ATI NURSING
Mental health A
1. A nurse is collecting data from a newly admitted client who has anorexia nervosa. Which
of the following manifestations should the nurse expect?
Peripheral edema
2. a nurse in an urgen
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ATI NURSING
Mental health A
1. A nurse is collecting data from a newly admitted client who has anorexia nervosa. Which
of the following manifestations should the nurse expect?
Peripheral edema
2. a nurse in an urgent care clinic is collecting data from a client whos friend reports a
suspicion of cocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Hypertension
3. Collecting data on a client who has bullmia nervosa.
Dental caries
4. A nurse is contributing to the plan of care for a client who has bipolar disorder and is
exhibiting mania. Which of the following interventions should the nurse include to
improve the nutritional status of the client?
Have a client’s favorite snacks available at all times.
5. A nurse is collecting data from a client who has bipolar disorder and history of mania.
Which of the following findings should the nurse identify as an indication that the client
is relapsing?
Pressured speech
6. Client has limited community and financial support. who would the nurse recommend for
inclusion in the discharge plan?
Social worker
7. A nurse is collecting data from a client who has paranoid personality disorder. Which of
the following manifestations should the nurse expect?
PROJECTS BLAME ON TO OTHERS
8. A nurse if collecting data on a patient who is having difficulty coping with the death of
their child. which question is the priority
Do you think about harming yourself?
9. pt who has phobia of riding in vehicles. What indications instructs client understands?
I will snap a rubber band on my wrist when I feel anxious about riding in a car
10. a nurse reinforcing teaching with a client who has schizophrenia and a new prescription
for chlorpromazine
The voices you have been hearing should decrease
11. patient who is experiencing opioid withdraw
Pupillary dilation
12. Mental examination for client who has schizophrenia. which one has the client think
abstractly
How is an orange similar to an apple?13. A nurse if caring for a client who has schizophrenia. Which of the following actions by
the nurse is a violation of clients confindentalitly?
The nurse places the clients diagnosis on the white board in the clients room.
14. A nurse in a mental health facility is collecting data from a client who has schizophrenia.
The nurse should identify that which of the following findings is referred to as a negative
symptom of schizophrenia?
Apathy
15. A nurse is contributing to the plan of care for a client who has obsessive compulsive
disorder and continually washes her hands. Which of the following interventions should
the nurse include?
Schedule times for the client to wash her hands during the day
16. a nurse is caring for a client who gave birth to a still born fetus one week ago. "I'm so
angry my doctor didn't take better care of me and my baby.”
It is important to share what you are feeling, even if it is anger.
17. a nurse if reinforcing teaching for a client who has ADHD
Initiate a point system
18. A nurse is speaking with a client who is expressing an intense disapproval for the current
social worker. The client states, "now, where is my favorite social worker.". the nurse
should identify the client is using which of the following defense mechanism?
Reaction formation
19. A nurse is reinforcing discharge teaching with a client who has a new prescription of
alprazolam. Which of the following instructions is priority for the nurse to include?
Do not drive until your reaction to the meds is determined
20. A nurse is organizing care for a group of client. According to maslows hierchy of needs,
which of the following interventions should the nurse plan to perform first.
Offer finger foods to a client who is in the maniv phase
21. A nurse caring for an adult who has visible injuries as a result of intimate partner
violence. Which of the following actions should the nurse take?
Encourage the client to develop a safety plan
22. A nurse if developing countertransference toward a client during the working phase of
the nurse-client relationship. To correct the situation, which of the following actions
should the nurse take?
Identify personal response to the client
23. A nurse is caring for a client who has bipolar disorder and experiencing manic episode.
Which of the following intervention should the nurse take first?
Remove harmful objects from the client's room
25. A nurse on an inpatient unit is assisting with a group therapy session. During the session,
a client begins to shout, using aggressive language. Which of the following statements
should the nurse make to the client?
When you raise your voice it makes me uncomfortable and safe26. A nurse is reinforcing teaching with the family of a client who has histrionic personality
disorder. Which of the following should the nurse instruct the family to observe for in the
client?
Seductive behavior
27. A nurse is preparing to administer clozapine for the first time to a client with
schizophrenia. The nurse explains the therapeutic and adverse effects of the medication to
the client prior to administer. Which of the following ethical concepts is the nurse
demonstrating?
Veracity
28. A nurse is caring for a client in a day treatment program. Which of the following actions
should the nurse take? Exhibit
Request transport for the client to an emergency room
29. borderline personality disorder and exhibits manuliptive behaviors
Establish and explain consequences for the client's behavior.
30. a nurse on a mental health unit is prioritizing care for a group of clients. Which of the
following actions should the nurse take first?
Administer haloperidol to a client who has schizo and is yelling at other
31. A nurse is assisting with screening of a group of clients for major depressive disorder.
(MMD).The nurse should identify that which of the following clients is at an increased
risk for development of MMD?
A client who has just given birth
32. A nurse on an inpatient unit is collecting data on a group of clients. Which finding do you
report to the provider?
A client who has borderline personality disorder and is pacing restlessly
33. A nurse if assisting in the admission of a client with schizophrenia. which action should
you take first
Conduct an abnormal involuntary movement scale test.
34. A nurse is a caring for a client who takes naltrexone for the treatment of alcohol use
disorder. The nurse should identify that which of the following client statement indicates
the medication is effective?
I drink less alcohol in a day while taking naltrexone.
35. a nurse in a providers office is collecting data from an older adult client whose adult child
reports she "seems confused and can't seem to remember much." what suspects delirium
The clients LOC changes during the interview
36. A nurse is reinforcing teaching with a newly admitted client who has generalized anxiety
disorder. Which statement should the nurse make?
We will demonstrate for you relaxation techniques
37. Caring for a client with major depression disorder (MMD) the client states I have nothing
to live for anymore. what response should the nurse make
Are you thinking about ending your life?38. A nurse is attempting to establish a therapeutic relationship with a newly admitted client.
Which of the following actions shows the nurse plan to take during the working phase of
the nurse-client relationship?
Promote the development of problem solving skills
39. The nurse is collecting data on a newly admitted client. which of the following questions
should the nurse include to gather psychosocial information
Do you have a hobby that you enjoy?
40. Identify the sign of negligence
A nurse does not notify the provider of a change in condition for the client who has
schizophrenia.
41. A nurse in a mental health facility is caring for a client who has dementia. The agitation
is increasing. Which of the following actions should the nurse take first?
Offer diversionary activities
42. A nurse is collecting data on patient with MDD. Which finding is a priority to report to
the provider?
Feeling of hopelessness
43. a nurse is assisting with the planning of an interdisciplinary care conference for a newly
admitted client who is in the acute stage of anorexia nervosa. which of the following
members of the interdisciplinary team should the nurse include?
Dietitian
44. A nurse in a long term care facility is caring for an adult client who has Alzheimer’s
disease and whose partner died several years ago. The client appears upset and asks the
nurse when his partner will visit again. The nurse states, "it seems like you are feeling
lonely. Let’s take a walk outside and talk." which on the following communication
strategies is the nurse using?
Validation therapy
45. A nurse if collecting data on a client experiencing alcohol withdraw. What should the
nurse expect?
Diaphoresis
46. A nurse in a mental health facility is assisting in a group therapy session. one having
difficulty staying seated and states loudly, "I know more than you do about the people in
this room." which of the following findings is the likely explanation for the clients
behavior
Hypomania
47. A nurse if reinforcing teaching on a client how has generalized anxiety disorder and is to
start therapy with buspirone. which understands an indication that the client understands
the information
Full effect in 2-4 weeks (10 days)
48. smoking cessation course indicates an understanding of the info
I will probably feel irritable wi 24 hrs of my last cigarette49. A nurse is caring for a client who has bipolar disorder. The client suddenly appears
agitated and begins pacing at the end of the hallway with clenched fists. Which of the
following actions should the nurse take first?
DETERMINE THE CLIENTS INTENTIONS
50. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty.
When a news report about military action comes on the television, the client says to the
nurse, " My youngest child died 6 months ago while serving in the military." Which of
the following response should the nurse make? Select all that apply.
This must be a very difficult time for you
Your son's death must be a terrible loss
Tell me something you remember about your son
3mg; 5mg/mL
0.6 mL
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