1. A nurse at an outpatient mental health clinic is assisting with a group
therapy session. One of the participants is having difficulty staying seated
and states loudly to the therapist, "I know more than you do about the people
in this room!" The nurse should identify that which of the following findings
is the likely explanation for the client's behavior?: Hypomania
2. A nurse is collecting data from a newly admitted client who has anorexia
nervosa. Which of the following manifestations should the nurse expect?: -
Peripheral edema
3. A nurse is reinforcing teaching about expected withdrawal manifestations
with a client who has enrolled in a smoking cessation course. Which of the
following client statements indicates an understanding of the information?-
: "I will probably feel irritable within 24 hours of my last cigarette."
4. A nurse is assisting with a mental status examination for a client who has
schizophrenia. Which of the following statements should the nurse make to
gather information about the client's ability to think abstractly?: "How is an
orange similar to an apple?"
5. A nurse is caring for a client who has bipolar disorder and is experiencing
a manic episode. Which of the following interventions should the nurse take
first?: Remove harmful objects from the client's room.
6. A nurse is caring for a client who has schizophrenia. Which of the following
actions by the nurse is a violation of the client's confidentiality?: The nurse
places the client's diagnosis on the white board in the client's room.
7. A nurse is preparing to administer clozapine for the first time to a client
who has schizophrenia. The nurse explains the therapeutic and adverse
effects of the medication to the client prior to administration. which of the
following ethical concepts is the nurse demonstrating?: Veracity
8. A nurse is caring for a client who gave birth to a stillborn fetus one week
ago. She states to the nurse, "I am so angry that my doctor didn't take better
care of me and my baby." Which of the following responses should the nurse
make?: "It is important to share what you are feeling, even if it is anger."
9. A nurse is reinforcing teaching with a client who has generalized anxiety
disorder and is to start therapy with buspirone. Which of the following state-
ments should the nurse identify as an indication that the client understands
the information?: "I should expect some improvement of my symptoms in about
10 days."
, Mental Health ATI Final
10. A nurse is collecting data from a client who has major depressive disor-
der. Which of the following findings is the priority for the nurse to report to
the provider?: Feelings of hopelessness
11. A nurse is collecting data from a client who is having difficulty coping
with the death of his child. Which of the following questions by the nurse is
the priority?: "Do you think about harming yourself?"
12. A nurse is contributing to the plan of care for a client who has obses-
sive-compulsive disorder and continually washes her hands. Which of the
following interventions should the nurse include?: Schedule times for the
client to wash her hands during the day.
13. A nurse on an inpatient unit is assisting with a group therapy session.
During the session, a client begins to shout, using aggressive language.
Which of the following statements should the nurse make to the client?: -
"When you raise your voice, it makes me feel uncomfortable and unsafe."
14. A nurse is caring for a client who has major depressive disorder (MDD).
The client states, "I have nothing to live for anymore. I just can't go on."
Which of the following responses should the nurse make?: "Are you thinking
about ending your life?"
15. A nurse is reinforcing teaching with the parent of a child who has ADHD
and is exhibiting disruptive behaviors at home. Which of the following ac-
tions should the nurse instruct the parent to take?: Initiate a point system for
the child
16. A nurse on an inpatient unit is collecting data from a group of clients.
Which of the following findings should the nurse report to the provider?: A
client who has borderline personality disorder and is pacing restlessly
17. A nurse is attempting to establish a therapeutic relationship with a newly
admitted client. Which of the following actions should the nurse plan to
take during the working phase of the nurse-client relationship?: Promote the
development of problem-solving skills.
18. A nurse in a provider's office is collecting data from an older adult client
whose adult child reports that she "seems confused and can't seem to
remember much." Which of the following findings should lead the nurse
to suspect delirium?: The client's level of consciousness changes during the
interview
19. A nurse is organizing care for a group of clients. According to Maslow's
hierarchy of needs, which of the following interventions should the nurse