2023-2024 ATI RN Mental Health Practice Exam With Answers (61 Solved Questions)

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ATI RN MENTAL HEALTH 2019 ACTUAL EXAM 160QUESTIONS AND CORRECT ANSWERS 2023-2024UPDATE ALREADY A GRADED|NEW!!A nurse is reviewing the medication administration record for a client who isexperiencingadverseeffectsofchlorpromazine.Thenurseshouldadministerbenztropinetorelievewhichofthe following adverse effects?A.BlurredvisionB.OrthostatichypotensionC.DrymouthD.Acutedystonia-Thenurseshouldadministerbenztropine,ananticholinergicagent,torelieve acute dystonia, which is an extrapyramidal adverse effect of chlorpromazine.Anurseisplanningdischargeteachingwithafamilymemberofaclientwhohasdiagnosisofdepression. Which of thefollowing information about relapse should the nurseinclude?A.Additionalacuteepisodesofdepressionareunlikelyfollowinginpatientcare.B.Earlyidentificationofchanges,suchasdecreasedsocialinvolvement,isimportant.C.Medicationcompliancewillpreventfurtherneedforinpatienthospitalization.D.Itishelpfultoregularlyreinforcetotheclientthatthingswillgetbetter.B.Earlyidentificationofchanges,suchasdecreasedsocialinvolvement,isimportant.Decreasedsocialinvolvementisamanifestationofdepression,andearlyidentificationoffindings can lead to early intervention.Anurseisassessingaclientwhoisexperiencingopioidwithdrawal.Whichofthefollowingmanifestations should the nurse expect?A.SedationB.RhinorrheaC.BradycardiaD.HypothermiaRhinorrhea-Thenurseshouldexpecttheclientwhoisexperiencingopioidwithdrawaltohaverhinorrhea and flu-like manifestations such as yawning, sneezing, and abdominal pain.Anurseisassessingafamily'sdynamicsduringacounselingsession.Thenurseshouldrecognize which of the following findings as an indication of a boundary issue?A.AnadolescentfamilymemberwhoquestionsparentalauthorityB.AfamilywiththreegenerationsinthesamehouseholdC.OlderchildrenwhoareresponsiblefortheiryoungersiblingsD.TwoadultsandtheirchildrenfrompriorrelationshipsinthesamehouseholdC.OlderchildrenwhoareresponsiblefortheiryoungersiblingsThisisanexampleofenmeshedboundariesinwhichtherearenodistinctionsbetweentherolesof family members.

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Anurseisassistingaclientwhohasaterminalillnessadjusttoprogressivelossof

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independence.Whichofthefollowing statementsbytheclientindicatesacceptanceofherillness?A."IamgoingtoorderawheelchairforwhenI'munabletowalk."B."IamgoingtostoppayingmybillssinceIwon'tbearoundmuchlonger."C."Iwishyouwouldgotakecareofsomebodywhoactuallyneedsyou."D."IamsureI'mgoingtobeabletocontinuetocareformyselfwithouthelp."A."IamgoingtoorderawheelchairforwhenI'munabletowalk."Theclientisrecognizingtherealityofcontinuedlossofindependenceandisanticipatingtheneed for assistive devices, which indicates the behavioral response of acceptance.Anurseiscaringforachildwhoistakingmethylphenidate.Thenurseshouldmonitorthechildfor which of the following findings as an adverse effects of methylphenidate?A.WeightgainB.TinnitusC.TachycardiaD.IncreasedsalvationC.Tachycardia-Thenurseshouldmonitorthechildfortachycardia,whichisanadverseeffectofmethylphenidate.

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Anurseiscreatingaplanofcareforaclientwhohasbeenplacedinseclusionafterthreateningtoharmothersortheunit. Which of the following interventions should the nurse include in theplan?A.Documenttheclient'sbehaviorevery8hr.B.Limittheclient'sfluidintaketo50mL/hr.C.Renewtheprescriptionfortheclientevery4hr.D.Toilettheclientevery4hr.C.Renewtheprescriptionfortheclientevery4hr.Thenurseshouldassesstheclient'sbehaviorfrequentlyduringseclusionandshouldrenewtheprescription for seclusion for an adult client every 4 hr, for a maximum of 24 hr.Anurseobservesaclientonamentalhealthunitpushingonthelockedunitdoor.Whichofthe following statements should the nurse make?A."Itappearsasthoughyouwouldliketoopenthedoor."B."Youwillfeelmorecomfortableafteryou'vebeenhereforawhile."C."Itisokaytonotwanttobehere."D."Youreallyshouldn'tbepushingonthedoor."A."Itappearsasthoughyouwouldliketoopenthedoor."This statement is an example of the therapeutic technique of making observations. Thistechniqueencouragestheclienttonoticethebehaviorsothattheycandescribethoughtsandfeelings related to that behavior.A nurse is education the parent of a child who has a new diagnosis ofautism spectrumdisorder.Whichofthefollowing manifestationsofthisdisordershouldthenurseincludeintheteaching?A.FearofabandonmentB.MotorandverbalticsC.HostilebehaviorD.Languagedelay-Thenurseshouldidentifythatlanguagedelaysareamanifestationofautismspectrum disorder.Anurseisdiscussinga12-stepprogramwithaclientwhohasalcoholusedisorderandisinanacute care facility undergoingdetoxification.Whichofthefollowinginformationshouldthenurseincludeintheteaching?A.Theprogramwillhelptheclientacceptresponsibilityforthedisorder.B.Theclientshouldobtainasponsorbeforedischargeforanincreasedchanceofrecovery.C.Theclientwillneedtoidentifyindividualswhohavecontributedtothedisorder.D.Theprogramwillneedaprescriptionfromtheclient'sproviderpriortoattendance.B.Theclientshouldobtainasponsorbeforedischargeforanincreasedchanceofrecovery.The nurse should teach the client that peer support has been shown to increase programattendanceandthechancesofrecovery.Iftheclientdoesnothaveasponsor,theycanbeassigned one when they begin attending the program.Achargenurseonamentalhealthunitisdiscussingclientrightswithanewlylicensednurse.Which of the following statements should the charge nurse make?A."Clientscan'trefusetotakemedicationsiftheyareadmittedinvoluntarily."B."Youcannotifyaclient'sfamilyiftheyareadmittedinvoluntarily."

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C."Clientswhoareadmittedinvoluntarilymaintaintherighttogiveinformedconsentforprocedures."D."Youcanremoveaclient'sprivilegesiftheyareadmittedinvoluntarilyandrefusetoattendtherapy sessions."

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C."Clientswhoareadmittedinvoluntarilymaintaintherighttogiveinformedconsentforprocedures."Clientswhoareadmittedinvoluntarilymaintaintherighttogiveinformedconsentfortreatment. They also have the right to give informed consent for procedures.Anurseintheemergencydepartmentiscaringforfourclients.Whichofthefollowingclientsis the nurse required to report as apotential victim of abuse?A.Aschool-agechildwhohasbruisesonthekneesB.An older adult client who is bedbound and has a stage IV pressure ulcer-Astage IVpressureulceronanolderadultclientwhoisbedboundcanindicatephysicalneglect andwarrants mandatory reporting.C.AnadolescentwhohasavaginalcandidainfectionD.Ayoungadultwhoispregnantandhasasprainedankle

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A nurse is admitting a client whohas major depressive disorderand a new prescription fortranylcypromine.Whichofthefollowingover-the-countermedicationsthattheclientreportstaking should alert the nurse to a potential adverse reactions?A.LansoprazoleB.Naproxen-Noadverseinteractionw/thisdrug.C.MagnesiumhydroxideD.Phenylephrine-Clientswhoaretakingtranylcypromine,anMAOIantidepressant,shouldnottake phenylephrine and other over-the-counter medications for sinus congestion, colds, orallergies due to their actions on the sympathetic nervous system, which can result in severehypertension.Anurseisplanningcareforaclientwhohasgeneralizedanxietydisorder.Atwhichofthefollowing levels of anxiety should the nurse plan to teach the client relaxation techniques?A.PanicB.ModerateC.SevereD.Mild-Thenurseshouldplantoteachtheclientrelaxationtechniquesduringthemildlevelofanxiety. This is when the client will be able to concentrate and process information.Anurseisplanningcareforaclientwhohasbipolardisorderandisexperiencingmania.Which of the following interventions should the nurse include in the plan of care?A.EncouragetheclienttoparticipateingrouptherapyB.InstructingtheclienttoavoidnappingduringthedayC.Offer the client high-calorie finger foods frequently-The nurse should frequently offer theclient high-calorie foods that can be eaten while the client is on the go. Clients experiencingmaniamightbeunabletositdownformealsandcanexperience weightloss anddehydration.D.Decreasetheclient'sdailyfiberintakeA nurseis counseling an adolescent who hasanorexia nervosaand reports excessivelaxativeuse and fear of gaining weight. The client states, "I'm so fat I can't even stand to look atmyself." Which of the following therapeutic responses demonstrates the nurse's use ofsummarizing?A."You'vediscussedseveralconcernsaboutyourweight.Let'sgobackandtalkaboutyourbeliefthat you are fat."B."You'resayingthatyouthinkyouarefatandareusinglaxativesbecauseyouareafraidofgaining weight."C."Youdon'twanttolookatyourselfbecauseyouthinkyouarefat."D."YouandIcanworktogethertoovercomeyourfearsofgainingweight."B."You'resayingthatyouthinkyouarefatandareusinglaxativesbecauseyouareafraid of gaining weight."The nurse is using the therapeutic technique ofsummarizing to review the key points of the discussion.Aschoolnurseisassessingaschool-agechildwhoexperiencedthetraumaticlossofaparent8 months ago. Which of thefollowing findings should the nurse identify as an

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indication that the child is experiencing post-traumatic stress disorder (PTSD)?A.ClingingbehaviorsdirectedtowardateacherB.IncreasedtimespentsleepingC.Intensefocusonschoolwork

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D.Lack of interest in an upcoming holiday-The child who has PTSD will have negativemoods anddifficultyrememberingaspectsofthetraumaticevent.Thechildcanalsohavealossof interestorlackofparticipation in significant activitiesand events such as holidays.Anurseisplanningdischargeteachingforaclientwhohassevereschizoaffectivedisorder.The nurse should identify that which of the following treatment options can offerinterdisciplinary services for the client at home?A.CommunitymentalhealthcenterB.MentalhealthdayprogramC.PartialhospitalizationprogramD.Assertivecommunitytreatment-Assertivecommunitytreatmentprovidescomprehensive,community-based services toclients who have severe mental illness based uponindividualizedneeds.Servicesareavailableinanysetting,includingthe client'shome,24hrper day and provide crisis intervention, medication services, and advocacy.
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