Mental Health ATI
A nurse is teaching a client who has schizophrenia about her new prescription for
risperidone. Which of the following statements should the nurse include in the teaching?
- Answer "you should continue the medication if you develop muscle rigidity."
A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first? - Answer Provide the client with a
quiet environment
A nurse is conducting an admission interview with a client who is experiencing mania.
Which of the following should the nurse report to the provider? - Answer Reports eating
twice in the past two weeks.
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
the following recommendation should the nurse include in the clients plan of care? -
Answer Thought stopping
A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take? - Answer Dim the lights
in the clients room
or/and
encourage client to participate in physical activity
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide
of a classmate. Which of the following actions should the nurse take first? - Answer
Identify prior coping skills
A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for
an eye in the sky. Sky is up high." The nurse should document the client's statement as
which of the following speech alterations? - Answer Clang association
An older adult client is brought to the mental health clinic by her daughter. The daughter
reports that her mother is not eating and seems uninterested in routine activities. The
daughter states "I'm so worried that my mother is depressed" which of the following
responses should the nurse make? - Answer Tell me the reasons you think your mother
is depressed.
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of
the following outcomes should the nurse include in the plan care? - Answer Initiates
social interactions with caregivers.
,A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of the
following instructions should the nurse give the client when using thought stopping
technique? - Answer -Snap a rubber band on your wrist when you think about checking
the locks.
-Focus on abdominal breathing whenever you go to check the locks.
A nurse is caring for a client who is starting treatment for substance use disorder. Which
of the following actions indicate the nurse is practicing the ethical principle of
nonmaleficence? - Answer Withholding the prescribed medication that is causing
adverse effects for the client
A nurse in a group home facility is caring for a client who is developmentally disabled.
The client has been stealing belongings from other clients. Which of the following
techniques should the nurse use? - Answer Positive reinforcement to increase desired
behavior
A nurse is caring for a client who is experiencing a panic attack. Which of the following
actions should the nurse take? - Answer Have the client breathe into a paper bag
The nurse is caring for a client following a physical assault. The client states "I don't
remember what happened to me." The nurse should recognize that the client is using
which of the following defense mechanisms? - Answer repression
A nurse is caring for a client who has anorexia nervosa. Which of the following findings
require immediate intervention by the nurse? - Answer Blood pH 7.60
A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority intervention? -
Answer Set limits on the client's behavior
Dosage Calculation Question. - Answer volume/time
A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
discuss why with the health care team. Which of the following actions should the nurse
take? - Answer Document the client's refusal of the treatment in the medical record.
A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following
actions should the nurse take first? - Answer Discuss the clients coping skills.
A nurse is caring for a client who has borderline personality disorder and has been
engaging in selfmutilation. The nurse should encourage the client to participate in which
of the following groups. - Answer Dialectical treatment group
, The nurse is reviewing the medication administration record of a client who has
schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement
Scale to monitor for adverse effects of which of the following medications? - Answer
Haloperidol
A nurse is counseling a client following the death of a clients partner 8 months ago.
Which of the following client statements indicates maladaptive grieving? - Answer I still
don't feel up to returning to work
A nurse is caring for a client who has borderline personality disorder. Which of the
following outcomes should the nurse include in the treatment plan? - Answer The client
will verbalize improved mood
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder.
The client states "I can't stand to be touched by another person." Which of the following
responses should the nurse make? - Answer I will tell your provider you would like a
treatment other than a massage.
A nurse is creating a plan of care for a client who has major depressive disorder. Which
of the following interventions should the nurse include in the plan? - Answer Encourage
physical activity for the client during the day
A nurse is providing counseling for a family that consists of two parents and their two
adolescent children. Which of the following family members should the nurse identify as
acting in the role as the monopolizer? - Answer The adolescent daughter who attempts
to dominate the conversation.
A nurse is developing a teaching plan for the family of an older adult client who is to
receive transcranial magnetic stimulation. Which of the following information should the
nurse include in the teaching plan? - Answer The client might have a headache after
treatment.
A nurse is providing teaching about disulfiram to a client who has a history of alcohol
use. Which of the following instructions should the nurse include in the teaching?
(Select all that apply) - Answer -"You will need to take the medication once daily"
-"You should avoid using mouthwash that contains alcohol"
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following actions should the nurse take? - Answer Avoid power struggles by remaining
neutral
A nurse is assessing a young adult female client for schizophrenia. Which of the
following findings should the nurse identify as a risk factor for this condition? - Answer
Birth order
A nurse is teaching a client who has schizophrenia about her new prescription for
risperidone. Which of the following statements should the nurse include in the teaching?
- Answer "you should continue the medication if you develop muscle rigidity."
A nurse is admitting a client who has generalized anxiety disorder. Which of the
following actions should the nurse plan to take first? - Answer Provide the client with a
quiet environment
A nurse is conducting an admission interview with a client who is experiencing mania.
Which of the following should the nurse report to the provider? - Answer Reports eating
twice in the past two weeks.
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
the following recommendation should the nurse include in the clients plan of care? -
Answer Thought stopping
A nurse is caring for a client who has bipolar disorder and is experiencing a manic
episode. Which of the following actions should the nurse take? - Answer Dim the lights
in the clients room
or/and
encourage client to participate in physical activity
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide
of a classmate. Which of the following actions should the nurse take first? - Answer
Identify prior coping skills
A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for
an eye in the sky. Sky is up high." The nurse should document the client's statement as
which of the following speech alterations? - Answer Clang association
An older adult client is brought to the mental health clinic by her daughter. The daughter
reports that her mother is not eating and seems uninterested in routine activities. The
daughter states "I'm so worried that my mother is depressed" which of the following
responses should the nurse make? - Answer Tell me the reasons you think your mother
is depressed.
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of
the following outcomes should the nurse include in the plan care? - Answer Initiates
social interactions with caregivers.
,A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of the
following instructions should the nurse give the client when using thought stopping
technique? - Answer -Snap a rubber band on your wrist when you think about checking
the locks.
-Focus on abdominal breathing whenever you go to check the locks.
A nurse is caring for a client who is starting treatment for substance use disorder. Which
of the following actions indicate the nurse is practicing the ethical principle of
nonmaleficence? - Answer Withholding the prescribed medication that is causing
adverse effects for the client
A nurse in a group home facility is caring for a client who is developmentally disabled.
The client has been stealing belongings from other clients. Which of the following
techniques should the nurse use? - Answer Positive reinforcement to increase desired
behavior
A nurse is caring for a client who is experiencing a panic attack. Which of the following
actions should the nurse take? - Answer Have the client breathe into a paper bag
The nurse is caring for a client following a physical assault. The client states "I don't
remember what happened to me." The nurse should recognize that the client is using
which of the following defense mechanisms? - Answer repression
A nurse is caring for a client who has anorexia nervosa. Which of the following findings
require immediate intervention by the nurse? - Answer Blood pH 7.60
A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority intervention? -
Answer Set limits on the client's behavior
Dosage Calculation Question. - Answer volume/time
A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
discuss why with the health care team. Which of the following actions should the nurse
take? - Answer Document the client's refusal of the treatment in the medical record.
A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following
actions should the nurse take first? - Answer Discuss the clients coping skills.
A nurse is caring for a client who has borderline personality disorder and has been
engaging in selfmutilation. The nurse should encourage the client to participate in which
of the following groups. - Answer Dialectical treatment group
, The nurse is reviewing the medication administration record of a client who has
schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement
Scale to monitor for adverse effects of which of the following medications? - Answer
Haloperidol
A nurse is counseling a client following the death of a clients partner 8 months ago.
Which of the following client statements indicates maladaptive grieving? - Answer I still
don't feel up to returning to work
A nurse is caring for a client who has borderline personality disorder. Which of the
following outcomes should the nurse include in the treatment plan? - Answer The client
will verbalize improved mood
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder.
The client states "I can't stand to be touched by another person." Which of the following
responses should the nurse make? - Answer I will tell your provider you would like a
treatment other than a massage.
A nurse is creating a plan of care for a client who has major depressive disorder. Which
of the following interventions should the nurse include in the plan? - Answer Encourage
physical activity for the client during the day
A nurse is providing counseling for a family that consists of two parents and their two
adolescent children. Which of the following family members should the nurse identify as
acting in the role as the monopolizer? - Answer The adolescent daughter who attempts
to dominate the conversation.
A nurse is developing a teaching plan for the family of an older adult client who is to
receive transcranial magnetic stimulation. Which of the following information should the
nurse include in the teaching plan? - Answer The client might have a headache after
treatment.
A nurse is providing teaching about disulfiram to a client who has a history of alcohol
use. Which of the following instructions should the nurse include in the teaching?
(Select all that apply) - Answer -"You will need to take the medication once daily"
-"You should avoid using mouthwash that contains alcohol"
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following actions should the nurse take? - Answer Avoid power struggles by remaining
neutral
A nurse is assessing a young adult female client for schizophrenia. Which of the
following findings should the nurse identify as a risk factor for this condition? - Answer
Birth order
