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ATI RN MENTAL HEALTH EXAM 3 VERSIONS 273
QUESTIONS WITH 100% VERIFIED SOLUTIONS
A+ GRADE
1. A nurse is assessing a client who recently used cocaine. Which of the following findings should the
nurse expect?
Hypertension
2. A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking lamotrigine and has developed a rash
3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices
telling me what to do." Which of the following actions should the nurse take?
Ask the client what the voices are saying.
4. A nurse is communicating with a client in an inpatient mental health facility. Which of the following
actions by the nurse demonstrates the use of active listening?
Attention to body language
5. A client who has paranoid schizophrenia is attending a treatment planning conference with a family
member. During the discussion of the medication adherence portion of the plan, a nurse notices that
the family member seems distracted. Which of the following actions should the nurse take?
Ask the family member if they have any thoughts or questions about the treatment plan.
6. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should
identify that which of the following findings indicates a potential psychiatric emergency?
The client reports command hallucinations.
7. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
medications should the nurse administer first?
Diazepam 5 mg IV bolus
8. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
The client reports an inability to breathe easily.
9. A nurse in a community health center is counseling a family of two parents and two children. Which
of the following statements by a family member indicates manipulative behavior?
If you do my homework for me, I won't bother you for the rest of the day.
10. A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic
medication yesterday. Which of the following findings indicates the nurse should administer
benztropine 2 mg IM?
,Shuffling gait
,11. A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN?
Change the dressings of a client who has borderline personality disorder and superficial self-
inflicted wounds.
12. While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of
dependent personality disorder. Which of the following behaviors is consistent with this condition?
The client needs excessive external input to make everyday decisions.
13. A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions
should the nurse identify as the priority?
Remove unnecessary equipment from the child's surroundings.
14. 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
15. A nurse is documenting admission assessment findings for a client who has major depressive
disorder. The nurse should identify which of the following findings as clinical manifestations? (SATA)
Feelings of hopelessness
Anhedonia
Flat facial expression
16. A nurse is caring for a client who has borderline personality disorder. Which of the following goals is
the priority when planning care for this client?
The client will refrain from self-mutilation.
17. A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which of
the following information should the nurse include in the teaching?
Avoid looking directly at the light during treatment.
18. A nurse is obtaining a mental health history from an older adult client. Which of the following
actions should the nurse plan to take?
Interview the client in a private setting.
, 19. A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. Which of the following resources
should the nurse recommend to the caregiver?
Respite care
20. 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
21. A nurse in the emergency department is caring for a client who has alcohol toxicity and is
unresponsive. Which of the following interventions should the nurse take?
Gather supplies for endotracheal intubation.
22. A nurse is caring for client whose child has a terminal illness. The client requests information about
how to deal with the upcoming loss. Which of the following statements should the nurse make?
It is not uncommon to feel angry toward yourself or others.
23. A nurse is caring for an older adult client who has dementia and has wandered into the day room
looking for their deceased partner. Which of the following actions should the nurse take?
Talk with the client about activities they enjoyed with their partner.
24. A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which
of the following findings should the nurse identify as a possible indicator of neglect?
Inappropriate dress
25. A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations.
Which of the following interventions should the nurse include in the plan?
Promote the use of music to compete with the client's auditory hallucinations.
26. A nurse is admitting a client who has alcohol use disorder. Which of the following statements by the
client indicates that the client is using denial as a defense mechanism?
I am able to go to work every day, so I don't have a problem.
27. A nurse is reviewing the medical record of a client who has anorexia nervosa. Which of the following
findings should the nurse identify as an indication the client requires hospitalization?
Total body fat 8.7%
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