NURS325: Mental Health Nursing - ATI
PRACTICE TEST A
A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for
alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.)
1.5 Ml
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a
decreased risk for suicide?
"I'm relieved now that my financial affairs are in order."
"It is easier to talk about my feelings now."
"Suddenly I have enough energy to do anything I want."
"Thank you for always taking such good care of me."
A nurse is discussing a 12-step program with a client who has alcohol use
disorder and is in an acute care facility undergoing detoxification. Which of the
following information should the nurse include in the teaching?
The program will help the client accept responsibility for the disorder.
The client should obtain a sponsor before discharge for an increased chance of
recovery.
The client will need to identify individuals who have contributed to the disorder.
The program will need a prescription from the client's provider prior to
attendance.
A nurse on a mental health unit observes a client who has acute mania hit
another client. Which of the following actions should the nurse take first?
Call the provider to obtain an immediate prescription for restraint.
Prepare to administer benzodiazepine IM.
Call for a team of staff members to help with the situation.
Check the client who was hit for injuries.
, A nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the
nurse include to reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal
body weight. Which of the following interventions should the nurse include in the
plan of care?
Encourage the client to drink 125 mL of fluid each hour while awake.
Allow the client to eat independently in their room.
Weigh the client twice weekly.
Measure the client's vital signs once each day.
A nurse is caring for a newly admitted client.
Vital Signs
0800:
Blood pressure 110/78 mm Hg
Heart rate 76/min
Respiratory rate 18/min
Temperature 37° C (98.6° F)
1200:
Blood pressure 116/80 mm Hg
Heart rate 88/min
Respiratory rate 20/min
Temperature 38° C (100.4° F)
For each potential assessment finding, click to specify if the finding is consistent
with positive or negative symptoms of schizophrenia.
For each potential assessment finding, click to specify if the finding is consistent
with positive or negative symptoms of schizophrenia.
Delusions of grandeur - Positive
Clang associations - Positive
Catatonia - Positive
Alogia - Negative
Withdrawal from social activities – Negative
A nurse on a mental health unit is caring for a client who has schizophrenia.
Nurses' Notes
1200:
Female client diagnosed with schizophrenia approximately 2 years ago after
experiencing psychosis. Client has taken chlorpromazine and loxapine with
PRACTICE TEST A
A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for
alcohol withdrawal. Available is diazepam injection 5 mg/mL. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.)
1.5 Ml
A nurse is planning care for a client who has depression and has made frequent
suicide attempts. Which of the following statements indicates the client has a
decreased risk for suicide?
"I'm relieved now that my financial affairs are in order."
"It is easier to talk about my feelings now."
"Suddenly I have enough energy to do anything I want."
"Thank you for always taking such good care of me."
A nurse is discussing a 12-step program with a client who has alcohol use
disorder and is in an acute care facility undergoing detoxification. Which of the
following information should the nurse include in the teaching?
The program will help the client accept responsibility for the disorder.
The client should obtain a sponsor before discharge for an increased chance of
recovery.
The client will need to identify individuals who have contributed to the disorder.
The program will need a prescription from the client's provider prior to
attendance.
A nurse on a mental health unit observes a client who has acute mania hit
another client. Which of the following actions should the nurse take first?
Call the provider to obtain an immediate prescription for restraint.
Prepare to administer benzodiazepine IM.
Call for a team of staff members to help with the situation.
Check the client who was hit for injuries.
, A nurse in a community health center is working with a group of clients who have
post-traumatic stress disorder. Which of the following interventions should the
nurse include to reduce anxiety among the group members?
Response prevention
Guided imagery
Aversion therapy
Light therapy
A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal
body weight. Which of the following interventions should the nurse include in the
plan of care?
Encourage the client to drink 125 mL of fluid each hour while awake.
Allow the client to eat independently in their room.
Weigh the client twice weekly.
Measure the client's vital signs once each day.
A nurse is caring for a newly admitted client.
Vital Signs
0800:
Blood pressure 110/78 mm Hg
Heart rate 76/min
Respiratory rate 18/min
Temperature 37° C (98.6° F)
1200:
Blood pressure 116/80 mm Hg
Heart rate 88/min
Respiratory rate 20/min
Temperature 38° C (100.4° F)
For each potential assessment finding, click to specify if the finding is consistent
with positive or negative symptoms of schizophrenia.
For each potential assessment finding, click to specify if the finding is consistent
with positive or negative symptoms of schizophrenia.
Delusions of grandeur - Positive
Clang associations - Positive
Catatonia - Positive
Alogia - Negative
Withdrawal from social activities – Negative
A nurse on a mental health unit is caring for a client who has schizophrenia.
Nurses' Notes
1200:
Female client diagnosed with schizophrenia approximately 2 years ago after
experiencing psychosis. Client has taken chlorpromazine and loxapine with
