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ATI Mental Health Practice
Exam A
A nurse is interviewing a client at a temporary shelter after surviving the
destruction of her home by a tornado. When assessing the client, the nurse
should ask which of the following questions to determine the patient’s ability to
cope with this situation?
- "To whom do you talk when you feel overwhelmed?"
- By asking this question, the nurse is assessing the client’s support system,
which is an important factor in the client’s ability to cope with the
situation.
A nurse is caring for a patient who gave birth to a stillborn baby. Which of the
following statements should the nurse make?
- "I'll stay with you just in case you want to talk."
- This response indicates the nurse’s interest in the client and a desire to
understand the client’s feelings.
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12
NURS 3631ATI Mental Health Practice Exam
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hours ago following a motor-vehicle crash. The client’s admission blood alcohol
level was 325 mg/dL. Which of the following findings should indicate to the
nurse that the client is experiencing alcohol withdrawal?
- BP 154/96 mm Hg
- Physical manifestations of alcohol withdrawal occur in addition to
psychological effects. A client who is experiencing alcohol withdrawal is
expected to have hypertension, tachycardia, and fever greater than 38.3°C
(101°F). It will be important for the nurse to rule out infection in the client
who has fever.
A nurse is teaching a family member and a client who has a sew diagnosis of
Alzheimer’s disease and is to start taking donepezil. Which of the following
statements should the nurse include in the teaching?
- "Take this medication in the evening at bedtime."
- The client should take this medication in the evening for optimal
effectiveness.
- A client should never double the dose after a missed dose due to adverse
effects of the medication but should notify the provider. Chewing,
crushing, or splitting the medication can affect the absorption of the
medication. If the client has difficulty swallowing, the provider can
NURS 3631ATI Mental Health Practice Exam
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prescribe orally disintegrating tablets.
A nurse is discussing a 12-step program with a patient 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 client should obtain a sponsor before discharge for an increased chance
of recovery.
NURS 3631ATI Mental Health Practice Exam
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- This is because the client-sponsor relationship has been shown to increase
program attendance and the chances of recovery.
During morning rounds, a nurse finds a client who has schizophrenia trembling
and tearful in her bed. She reports that a bomb was placed in her room by a
family member during visiting hours. Which of the following actions should the
nurse take?
- Assess the client for evidence of a perceptual disturbance.
- The nurse should assess the situation to determine if the client is
hallucinating or misperceiving external stimuli (experiencing illusions).
A nurse is admitting a patient with major depression disorder and a new
prescription for tranylcypromine. Which of the following OTC medications that
the patient reports taking should alert the nurse to a potential adverse reaction?
- Phenylephrine
- Tranylcypromine is an MAOI antidepressant, which should not be taken
with phenylephrine and other OTC medications for sinus congestions,
colds, or allergies due to their actions on the sympathetic nervous system,
which can result in severe hypertension.
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