ATI RN MENTAL HEALTH// ATI RN MENTAL HEALTH REAL
EXAM AND STUDY GUIDE NEWEST 2024-2025
LATEST//ALREADY GRADED A+
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive
succinylcholine. The client asks the nurse about this medication. Which of the following responses
should the nurse make? - ANSWER-"Succinylcholine is given to reduce muscle movements during
therapy." - Succinylcholine is a muscle-paralyzing agent that will decrease muscle movement during the
procedure so the client is less likely to be injured.
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? - ANSWER-Respite care
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? - ANSWER-
The client reports an inability to breathe easily.
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? - ANSWER-Shuffling gait
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? - ANSWER-Refrains from manipulating others to earn dining room privileges
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? - ANSWER-Encourage the client to
drink 125 mL of fluid each hour while awake.
A nurse is obtaining a mental health history from an older adult client. Which of the following actions
should the nurse plan to take? - ANSWER-Interview the client in a private setting.
,A community health nurse is planning an education program about depressive disorders. Which of the
following factors should the nurse include as increasing the risk for depression? - ANSWER-Substance
use disorder
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? - ANSWER-"I am able to go to
work every day, so I don't have a problem."
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? - ANSWER-
Ask the family member if they have any thoughts or questions about the treatment plan.
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? (Select all that
apply.) - ANSWER-Feelings of hopelessness
Anhedonia
Flat facial expression
A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate.
Which of the following clients should the nurse assess further for flings indicating lithium toxicity? -
ANSWER-A client who has a sodium level of 128 mEq/L
A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse
expect? - ANSWER-Hypertension
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? - ANSWER-Promote the use of music to
compete with the client's auditory hallucinations.
A client who has a diagnosis of depression is attending group therapy. During the group meeting, the
nurse asks each member to identify one goal for the day. When it is the client's turn, they do not
respond. Which of the following actions should the nurse take before repeating the request to the
client? - ANSWER-Allow the client time to formulate an answer.
, A nurse in an emergency department is admitting a client who reports experiencing a headache and
heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression and a
blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the following actions
should the nurse take first? - ANSWER-Determine the client's prescribed medication regimen.- The first
action the nurse should take when using the nursing process is to assess the client. By determining the
client's prescribed medications, the nurse can determine the cause of the hypertension, such as the
client taking an MAOI to treat depression. These medications can precipitate a hypertensive crisis if
consumed with tyramine-containing foods, including wine.
A charge nurse is preparing an education session for a group of newly licensed nurses to review client
rights under the law. Which of the following statements should the nurse make? - ANSWER-"In the
event a client threatens harm to others, medications can be administered without consent."
A nurse is caring for a group of clients. Which of the following findings should the nurse report? -
ANSWER-A client who is taking lamotrigine and has developed a rash
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? - ANSWER-Avoid looking directly at the
light during treatment.
A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium.
Which of the following client statements indicates understanding of the teaching about the medication?
- ANSWER-"I should eat a regular diet with normal amounts of salt and fluids."- The nurse should
identify that this statement indicates that the client understands the teaching because normal levels of
sodium and fluid need to be maintained to ensure adequate excretion of lithium. If sodium levels are
low, the body compensates by decreasing lithium excretion, which can lead to toxicity.
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? - ANSWER-"If you do my homework for me, I
won't bother you for the rest of the day."
A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they
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? - ANSWER-Hand tremors
EXAM AND STUDY GUIDE NEWEST 2024-2025
LATEST//ALREADY GRADED A+
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive
succinylcholine. The client asks the nurse about this medication. Which of the following responses
should the nurse make? - ANSWER-"Succinylcholine is given to reduce muscle movements during
therapy." - Succinylcholine is a muscle-paralyzing agent that will decrease muscle movement during the
procedure so the client is less likely to be injured.
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? - ANSWER-Respite care
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? - ANSWER-
The client reports an inability to breathe easily.
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? - ANSWER-Shuffling gait
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? - ANSWER-Refrains from manipulating others to earn dining room privileges
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? - ANSWER-Encourage the client to
drink 125 mL of fluid each hour while awake.
A nurse is obtaining a mental health history from an older adult client. Which of the following actions
should the nurse plan to take? - ANSWER-Interview the client in a private setting.
,A community health nurse is planning an education program about depressive disorders. Which of the
following factors should the nurse include as increasing the risk for depression? - ANSWER-Substance
use disorder
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? - ANSWER-"I am able to go to
work every day, so I don't have a problem."
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? - ANSWER-
Ask the family member if they have any thoughts or questions about the treatment plan.
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? (Select all that
apply.) - ANSWER-Feelings of hopelessness
Anhedonia
Flat facial expression
A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate.
Which of the following clients should the nurse assess further for flings indicating lithium toxicity? -
ANSWER-A client who has a sodium level of 128 mEq/L
A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse
expect? - ANSWER-Hypertension
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? - ANSWER-Promote the use of music to
compete with the client's auditory hallucinations.
A client who has a diagnosis of depression is attending group therapy. During the group meeting, the
nurse asks each member to identify one goal for the day. When it is the client's turn, they do not
respond. Which of the following actions should the nurse take before repeating the request to the
client? - ANSWER-Allow the client time to formulate an answer.
, A nurse in an emergency department is admitting a client who reports experiencing a headache and
heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression and a
blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the following actions
should the nurse take first? - ANSWER-Determine the client's prescribed medication regimen.- The first
action the nurse should take when using the nursing process is to assess the client. By determining the
client's prescribed medications, the nurse can determine the cause of the hypertension, such as the
client taking an MAOI to treat depression. These medications can precipitate a hypertensive crisis if
consumed with tyramine-containing foods, including wine.
A charge nurse is preparing an education session for a group of newly licensed nurses to review client
rights under the law. Which of the following statements should the nurse make? - ANSWER-"In the
event a client threatens harm to others, medications can be administered without consent."
A nurse is caring for a group of clients. Which of the following findings should the nurse report? -
ANSWER-A client who is taking lamotrigine and has developed a rash
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? - ANSWER-Avoid looking directly at the
light during treatment.
A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium.
Which of the following client statements indicates understanding of the teaching about the medication?
- ANSWER-"I should eat a regular diet with normal amounts of salt and fluids."- The nurse should
identify that this statement indicates that the client understands the teaching because normal levels of
sodium and fluid need to be maintained to ensure adequate excretion of lithium. If sodium levels are
low, the body compensates by decreasing lithium excretion, which can lead to toxicity.
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? - ANSWER-"If you do my homework for me, I
won't bother you for the rest of the day."
A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they
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? - ANSWER-Hand tremors
