Test Bank for ATI Mental Health Proctored Exam
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A nurse is performing an admission assessment of a client who has bulimia
nervosa with purging behavior. Which of the following is an expected finding?
(Select all that apply)
A. Amenorrhea
B. Hypokalemia
C. Mottling of the skin
D. Slightly elevated body weight
E. Presence of lanugo on the face - Correct Answer - B. Hypokalemia
D. Slightly elevated body weight
A nurse on an acute care unit is planning care for a client who has anorexia
nervosa with binge-eating and purging behavior. Which of the following nursing
actions should the nurse include in the client's plan of care?
A. Allow the client to select preferred meal times.
B. Establish consequences for purging behavior.
C. Provide the client with a high-fat diet at the start of treatment.
D. Implement one-to-one observation during meal times. - Correct Answer - D.
Implement one-to-one observation during meal times.
pg. 1
,A nurse is caring for a client who has bulimia nervosa and has stopped purging
behavior. The client tells the nurse that she is afraid she is going to gain weight.
Which of the following responses should the nurse make?
A. "Many clients are concerned about their weight. However, the dietitian will ensure
that you don't get too many calories in your diet."
B. "Instead of worrying about your weight, try to focus on other problems at this time."
C. "I understand you have concerns about your weight, but first, let's talk about your
recent accomplishments."
D. "You are not overweight, and the staff will ensure that you do not gain weight while
you are in the hospital. We know that is important to you." - Correct Answer - C. "I
understand you have concerns about your weight, but first, let's talk about your recent
accomplishments."
A nurse is discussing the risk factors for somatic symptom disorder with a newly
licensed nurse. Which of the following risk factors should the nurse include?
(Select all that apply)
A. Age older than 65 years
B. Anxiety disorder
C. Female gender
D. Coronary artery disease
E. Obesity - Correct Answer - B. Anxiety disorder
C. Female gender
A nurse is reviewing the medical record of a client who has conversion disorder.
Which of the following findings should the nurse identify as placing the client as
risk for conversion disorder?
A. Death of a child 2 months ago
B. Recent weight loss of 30 lb.
C. Retirement 1 year ago
D. History of migraine headaches - Correct Answer - A. Death of a child 2 months ago
pg. 2
,A nurse is assessing a client who has illness anxiety disorder. Which of the
following findings should the nurse expect? (Select all that apply)
A. Obsessive thoughts about disease
B. History of childhood abuse
C. Avoidance of health care providers
D. Depressive disorder
E. Narcissistic personality - Correct Answer - A. Obsessive thoughts about disease
B. history of childhood abuse
C. avoidance of health care providers
D. depressive disorder
A nurse is developing a plan of care for a client who has conversion disorder.
Which of the following actions should the nurse include?
A. Encourage the client to spend time alone in his room
B. Monitor the client for self-harm once per day
C. Allow the client unlimited time to discuss physical manifestations
D. Discuss alternative coping strategies with the client - Correct Answer - D. Discuss
alternative coping strategies with the client
A nurse is caring for a client who has schizophrenia and exhibits a lack of
grooming and a flat affect. The nurse should anticipate a prescription of which of
the following medications?
A. Chlorpromazine
B. Thiothixene
C. Risperidone
D. Haloperidol - Correct Answer - C. Risperidone
pg. 3
, A nurse is caring for a client who takes ziprasidone. The client reports difficulty
swallowing the oral medication and becomes extremely agitated with injectable
administration. The nurse should contact the provider to discuss a change in
which of the following medications? (Select all that apply)
A. Olanzapine
B. Quetiapine
C. Aripiprazole
D. Clozapine
E. Asinine - Correct Answer - C. Aripiprazole
D. Clozapine
E. Asinine
A charge nurse is discussing manifestations of schizophrenia with a newly
licensed nurse. Which of the following manifestations should the charge nurse
identify as being effectively treated by first generation antipsychotics? (Select all
that apply)
A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia - Correct Answer - A. Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation
A nurse is assessing a client who is currently taking perphenazine. Which of the
following findings should the nurse identify as an extrapyramidal symptom
(EPS)? (Select all that apply)
A. Decreased LOC
B. Drooling
C. Involuntary arm movements
D. Urinary retention.
pg. 4
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