Mental Health ATI, 334
Mental Health ATI,
Mental Health ATI
Practice Assessment B
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 - ANSWER -Attention to body language
,R: active listening involves identifying verbal and nonverbal communication
Fidelity - ANSWER -Loyalty and faithfulness to the client and to one's duty
Dealing with unacceptable feelings or impulses by unconsciously substitute acceptable forms of
expression.
Ex: a person who has feelings of anger and hostility toward his work supervisor sublimates those feelings
by working out vigorously a the gym during his lunch period - ANSWER -Sublimation
B. Assist the client with deep-breathing exercises.
Relaxation techniques, such as deep, abdominal breathing exercises, help defuse manifestations of
anxiety. - ANSWER -A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A. Orient the client to person, place, and time.
B. Assist the client with deep-breathing exercises.
C. Calm the client by using therapeutic touch.
D. Have the client sit alone in a quiet room.
Disruptive mood dysregulation disorder - ANSWER -Exhibit recurrent temper outbursts that are severe
and do not correlate with situation.
Temper outbursts are manifested verbally and/or physically and can include aggression.
Temper outbursts are not appropriate for the client's developmental level.
Temper outbursts are present three or more times per week and are observable by others, such as
parents, peers, and teachers, in at least two settings, such as home and school.
Onset of this disorder is between the ages of 6 and 18.
,A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following
information should the nurse include in the teaching? - ANSWER -You may experience difficulties with
sexual functioning while taking this medication.
Repression - ANSWER -Unconsciously putting unacceptable ideas, thoughts, and emotions out of
awareness
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive
succinylcholine. The client asks the nurse about this medication. What is an appropriate response by the
nurse - ANSWER -"Succinylcholine is given to reduce muscle movements during therapy
Conduct Disorder expected finding - ANSWER -Aggressive behavior toward others
opioid abuse signs - ANSWER -slurred speech, impaired memory
decreased RR, LOC
withdrawal: gooseflesh, insonia, pain, N/V
R: succinylocholine is a muscle paralyzing agent that will decrease muscle movement during the
procedure so that injury is less likely to occur
Heroin withdrawal expected findings - ANSWER -Muscle aches
Veracity - ANSWER -Honesty when dealing with a client
Voluntarily denying unpleasant thoughts and feelings.
Ex: A person who has lost his job states he will worry about paying his bills next week - ANSWER -
Suppression
agoraphobia - ANSWER -fear of places or situations that might cause panic such as going outside
, A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. The
clients morning lithium level is 1.5 mEq/L. Which of the following laboratory findings should the nurse
report to the provider? - ANSWER -Sodium level 125 mEq/L
C. Interview the client in a private setting.
The nurse should question clients in a private place when conducting interviews regarding client health.
- ANSWER -A nurse is obtaining a mental health history from an older adult client. Which of the
following actions should the nurse plan to take?
A. Raise the pitch of the voice when speaking to the client.
B. Begin the interview by explaining the plan of care.
C. Interview the client in a private setting.
D. Ask the client to complete a detailed questionnaire.
Intermittent explosive disorder - ANSWER -exhibit recurrent episodic violent and aggressive behavior
with the possibility of hurting people, property, or animals
Regression - ANSWER -Sudden use of childlike or primitive behaviors that do not correlate with the
person's current developmental level
Alcohol withdrawal expected findings - ANSWER -Insomnia and restlessness
Conversion - ANSWER -physical complaints not true
A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team -
ANSWER -Giving away possession
R: giving away possessions indicates that the pt is a greater risk for suicide.
Mental Health ATI,
Mental Health ATI
Practice Assessment B
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 - ANSWER -Attention to body language
,R: active listening involves identifying verbal and nonverbal communication
Fidelity - ANSWER -Loyalty and faithfulness to the client and to one's duty
Dealing with unacceptable feelings or impulses by unconsciously substitute acceptable forms of
expression.
Ex: a person who has feelings of anger and hostility toward his work supervisor sublimates those feelings
by working out vigorously a the gym during his lunch period - ANSWER -Sublimation
B. Assist the client with deep-breathing exercises.
Relaxation techniques, such as deep, abdominal breathing exercises, help defuse manifestations of
anxiety. - ANSWER -A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A. Orient the client to person, place, and time.
B. Assist the client with deep-breathing exercises.
C. Calm the client by using therapeutic touch.
D. Have the client sit alone in a quiet room.
Disruptive mood dysregulation disorder - ANSWER -Exhibit recurrent temper outbursts that are severe
and do not correlate with situation.
Temper outbursts are manifested verbally and/or physically and can include aggression.
Temper outbursts are not appropriate for the client's developmental level.
Temper outbursts are present three or more times per week and are observable by others, such as
parents, peers, and teachers, in at least two settings, such as home and school.
Onset of this disorder is between the ages of 6 and 18.
,A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following
information should the nurse include in the teaching? - ANSWER -You may experience difficulties with
sexual functioning while taking this medication.
Repression - ANSWER -Unconsciously putting unacceptable ideas, thoughts, and emotions out of
awareness
A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive
succinylcholine. The client asks the nurse about this medication. What is an appropriate response by the
nurse - ANSWER -"Succinylcholine is given to reduce muscle movements during therapy
Conduct Disorder expected finding - ANSWER -Aggressive behavior toward others
opioid abuse signs - ANSWER -slurred speech, impaired memory
decreased RR, LOC
withdrawal: gooseflesh, insonia, pain, N/V
R: succinylocholine is a muscle paralyzing agent that will decrease muscle movement during the
procedure so that injury is less likely to occur
Heroin withdrawal expected findings - ANSWER -Muscle aches
Veracity - ANSWER -Honesty when dealing with a client
Voluntarily denying unpleasant thoughts and feelings.
Ex: A person who has lost his job states he will worry about paying his bills next week - ANSWER -
Suppression
agoraphobia - ANSWER -fear of places or situations that might cause panic such as going outside
, A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. The
clients morning lithium level is 1.5 mEq/L. Which of the following laboratory findings should the nurse
report to the provider? - ANSWER -Sodium level 125 mEq/L
C. Interview the client in a private setting.
The nurse should question clients in a private place when conducting interviews regarding client health.
- ANSWER -A nurse is obtaining a mental health history from an older adult client. Which of the
following actions should the nurse plan to take?
A. Raise the pitch of the voice when speaking to the client.
B. Begin the interview by explaining the plan of care.
C. Interview the client in a private setting.
D. Ask the client to complete a detailed questionnaire.
Intermittent explosive disorder - ANSWER -exhibit recurrent episodic violent and aggressive behavior
with the possibility of hurting people, property, or animals
Regression - ANSWER -Sudden use of childlike or primitive behaviors that do not correlate with the
person's current developmental level
Alcohol withdrawal expected findings - ANSWER -Insomnia and restlessness
Conversion - ANSWER -physical complaints not true
A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar
disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team -
ANSWER -Giving away possession
R: giving away possessions indicates that the pt is a greater risk for suicide.
