ATI mental health practice B
A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia
nervose and has a fainting episode during a ballet performance. Which of the following statements by
the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." ans: B. "She won't let me take
the trash from her room. I'm concerned about what she has in there."
The client might be binge eating and attempting to hide food containers, which is a common behavior
among clients who have bulimia nervosa. The parent's statement indicates awareness of the client's
behavior.
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions
should the nurse take first?
A. Inform the client that this administration is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitation behavior change
D. Determine coping strategies that the client has used in the past ans: A. Inform the client that this
administration is confidential
According to evidence-based practice, the nurse should first inform the client about confidentiality
during the orientation phase of the nurse-client relationship.
A nurse is teaching coping strategies to a client who is experiencing depression related to partner
violence. Which of the following statements by the client indicates an understanding of the teaching?
A. "I will spend extra time at work to keep from feeling depressed."
B. "I will talk about my feelings with a close friend."
C. "I will be able to learn how to prevent my partner's attacks."
D. "I will use meditation instead of taking my antidepressant." ans: B. "I will talk about my feelings with a
close friend."
Discussing feelings, such as fear and depression, with a support person is an effective coping strategy
and can provide the client with emotional support and other resources.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make?
A. "you probably want to hold your baby"
B. "I'll stay with you just in case you want to talk."
C. "I know how you must be feeling."
D. "It hurts now, but things will be better soon." ans: B. "I'll stay with you just in case you want to talk."
,This response demonstrates the therapeutic communication techniques of offering self and indicates
the nurse's interest in the client and a desire to understand the client's feelings.
A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of
the following statements should the charge nurse make?
A. "Clients can't refuse to take medications if they are admitted involuntarily."
B. "You can notify a client's family if they are admitted involuntarily."
C. "Clients who are admitted involuntarily maintain the right to give informed consent for procedures."
D. "You can remove a client's privileges if they are admitted involuntarily and refuse to attend therapy
sessions." ans: C. "Clients who are admitted involuntarily maintain the right to give informed consent for
procedures."
Clients who are admitted involuntarily maintain the right to give informed consent for treatment. They
also have the right to give informed consent for procedures.
A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing
objects, and kicking orders. Which of the following therapeutic nursing interventions is the priority?
A. Encourage expression of feelings
B. Support the child's attendance at an assertiveness training group
C. Assist the child to perform relaxation breathing
D. Reduce environmental stimuli ans: D. Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention is to reduce
environmental stimuli in an attempt to de-escalate the behavior and prevent injury.
A nurse in a community health center is teaching families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should
the nurse include?
A. Repeatedly talks about the traumatic incident
B. sleeps excessively
C. experiences feelings of isolation
D. uses repetitive speech ans: C. experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A nurse is assessing a client for risk factors for the development of depression. The nurse should identify
that which of the following factors places the client at an increased risk for depression?
A. The client is married
B. The client recently received a promotion at work
C. The client has COPD
D. The client is a male ans: C. The client has COPD
The nurse should identify that clients who have a chronic medical illness are at an increased risk for the
development of depression.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory
findings should the nurse expect?
A. Increased creatine phosphokinase (CPK)
, B. Increase low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
D. Decreased aspartate aminotransferase (AST) ans: A. Increased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
A nurse is caring for an older adult client who is experiencing delirium. Which of the following
interventions should the nurse include in the client's plan of care?
A. Offer the clients various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lightning ans: C. Permit the client to perform daily rituals to
decrease anxiety
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by permitting the client to perform daily rituals.
A nurse at a providers office is interviewing an older adult client. Which of the following actions should
the nurse plan to take?
Nurse's Notes
The client reports a history of anxiety; diagnosed with Alzheimer's disease 2 months ago. The client's
partner died 6 months ago. Reports decreased appetite, low energy levels, and insomnia for several
weeks; some memory loss.
Graphic Results
SaO2 96% on room air
Respiratory rate 20/min
Blood pressure 112/76 mm Hg (lying)
Blood pressure 104/68 mm Hg (standing)
Heart rate 68/min
Temperature 36° C (96.8° F)
Medication Administration Record
Captopril 12.5 mg by mouth three times daily
Digoxin 0.125 mg by mouth each morning
Multivitamin with iron one by mouth daily
Docusate sodium 50 mg by mouth each evening
A. Use a screening tool to evaluate the client for depression
B. Ask the provider to decrease the dosage of the client's blood pressure medication.
C. Instruct the client to decrease intake of vitamin B12.
D. Suggest the client go for a brisk walk 20 min just before bedtime. ans: A. Use a screening tool to
evaluate the client for depression
A nurse in an emergency department is caring for a femail adolescent who has a diagnosis of bulimia
nervose and has a fainting episode during a ballet performance. Which of the following statements by
the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." ans: B. "She won't let me take
the trash from her room. I'm concerned about what she has in there."
The client might be binge eating and attempting to hide food containers, which is a common behavior
among clients who have bulimia nervosa. The parent's statement indicates awareness of the client's
behavior.
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions
should the nurse take first?
A. Inform the client that this administration is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitation behavior change
D. Determine coping strategies that the client has used in the past ans: A. Inform the client that this
administration is confidential
According to evidence-based practice, the nurse should first inform the client about confidentiality
during the orientation phase of the nurse-client relationship.
A nurse is teaching coping strategies to a client who is experiencing depression related to partner
violence. Which of the following statements by the client indicates an understanding of the teaching?
A. "I will spend extra time at work to keep from feeling depressed."
B. "I will talk about my feelings with a close friend."
C. "I will be able to learn how to prevent my partner's attacks."
D. "I will use meditation instead of taking my antidepressant." ans: B. "I will talk about my feelings with a
close friend."
Discussing feelings, such as fear and depression, with a support person is an effective coping strategy
and can provide the client with emotional support and other resources.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make?
A. "you probably want to hold your baby"
B. "I'll stay with you just in case you want to talk."
C. "I know how you must be feeling."
D. "It hurts now, but things will be better soon." ans: B. "I'll stay with you just in case you want to talk."
,This response demonstrates the therapeutic communication techniques of offering self and indicates
the nurse's interest in the client and a desire to understand the client's feelings.
A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of
the following statements should the charge nurse make?
A. "Clients can't refuse to take medications if they are admitted involuntarily."
B. "You can notify a client's family if they are admitted involuntarily."
C. "Clients who are admitted involuntarily maintain the right to give informed consent for procedures."
D. "You can remove a client's privileges if they are admitted involuntarily and refuse to attend therapy
sessions." ans: C. "Clients who are admitted involuntarily maintain the right to give informed consent for
procedures."
Clients who are admitted involuntarily maintain the right to give informed consent for treatment. They
also have the right to give informed consent for procedures.
A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing
objects, and kicking orders. Which of the following therapeutic nursing interventions is the priority?
A. Encourage expression of feelings
B. Support the child's attendance at an assertiveness training group
C. Assist the child to perform relaxation breathing
D. Reduce environmental stimuli ans: D. Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention is to reduce
environmental stimuli in an attempt to de-escalate the behavior and prevent injury.
A nurse in a community health center is teaching families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should
the nurse include?
A. Repeatedly talks about the traumatic incident
B. sleeps excessively
C. experiences feelings of isolation
D. uses repetitive speech ans: C. experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A nurse is assessing a client for risk factors for the development of depression. The nurse should identify
that which of the following factors places the client at an increased risk for depression?
A. The client is married
B. The client recently received a promotion at work
C. The client has COPD
D. The client is a male ans: C. The client has COPD
The nurse should identify that clients who have a chronic medical illness are at an increased risk for the
development of depression.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory
findings should the nurse expect?
A. Increased creatine phosphokinase (CPK)
, B. Increase low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
D. Decreased aspartate aminotransferase (AST) ans: A. Increased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
A nurse is caring for an older adult client who is experiencing delirium. Which of the following
interventions should the nurse include in the client's plan of care?
A. Offer the clients various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lightning ans: C. Permit the client to perform daily rituals to
decrease anxiety
The nurse should provide a client who has delirium with a plan of care that decreases agitation and
anxiety by permitting the client to perform daily rituals.
A nurse at a providers office is interviewing an older adult client. Which of the following actions should
the nurse plan to take?
Nurse's Notes
The client reports a history of anxiety; diagnosed with Alzheimer's disease 2 months ago. The client's
partner died 6 months ago. Reports decreased appetite, low energy levels, and insomnia for several
weeks; some memory loss.
Graphic Results
SaO2 96% on room air
Respiratory rate 20/min
Blood pressure 112/76 mm Hg (lying)
Blood pressure 104/68 mm Hg (standing)
Heart rate 68/min
Temperature 36° C (96.8° F)
Medication Administration Record
Captopril 12.5 mg by mouth three times daily
Digoxin 0.125 mg by mouth each morning
Multivitamin with iron one by mouth daily
Docusate sodium 50 mg by mouth each evening
A. Use a screening tool to evaluate the client for depression
B. Ask the provider to decrease the dosage of the client's blood pressure medication.
C. Instruct the client to decrease intake of vitamin B12.
D. Suggest the client go for a brisk walk 20 min just before bedtime. ans: A. Use a screening tool to
evaluate the client for depression
