RN ATI mental health practice test B 2019
A nurse in a community Health center is working with a group of clients who have posttraumatic stress
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group members? ans: Guided imagery
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, " my roommate never sleeps and keeps
me up, too."Which of the following actions should the nurse take? ans: Move the client who has bipolar
disorder to a private room.
A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which
of the following values should the nurse identify as a contraindication for receiving clozapine? ans: WBC
count, 2,500/mm3
A nurse is caring for four clients in the emergency department. The nurse should identify that which of
the following clients can give informed consent? ans: A 35-year-old client who has major depressive
disorder
A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and
using the majority of the groups time. Which of the following intervention should the nurse implement?
ans: Ask group members to discuss their feelings about the clients monopolizing behavior
A nurse in a community health centers teaching families of clients who have post traumatic stress
disorder about expected clinical manifestations. Which of the following manifestation should the nurse
include? ans: Experiences feelings of isolation
A nurse is preparing to administer diazepam 7.5 MG Bolus to a client for alcohol withdrawal. Available is
diazepam injection 5 mg/ml. How many ML should the nurse administer? (round the answer to the
nearest 10th. Using a leading zero if it applies. Do not use a trailing zero.) ans: 1.5
A nurse is planning prevention strategies for a partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention? ans: Establish
screening programs to identify at risk clients.
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 increased risk for depression? ans: The client has
COPD
A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives
alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate?
(select all that apply.) ans: Occupational therapy
Meal delivery services
Physical therapy
Home health services
, A nurse is receiving change of shift report for four clients. Which of the following should the nurse plan
to see first? ans: A client who is taking clozapine and reports a sore throat and chills
A nurse in a mental health clinic is planning care for four clients. Which of the following Should the nurse
delegate to an assistive personnel? ans: Stay with a client who has anorexia nervosa for one hour after
meal times
A nurse on a mental health unit observes a client who has acute mania hit another client.Which of the
following actions should the nurse take first? ans: Call for a team of staff members to help with the
situation.
A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of
the following information should the nurse include in the teaching? ans: Apply restraints when other
means of managing the clients behavior have failed.
A nurse is teaching the guardians of a client about their adolescent child diagnosis of bulimia nervosa
Which of the following statements made by the guardians indicates an understanding of their child's
illness? ans: It is important for our child to have regular dental check ups
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?
ans: I will talk about my feelings with a close friend
A nurse is caring for an older adult client who is experiencing delirium. Which of the following
intervention should the nurse include in the clients plan of care? ans: Permit the client to perform daily
rituals to decrease anxiety.
A nurse in a mental health clinic is caring for a client who has post-traumatic stress disorderAfter
returning from military deployment. Which of the following is the priority action for the nurse to take?
ans: Stay with a client when flashbacks occur.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make? ans: I'll stay with you just in case you want to talk.
A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner,Throwing
objects, and kicking others. Which of the following therapeutic nursing interventions is the priority? ans:
Reduce environmental stimuli
A nurse is caring for an older adult client who begins to cry and states, " I knew God would punish me
and I deserve this horrible sickness!"Which of the following responses should the nurse make? ans: Let's
talk about what is upsetting you
A nurse is performing a cognitive assessment to distinguish delirium from dementia and a client whose
family reports episodes of confusion. Which of the following assessment findings supports the nurses
suspicion of delirium? ans: Easily distracted
A nurse in a community Health center is working with a group of clients who have posttraumatic stress
disorder. Which of the following interventions should the nurse include to reduce anxiety among the
group members? ans: Guided imagery
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, " my roommate never sleeps and keeps
me up, too."Which of the following actions should the nurse take? ans: Move the client who has bipolar
disorder to a private room.
A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which
of the following values should the nurse identify as a contraindication for receiving clozapine? ans: WBC
count, 2,500/mm3
A nurse is caring for four clients in the emergency department. The nurse should identify that which of
the following clients can give informed consent? ans: A 35-year-old client who has major depressive
disorder
A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and
using the majority of the groups time. Which of the following intervention should the nurse implement?
ans: Ask group members to discuss their feelings about the clients monopolizing behavior
A nurse in a community health centers teaching families of clients who have post traumatic stress
disorder about expected clinical manifestations. Which of the following manifestation should the nurse
include? ans: Experiences feelings of isolation
A nurse is preparing to administer diazepam 7.5 MG Bolus to a client for alcohol withdrawal. Available is
diazepam injection 5 mg/ml. How many ML should the nurse administer? (round the answer to the
nearest 10th. Using a leading zero if it applies. Do not use a trailing zero.) ans: 1.5
A nurse is planning prevention strategies for a partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention? ans: Establish
screening programs to identify at risk clients.
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 increased risk for depression? ans: The client has
COPD
A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives
alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate?
(select all that apply.) ans: Occupational therapy
Meal delivery services
Physical therapy
Home health services
, A nurse is receiving change of shift report for four clients. Which of the following should the nurse plan
to see first? ans: A client who is taking clozapine and reports a sore throat and chills
A nurse in a mental health clinic is planning care for four clients. Which of the following Should the nurse
delegate to an assistive personnel? ans: Stay with a client who has anorexia nervosa for one hour after
meal times
A nurse on a mental health unit observes a client who has acute mania hit another client.Which of the
following actions should the nurse take first? ans: Call for a team of staff members to help with the
situation.
A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of
the following information should the nurse include in the teaching? ans: Apply restraints when other
means of managing the clients behavior have failed.
A nurse is teaching the guardians of a client about their adolescent child diagnosis of bulimia nervosa
Which of the following statements made by the guardians indicates an understanding of their child's
illness? ans: It is important for our child to have regular dental check ups
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?
ans: I will talk about my feelings with a close friend
A nurse is caring for an older adult client who is experiencing delirium. Which of the following
intervention should the nurse include in the clients plan of care? ans: Permit the client to perform daily
rituals to decrease anxiety.
A nurse in a mental health clinic is caring for a client who has post-traumatic stress disorderAfter
returning from military deployment. Which of the following is the priority action for the nurse to take?
ans: Stay with a client when flashbacks occur.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make? ans: I'll stay with you just in case you want to talk.
A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner,Throwing
objects, and kicking others. Which of the following therapeutic nursing interventions is the priority? ans:
Reduce environmental stimuli
A nurse is caring for an older adult client who begins to cry and states, " I knew God would punish me
and I deserve this horrible sickness!"Which of the following responses should the nurse make? ans: Let's
talk about what is upsetting you
A nurse is performing a cognitive assessment to distinguish delirium from dementia and a client whose
family reports episodes of confusion. Which of the following assessment findings supports the nurses
suspicion of delirium? ans: Easily distracted
