ATI MENTAL HEALTH PRACTICE A_2020 | MENTAL HEALTH PRACTICE A

Mental Health ATI Practice A 1. A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? a. Polyphagia b. Hypertension c. Decreased temperature d. Depressed mood 2. A nurse is caring for a group of clients. Which of the following findings should the nurse expect? a. A client who is taking clozapine and has a WBC count of 7,500 b. A client who is taking lamotrigine and developed a rash c. A client who is taking valproate and has a platelet count of 150,000 d. A client who is taking lithium level of 1.2mEq 3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, “I hear voices telling me what to do.” Which of the following actions should the nurse take? a. Tell the client that the voices do not really exist b. Touch the client to help reduce feelings of anxiety. c. Ask the client what the voices are saying d. Instruct the client to go to a quiet room when the voices start talking. 4. A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening? a. Offering self b. Use of silence c. Attention to body language d. Reflection of feelings 5. 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? a. Call the family member to the side to inquire if they have questions or concerns about the treatment plan. b. Advice the family member that this treatment plan has been developed specifically for the client to follow. c. Ask the family member if they have any thoughts or questions about the treatment plan. d. Document that the family member does not support the medication treatment plan. 6. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? a. The client is exhibiting echolalia b. The client reports command hallucinations c. The client reports loss of motivation d. The client is exhibiting blunted effect. 7. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first? a. Diazepam 5mg IV bolus b. Clonidine 0.1mg transdermal patch c. Naltrexone 380mg IM d. Bupropion 150mg PO 8. 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? a. The client’s chart indicates a 1.36kg (3lb) weight gain in 1 month. b. The client reports an inability to breathe easily c. The clients laboratory results indicate a fasting blood glucose level of 130mg/dl d. The client reports having recently started smoking cigarettes. 9. 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? a. “If you do my homework for me, I won’t bother you for the rest of the day.” b. “Mom is always upset.” c. “It’s not the children’s fault, It’s mine.” d. “It’s your fault that we’re having problems as a family.” 10. 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 2mg IM? a. Shuffling gait b. Hypotension c. Blurred vision d. Decreased WBC count 11. A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? a. Obtain the weight of a client who has bipolar disorder and is experiencing mania. b. Assess the nutritional intake of a client who has anorexia nervosa and has refused to eat for the past 2 days. c. Change the dressing of a client who has borderline personality disorder and superficial self-inflicted wounds. d. Monitor cardiovascular status of a client who is experiencing serotonin syndrome 12. While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition? a. The client needs excessive external input to make everyday decisions b. The client demonstrates a dedication to their job that excludes time for leisure activities c. The client adheres to a rigid set of rules. d. The client has difficulty starting new relationships unless they feel accepted. 13. A nurse is planning care for a 7 year old child who has ADHD. Which of the following interventions should the nurse identify as the priority? a. Decrease distractions during meal times b. Provide positive feedback when the child completes a task c. Removed unnecessary equipment from the child’s surroundings d. Clearly identify consequences for unacceptable behavior 14. A nurse is an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? a. St. Johns - - - - Continued