PRACTICE EXAM A
1. A nurse is contributing to the plan of care for a client who has borderline personality disorder
and exhibits manipulative behaviors. Which of the following interventions should the nurse
include in the plan to address limit setting? Establish and explain consequences for the client's
behavior
2. A nurse is assisting with screening a group of clients for major depressive disorder (MDD). The
nurse should identify that which of the following clients is at an increased risk for the
development of MDD? A client who just gave birth
3. A nurse in a mental health facility is collecting data from a client who has schizophrenia. The
nurse should identify that which of the following findings is referred to as a negative symptom of
schizophrenia? Apathy
4. A nurse is monitoring the nutritional status of a client who has bulimia nervosa. The nurse
should monitor the client for which of the following complications? Hyponatremia
5. 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 actions should the nurse instruct the
parent to take? Initiate a point system for the child
6. A nurse is collecting data from a client who has major depressive disorder. Which of the
following findings is the priority for the nurse to report to the provider? Feelings of hopelessness
7. A nurse in a mental health facility is caring for a client who is becoming agitated. Which of the
following actions should the nurse take first? Offer an diversion activity
8. 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."
9. A nurse is caring for a client who has anxiety disorder and is refusing to take a medication. Which
of the following responses should the nurse make? You have the right to refuse this medication.
10. 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.
11. A nurse is assisting with the planning of an interprofessional care conference for a newly
admitted client who is in the acute stage of anorexia nervosa. Which of the following members
of the interprofessional treatment team should the nurse include? Dietitian
12. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. When a
news report about military action appears on the television, the client says to the nurse, "My
youngest child died 6 months ago while serving in the military." Which of the following
responses should the nurse make? (Select all that apply.) "This must be a very difficult time for
you." "Your child's death must be a terrible loss." "Tell me something you remember about your
child."
13. A nurse in an inpatient unit is assisting with a group therapy session. During the session, a client
begins to shout and use 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."
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, ATI MENTAL HEALTH PRACTICE EXAM A & B
14. A nurse is caring for a client who takes naltrexone for the treatment of alcohol use disorder. The
nurse should identify that which of the following client statements indicates the medication is
effective? "I drink less alcohol in a day while taking naltrexone."
15. A nurse is caring for a client in a day treatment program. Which of the following actions should
the nurse take? (Click on the exhibit tabs for additional information about the client. There are
three tabs that contain separate categorieHistory and Physical
Subjective: Client states, "My stomach hurts."; "I feel sadder and more alone every day."
Client's adult child stated to the nurse upon dropping the client off today, "I've been meaning to tell you, I started giving my dad St. John's wort
several weeks ago to improve his mood."
Objective: Episodes of speech incoherency, rapid mood swings, 3 episodes of vomiting in the past 40 min
Moderate Alzheimer's disease
A nurse is caring for a client in a day treatment program. Which of the following actions should the nurse take? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate categories of data.)s of data.)
Request transport
for the client to an emergency department
16. A nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion of
cocaine use. The nurse should identify that which of the following findings is an indicator of the
client's use of this substance? Hypertension
17. A nurse is contributing to the plan of care for a client who has bipolar disorder. Which of the
following actions should the nurse include to promote a therapeutic environment during the
working phase of the nurse-client relationship? Reinforce teaching about medication.
18. A nurse is assisting with the admission of a client who has schizophrenia. Which of the following
actions should the nurse take first? Conduct an abnormal involuntary movement scale test
19. A nurse is preparing to administer haloperidol 3 mg IM to a client. Available is haloperidol
solution 5 mg/mL. How many mL should the nurse plan to administer? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.6mL
20. A nurse is collecting data from a newly admitted client. Which of the following questions should
the nurse include to gather psychosocial information? "Do you have a hobby that you enjoy?"
21. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new
prescription for buspirone. Which of the following statements should the nurse identify as an
indication that the client understands the information? I should expect my symptoms to improve
in about 2 to 4 weeks.
22. A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for
chlorpromazine. Which of the following statements should the nurse include in the teaching?
"The voices you have been hearing should decrease."
23. A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and
whose partner died several years ago. The client appears upset and asks the nurse when their
partner will visit again. The nurse states, "It seems like you are feeling lonely. Let's take a walk
outside and talk." Which of the following communication strategies is the nurse using?
Validation therapy
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