ATI EXAM ms
Exam Solution ms
ATI: Mental Health Proctored bank 403 questions 202
ms ms ms ms ms ms ms
6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VER
ms ms ms ms ms ms ms
IFIED ANSWERS (3F2E1) ms ms
QUESTION 1 ms
Term
ANSWER
Definition
QUESTION 2 ms
A nurse in the emergency room is collecting data from a client who has heroin intoxic
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ation. Which of the following findings should the nurse expect?
ms ms ms ms ms ms ms ms ms
A. Seizure activity
ms ms
B. Respiratory depression
ms ms
C. Hypersensitivity to pain
ms ms ms
D. Increased mental alertness
ms ms ms
ANSWER
Respiratory depression *Heroin is an opioid; therefore, the nurse should expect this client who has
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
heroin intoxication to exhibit respiratory depression.
ms ms ms ms ms
QUESTION 3 ms
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the following instructions should the nurse include in the teaching?
ms ms ms ms ms ms ms ms ms ms ms
A. Offer the client a list of activities to choose from
ms ms ms ms ms ms ms ms ms ms
B. Offer finger foods to the client
ms ms ms ms ms ms
C. Discourage naps throughout the day
ms ms ms ms ms
D. Turn on the television when the client is in the room
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
,Offer finger foods to the client *The caregiver should offer finger foods that the client can eat witho
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ut sitting down. Clients who have dementia often like to wander and walk off nervous energy, which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
can decrease anxiety and calm the client.
ms ms ms ms ms ms ms
QUESTION 4 ms
A nurse is preparing to meet with a client who has borderline personality disorder. W
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hich of the following actions should the nurse plan to take during the working phase
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the therapeutic relationship?
ms ms ms
A. Introduce the concept of client confidentiality
ms ms ms ms ms ms
B. Establish goals with the client
ms ms ms ms ms
C. Define the roles of the nurse and the client
ms ms ms ms ms ms ms ms ms
D. Facilitate change in the client's behavior
ms ms ms ms ms ms
ANSWER
Facilitate change in the client's behavior *The nurse should facilitate change in the client's behavior
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
during the working phase of the therapeutic relationship.
ms ms ms ms ms ms ms
QUESTION 5 ms
A nurse is caring for a client who just received a terminal diagnosis of cancer. Which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the following initial reactions should the nurse expect from the client?
ms ms ms ms ms ms ms ms ms ms ms
A. Bargaining
ms
B. Depression
ms
C. Denial
ms
D. Anger ms
ANSWER
Denial *The nurse should expect the client to deny the reality of the diagnosis initially. This is a pro
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tective reaction seeking to avoid psychological pain
ms ms ms ms ms ms
QUESTION 6 ms
A nurse is reinforcing teaching with the parent of a child who has a new prescription
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
for methylphenidate to treat ADHD. Which of the following instructions should the nu
ms ms ms ms ms ms ms ms ms ms ms ms
rse include in the teaching?
ms ms ms ms
A. "Weigh your child 3 times per week."
ms ms ms ms ms ms ms
B. "Expect your child to experience dark-colored stools."
ms ms ms ms ms ms ms
C. "Administer this medication at bedtime."
ms ms ms ms ms
D. "You should limit your child's intake of caffeine."
ms ms ms ms ms ms ms ms
ANSWER
"Weigh your child 3 times per week." *The nurse should instruct the parent to weigh the child 2 to
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
3 times per week. Weight loss is an adverse effect of this medication. If significant weight loss occur
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s, the parent should notify the provider.
ms ms ms ms ms ms
,QUESTION 7 ms
A nurse is reinforcing teaching with a client who has bipolar disorder and a new pres
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cription for valproic acid. The nurse should explain that the provider will routinely pr
ms ms ms ms ms ms ms ms ms ms ms ms ms
escribe which of the following tests while the client is taking valproic acid?
ms ms ms ms ms ms ms ms ms ms ms ms
A. Electrocardiogram
ms
B. Chest X-ray
ms ms
C. Thyroid function tests
ms ms ms
D. Liver function levels
ms ms ms
ANSWER
Liver function levels *The nurse should inform the client of the need to monitor liver function levels
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
regularly due to the risk of hepatotoxicity while taking valproic acid. It is is recommended to obtai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n baseline levels and then repeat testing every 2 months during the first 6 months of therapy.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
A nurse is caring for a client who is taking carbamazepine. The nurse should monitor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the client for which of the following adverse effects of carbamazepine?
ms ms ms ms ms ms ms ms ms ms
A. Thrombocytopenia
ms
B. Weight loss
ms ms
C. Polyuria
ms
D. Insomnia
ms
ANSWER
Thrombocytopenia *The nurse should monitor the client for thrombocytopenia (an increased risk of
ms ms ms ms ms ms ms ms ms ms ms ms ms
bleeding). The nurse should monitor for bleeding of the gums, which can indicate thrombocytopenia,
ms ms ms ms ms ms ms ms ms ms ms ms ms
and notify the provider if this occurs.
ms ms ms ms ms ms ms
QUESTION 9 ms
A nurse in a provider's office is collecting data for a client who has been taking donep
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ezil for Alzheimer's disease. The data indicate that the client's disease is progressing a
ms ms ms ms ms ms ms ms ms ms ms ms ms
nd becoming more severe. Which of the following medications should the nurse expec
ms ms ms ms ms ms ms ms ms ms ms ms
t the provider to prescribe?
ms ms ms ms
A. Megestrol
ms
B. Galantamine
ms
C. Memantine
ms
D. Haloperidol
ms
ANSWER
Memantine *As Alzheimer's disease progresses and becomes more severe, memantine is added to th
ms ms ms ms ms ms ms ms ms ms ms ms ms
e medication regimen. The medication is an n-methyl-D-
ms ms ms ms ms ms ms
aspartate antagonist, which can enhance cognition. It does not cure Alzheimer's disease
ms ms ms ms ms ms ms ms ms ms ms
, QUESTION 10 ms
A nurse is contributing to the plan of care for a newly admitted client who has bipola
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
r disorder and is experiencing acute mania. Which of the following client goals should
ms ms ms ms ms ms ms ms ms ms ms ms ms m
the nurse identify as the priority?
s ms ms ms ms ms
A. Practicing problem-solving skills
ms ms ms
B. Understanding the medication regimen
ms ms ms ms
C. Identifying indications of relapse
ms ms ms ms
D. Maintaining adequate hydration
ms ms ms
ANSWER
Maintaining adequate hydration *The priority goal for this client is to prevent physical exhaustion, m
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
aintain health, and meet nutritional and rest needs during the acute phase of the client's manic epis
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ode.
QUESTION 11 ms
A nurse on a mental health unit is preparing to discharge a client who has bulimia ne
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rvosa. Which of the medications should the nurse expect the provider to prescribe for
ms ms ms ms ms ms ms ms ms ms ms ms ms m
the client?
s ms
A. Paroxetine
ms
B. Fluconazole
ms
C. Bupropion
ms
D. Fluoxetine
ms
ANSWER
Fluoxetine *The nurse should expect the provider to prescribe fluoxetine for a client who has bulimi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
a nervosa. It is an SSRI used most frequently for the treatment of depression. It is thought to assist
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
in the treatment of binge eating associated with bulimia by decreasing the craving for carbohydrates
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
. It is prescribed for bulimia at 3 times the dosage that is used for the treatment of depression
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
A nurse is caring for a client who has schizophrenia and is experiencing auditory and
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
visual hallucinations. Which of the following actions should the nurse take?
ms ms ms ms ms ms ms ms ms ms
A. Ask the client what the voices are saying
ms ms ms ms ms ms ms ms
B. Encourage the client to use reality testing
ms ms ms ms ms ms ms
C. Limit the client's exposure to noise
ms ms ms ms ms ms
D. Place the client in seclusion
ms ms ms ms ms
ANSWER
Encourage the client to use reality testing *A client who is experiencing hallucinations can become fr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ightened or agitated. The nurse should encourage the client to perform reality testing during periods
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of hallucinations by looking at the faces of other clients in the area. If the other clients do not appe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ar frightened, the client should identify that the perception is a hallucination and not real.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Exam Solution ms
ATI: Mental Health Proctored bank 403 questions 202
ms ms ms ms ms ms ms
6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VER
ms ms ms ms ms ms ms
IFIED ANSWERS (3F2E1) ms ms
QUESTION 1 ms
Term
ANSWER
Definition
QUESTION 2 ms
A nurse in the emergency room is collecting data from a client who has heroin intoxic
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ation. Which of the following findings should the nurse expect?
ms ms ms ms ms ms ms ms ms
A. Seizure activity
ms ms
B. Respiratory depression
ms ms
C. Hypersensitivity to pain
ms ms ms
D. Increased mental alertness
ms ms ms
ANSWER
Respiratory depression *Heroin is an opioid; therefore, the nurse should expect this client who has
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
heroin intoxication to exhibit respiratory depression.
ms ms ms ms ms
QUESTION 3 ms
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the following instructions should the nurse include in the teaching?
ms ms ms ms ms ms ms ms ms ms ms
A. Offer the client a list of activities to choose from
ms ms ms ms ms ms ms ms ms ms
B. Offer finger foods to the client
ms ms ms ms ms ms
C. Discourage naps throughout the day
ms ms ms ms ms
D. Turn on the television when the client is in the room
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
,Offer finger foods to the client *The caregiver should offer finger foods that the client can eat witho
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ut sitting down. Clients who have dementia often like to wander and walk off nervous energy, which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
can decrease anxiety and calm the client.
ms ms ms ms ms ms ms
QUESTION 4 ms
A nurse is preparing to meet with a client who has borderline personality disorder. W
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hich of the following actions should the nurse plan to take during the working phase
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the therapeutic relationship?
ms ms ms
A. Introduce the concept of client confidentiality
ms ms ms ms ms ms
B. Establish goals with the client
ms ms ms ms ms
C. Define the roles of the nurse and the client
ms ms ms ms ms ms ms ms ms
D. Facilitate change in the client's behavior
ms ms ms ms ms ms
ANSWER
Facilitate change in the client's behavior *The nurse should facilitate change in the client's behavior
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
during the working phase of the therapeutic relationship.
ms ms ms ms ms ms ms
QUESTION 5 ms
A nurse is caring for a client who just received a terminal diagnosis of cancer. Which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the following initial reactions should the nurse expect from the client?
ms ms ms ms ms ms ms ms ms ms ms
A. Bargaining
ms
B. Depression
ms
C. Denial
ms
D. Anger ms
ANSWER
Denial *The nurse should expect the client to deny the reality of the diagnosis initially. This is a pro
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tective reaction seeking to avoid psychological pain
ms ms ms ms ms ms
QUESTION 6 ms
A nurse is reinforcing teaching with the parent of a child who has a new prescription
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
for methylphenidate to treat ADHD. Which of the following instructions should the nu
ms ms ms ms ms ms ms ms ms ms ms ms
rse include in the teaching?
ms ms ms ms
A. "Weigh your child 3 times per week."
ms ms ms ms ms ms ms
B. "Expect your child to experience dark-colored stools."
ms ms ms ms ms ms ms
C. "Administer this medication at bedtime."
ms ms ms ms ms
D. "You should limit your child's intake of caffeine."
ms ms ms ms ms ms ms ms
ANSWER
"Weigh your child 3 times per week." *The nurse should instruct the parent to weigh the child 2 to
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
3 times per week. Weight loss is an adverse effect of this medication. If significant weight loss occur
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s, the parent should notify the provider.
ms ms ms ms ms ms
,QUESTION 7 ms
A nurse is reinforcing teaching with a client who has bipolar disorder and a new pres
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cription for valproic acid. The nurse should explain that the provider will routinely pr
ms ms ms ms ms ms ms ms ms ms ms ms ms
escribe which of the following tests while the client is taking valproic acid?
ms ms ms ms ms ms ms ms ms ms ms ms
A. Electrocardiogram
ms
B. Chest X-ray
ms ms
C. Thyroid function tests
ms ms ms
D. Liver function levels
ms ms ms
ANSWER
Liver function levels *The nurse should inform the client of the need to monitor liver function levels
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
regularly due to the risk of hepatotoxicity while taking valproic acid. It is is recommended to obtai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n baseline levels and then repeat testing every 2 months during the first 6 months of therapy.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
A nurse is caring for a client who is taking carbamazepine. The nurse should monitor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the client for which of the following adverse effects of carbamazepine?
ms ms ms ms ms ms ms ms ms ms
A. Thrombocytopenia
ms
B. Weight loss
ms ms
C. Polyuria
ms
D. Insomnia
ms
ANSWER
Thrombocytopenia *The nurse should monitor the client for thrombocytopenia (an increased risk of
ms ms ms ms ms ms ms ms ms ms ms ms ms
bleeding). The nurse should monitor for bleeding of the gums, which can indicate thrombocytopenia,
ms ms ms ms ms ms ms ms ms ms ms ms ms
and notify the provider if this occurs.
ms ms ms ms ms ms ms
QUESTION 9 ms
A nurse in a provider's office is collecting data for a client who has been taking donep
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ezil for Alzheimer's disease. The data indicate that the client's disease is progressing a
ms ms ms ms ms ms ms ms ms ms ms ms ms
nd becoming more severe. Which of the following medications should the nurse expec
ms ms ms ms ms ms ms ms ms ms ms ms
t the provider to prescribe?
ms ms ms ms
A. Megestrol
ms
B. Galantamine
ms
C. Memantine
ms
D. Haloperidol
ms
ANSWER
Memantine *As Alzheimer's disease progresses and becomes more severe, memantine is added to th
ms ms ms ms ms ms ms ms ms ms ms ms ms
e medication regimen. The medication is an n-methyl-D-
ms ms ms ms ms ms ms
aspartate antagonist, which can enhance cognition. It does not cure Alzheimer's disease
ms ms ms ms ms ms ms ms ms ms ms
, QUESTION 10 ms
A nurse is contributing to the plan of care for a newly admitted client who has bipola
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
r disorder and is experiencing acute mania. Which of the following client goals should
ms ms ms ms ms ms ms ms ms ms ms ms ms m
the nurse identify as the priority?
s ms ms ms ms ms
A. Practicing problem-solving skills
ms ms ms
B. Understanding the medication regimen
ms ms ms ms
C. Identifying indications of relapse
ms ms ms ms
D. Maintaining adequate hydration
ms ms ms
ANSWER
Maintaining adequate hydration *The priority goal for this client is to prevent physical exhaustion, m
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
aintain health, and meet nutritional and rest needs during the acute phase of the client's manic epis
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ode.
QUESTION 11 ms
A nurse on a mental health unit is preparing to discharge a client who has bulimia ne
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rvosa. Which of the medications should the nurse expect the provider to prescribe for
ms ms ms ms ms ms ms ms ms ms ms ms ms m
the client?
s ms
A. Paroxetine
ms
B. Fluconazole
ms
C. Bupropion
ms
D. Fluoxetine
ms
ANSWER
Fluoxetine *The nurse should expect the provider to prescribe fluoxetine for a client who has bulimi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
a nervosa. It is an SSRI used most frequently for the treatment of depression. It is thought to assist
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
in the treatment of binge eating associated with bulimia by decreasing the craving for carbohydrates
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
. It is prescribed for bulimia at 3 times the dosage that is used for the treatment of depression
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
A nurse is caring for a client who has schizophrenia and is experiencing auditory and
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
visual hallucinations. Which of the following actions should the nurse take?
ms ms ms ms ms ms ms ms ms ms
A. Ask the client what the voices are saying
ms ms ms ms ms ms ms ms
B. Encourage the client to use reality testing
ms ms ms ms ms ms ms
C. Limit the client's exposure to noise
ms ms ms ms ms ms
D. Place the client in seclusion
ms ms ms ms ms
ANSWER
Encourage the client to use reality testing *A client who is experiencing hallucinations can become fr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ightened or agitated. The nurse should encourage the client to perform reality testing during periods
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of hallucinations by looking at the faces of other clients in the area. If the other clients do not appe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ar frightened, the client should identify that the perception is a hallucination and not real.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
