -Anticholergic Effect
Signs of PTSD & Priority action - Distressing dreams, difficulty concentrating &
exaggerated startle response, (not delusions and compulsions).
safety; making the client feel safe
What is a sign of lithium toxicity? Side Effects that cause patients to stop taking it? -
Coarse hand tremors- prevents them from doing ADLs.
What lab does a nurse need to evaluate for a pt taking risperidine - Blood glucose- can
cause DM to develop
What kind of foods should a pt on tranyclopromine avoid - Foods high in tyramine, such
as some cheeses, avocados, and bologna
Clinical findings of mild anxiety - Restlessness, irritability, nail biting & fidgeting.
Feels restless & irritable before taking exam. what level of anxiety?
Clinical findings of severe anxiety - Difficulty sleeping, light headedness, nausea,
tremors & sense of impending doom
Clinical findings of panic anxiety - Hyperactivity, severe tremors & uncoordinated
impulsive behavior
Indication of complicated grief - Difficulty carrying on normal activities following a loss. I
feel so empty without my wife, its hard to get up every morning.
,What med should be prescribed to a pt experiencing alcohol withdrawals -
Chlordiazepoxide
What med should be prescribed to a pt to assist in alcohol abstinence - Disulfiram
Taking tranylcypromine. What is good food choice? - Roasted chicken
Hx of gambling dependence and participates in support group. What is the purpose of
attending the group? - Provide assurance that others have similar problems
Haloperidol what should be reported? - Shuffling gait
Autonomy - The right of self goverment
Discharged from inpatient detoxification program and plans to attend AA. What
statement indicates understanding of teaching? - I will use peer support to maintain my
abstinence
Bereavement support group, one member is silent after several sessions. What should
nurse do To encourage participation? - Divide the group into pairs to discuss topic, then
summarize the discussion to the group
Conduct disorder is being destructive , throwing things and kicking others. What
intervention is highest? - Use a therapeutic holding technique.
Exhibits anger, aggression and violent behavior, what is priority? - Create a large
personal space
Borderline personality disorder. Priority care goal? - The client will refrain form self
mutilation.
Situational crisis - The client recently lost grandparent in a MVA. unexpected event,
changes that results when a person faces an event or situation that causes a disruption
in his or her life.
Code of ethics for RN - The right to treatment ensures individualized care
Suspects abuse for an elderly client - Check the client for other sings and symptoms of
abuse
Valproic acid, what should be monitored to determine effectiveness of med? - The client
has decreased episode of pressured speech. Decreased insomnia, grandiose thoughts,
and hyperactivitiy.
Bipolar client is bragging and dominating the conversion in group therapy. What should
the nurse do? - Tell the client to calm down or he will be dismissed form the session.
, What is expected with chronc stress? - Viral infection
Client wants to use herbals instead of pharmaceuticals. What classifications is the
medicine practice? - Alternative medicine
Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What is first
priority? - Identify the client's nutritional status.
Personality disorder and demonstrates manipulative behavior. What intervention should
be included in plan of care? - Institute consequences for manipulative behavior.
Clint is being d/c to nursing home. States why do I have to go to 'that place'? What is
appropriate nursing response? - Did your doctor or anyone else talk to you about going
to the nursing home?
Client sits quietly and calmly after a traumatic assault. What behavior is this? - Denial
What is appropriate to include in plan of care for client with schizophrenia? - Limit the
number of questions asked during the assessment.
Client becomes upset and breaks a chair. What should the nurse do first? - Administer
an antianxiety medication
Tertiary interventions for suicide. - I should provide counseling for the family following
the suicide of a client
Client was alert X3, but is now restless and confused. What interventions are
appropriate? - Move the client to a room closer to the nurses station
Client has delirium tremens. What actions should be done first? - Raise the bed side
rails
Hypochondriasis, what supports this? - Constant worry about the underdiagnosed
presence of a terminal illness
Continuous pacing at a rapid pace being treated for anxiety. What intervention is
appropriate? - Talk calmly to the client
Histrionic personally disorder. Priority intervention? - Promote appropriate behavior
during group therapy session.
Adjustment disorder. Expected finding? - Parents divorced two months ago
Coronary artery disease. Afraid of dying form heart attack. Nursing response? - Tell me
more about these fears of dying from a heart attack?
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