2023 ATI CMS MENTAL HEALTH EXAM TEST BANK
200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is on the elevator and overhears two nurses discussing a client on the unit.
Which of the following actions should the nurse take?
Tell the nurses to stop the discussion.
Complete a written warning for each of the nurses.
Discuss the occurrence with the cilent.
Report the issue to the ethics committee - ...ANSWER...Tell the nurses to stop the
discussion.
A nurse is sitting with a client in the dayroom. The client jumps up and states, "There
are snakes coming toward me! " Which of the following responses should the nurse
make?
"Let's move to a different room to avoid the snakes."
What do you usually do when this happens?"
I understand that you're seeing snakes, but I don't see any."
Would you like to play cards?" - ...ANSWER...I understand that you're seeing snakes,
but I don't see any.
A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's
disease. The caregiver reports that the client awakens at night and wanders. Which of
the following strategies should the nurse suggest?
Administer an antianxiety medication before bedtime.
Place a lock at the top of doors leading outside.
use light restraints whille the client is in bed.
,Encourage the client to nap during the day. - ...ANSWER...Place a lock at the top of
doors leading outside.
A nurse is reviewing the medical record of a client who is to receive electroconvulsive
therapy. The nurse should notify the provider for which of the following findings?
Asthma
Renal colic
Crohns disease
Cardiac arrhythmia - ...ANSWER...Cardiac arrhythmia
A nurse is caring for a client who has antisocial personality disorder. Which of the
following actions should the nurse take to intervene for
manipulative behaviors during group therapy?
Ignore manipulative behaviors during the session.
Discuss consequences of inappropriate behaviors.
Bargain with the client regarding established behavioral expectations.
Place the client in seclusion immediately after inappropriate behavior occurs. -
...ANSWER...Discuss consequences of inappropriate behaviors
A client who delivered a healthy newborn 4 weeks ago calls her provider's office and
tells the nurse. "This baby constantly cries. My partner works all the time, and I can't
take any more." Which of the following responses is the nurse's priority?
"Tell me about your baby. Where is she now?"
Have you discussed this with your partner?"
"Do you have a friend who could help you?"
"Having a newborn must be stressful. Do you have other children? -
...ANSWER..."Having a newborn must be stressful. Do you have other children?
A nurse is caring for a client who states, "I'm overwhelmed, and no one understands. I
can't take it anymore." Which of the following responses should the nurse make first?
"Do you have anyone you can talk to about your feelings?"
,"Are you saying that no one understands your concerns?"
"Are you thinking of harming yourself?"
Tell me more about how you are feeling" - ...ANSWER...Are you thinking of harming
yourself?"
A nurse is assisting with a staff education session about legal issues affecting the care
of clients who have mental health diagnoses. Which of the
following examples should the nurse identify as libel?
Taking the clothes of a client who is Voluntarily admitted so that he cannot leave
Threatening to apply restraints on a client who is refusing medication
Documenting false information about a clients substance use history
Administering an incorrect dosage of a client's medication - ...ANSWER...Documenting
false information about a clients substance use history
A nurse on an inpatient mental health unit is caring for a client who has bipolar disorder.
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 catetorles of data.)
initiate sodium restrictions.
Engage the client in a group activity.
Withnoid the next dose of aripiprazol
Accompany the client to a private area. - ...ANSWER...Accompany the client to a private
area.
A nurse is observing a newly hired nurse communicate with a client. The newly hired
nurse asks. "You take your medications at a different time than prescribed?" Which of
the following communication techniques is the newly hired nurse using?
Offering self
Exploring
Presenting reality
Reflecting - ...ANSWER...Presenting reality
, A nurse is caring for a client who was placed in four-point restraints by the nursing staff
following an episode of violent behavior. Which of the following actions should the nurse
take?
Request the provider renew the prescription in 24 hr.
Keep staff interactions with the client to a minimum.
Provide range-of-motion exercises to all extremities every 2 hr.
Document the client's behavior in the medical record every 1 hr. - ...ANSWER...Request
the provider renew the prescription in 24 hr.
A nurse is caring for a client who has terminal cancer and is receiving palliative care.
Which of the following statements indicates that the client is demonstrating effective
coping?
I hope to have surgery to cure my cancer."
"I need to return to work as soon as my treatment is complete. "
I should start making my funerat arrangements."
I still believe my cancer will go into remission." - ...ANSWER...I should start making my
funerat arrangements."
A nurse is monitoring a client who has major depressive disorder and is taking
amitriptyline. Which of the following findings should the nurse
identify as an adverse effect of this medication?
Urinary retention
Hypertension
Diarrhea
Excessive salivation - ...ANSWER...Urinary retention
A nurse is monitoring a client who is receiving haloperidol. Which of the following
findings is the priority to report to the provider?
Hypoactive bowel sounds in all four quadrants
client report of dry mouth
Client report of photosensitivity
200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is on the elevator and overhears two nurses discussing a client on the unit.
Which of the following actions should the nurse take?
Tell the nurses to stop the discussion.
Complete a written warning for each of the nurses.
Discuss the occurrence with the cilent.
Report the issue to the ethics committee - ...ANSWER...Tell the nurses to stop the
discussion.
A nurse is sitting with a client in the dayroom. The client jumps up and states, "There
are snakes coming toward me! " Which of the following responses should the nurse
make?
"Let's move to a different room to avoid the snakes."
What do you usually do when this happens?"
I understand that you're seeing snakes, but I don't see any."
Would you like to play cards?" - ...ANSWER...I understand that you're seeing snakes,
but I don't see any.
A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's
disease. The caregiver reports that the client awakens at night and wanders. Which of
the following strategies should the nurse suggest?
Administer an antianxiety medication before bedtime.
Place a lock at the top of doors leading outside.
use light restraints whille the client is in bed.
,Encourage the client to nap during the day. - ...ANSWER...Place a lock at the top of
doors leading outside.
A nurse is reviewing the medical record of a client who is to receive electroconvulsive
therapy. The nurse should notify the provider for which of the following findings?
Asthma
Renal colic
Crohns disease
Cardiac arrhythmia - ...ANSWER...Cardiac arrhythmia
A nurse is caring for a client who has antisocial personality disorder. Which of the
following actions should the nurse take to intervene for
manipulative behaviors during group therapy?
Ignore manipulative behaviors during the session.
Discuss consequences of inappropriate behaviors.
Bargain with the client regarding established behavioral expectations.
Place the client in seclusion immediately after inappropriate behavior occurs. -
...ANSWER...Discuss consequences of inappropriate behaviors
A client who delivered a healthy newborn 4 weeks ago calls her provider's office and
tells the nurse. "This baby constantly cries. My partner works all the time, and I can't
take any more." Which of the following responses is the nurse's priority?
"Tell me about your baby. Where is she now?"
Have you discussed this with your partner?"
"Do you have a friend who could help you?"
"Having a newborn must be stressful. Do you have other children? -
...ANSWER..."Having a newborn must be stressful. Do you have other children?
A nurse is caring for a client who states, "I'm overwhelmed, and no one understands. I
can't take it anymore." Which of the following responses should the nurse make first?
"Do you have anyone you can talk to about your feelings?"
,"Are you saying that no one understands your concerns?"
"Are you thinking of harming yourself?"
Tell me more about how you are feeling" - ...ANSWER...Are you thinking of harming
yourself?"
A nurse is assisting with a staff education session about legal issues affecting the care
of clients who have mental health diagnoses. Which of the
following examples should the nurse identify as libel?
Taking the clothes of a client who is Voluntarily admitted so that he cannot leave
Threatening to apply restraints on a client who is refusing medication
Documenting false information about a clients substance use history
Administering an incorrect dosage of a client's medication - ...ANSWER...Documenting
false information about a clients substance use history
A nurse on an inpatient mental health unit is caring for a client who has bipolar disorder.
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 catetorles of data.)
initiate sodium restrictions.
Engage the client in a group activity.
Withnoid the next dose of aripiprazol
Accompany the client to a private area. - ...ANSWER...Accompany the client to a private
area.
A nurse is observing a newly hired nurse communicate with a client. The newly hired
nurse asks. "You take your medications at a different time than prescribed?" Which of
the following communication techniques is the newly hired nurse using?
Offering self
Exploring
Presenting reality
Reflecting - ...ANSWER...Presenting reality
, A nurse is caring for a client who was placed in four-point restraints by the nursing staff
following an episode of violent behavior. Which of the following actions should the nurse
take?
Request the provider renew the prescription in 24 hr.
Keep staff interactions with the client to a minimum.
Provide range-of-motion exercises to all extremities every 2 hr.
Document the client's behavior in the medical record every 1 hr. - ...ANSWER...Request
the provider renew the prescription in 24 hr.
A nurse is caring for a client who has terminal cancer and is receiving palliative care.
Which of the following statements indicates that the client is demonstrating effective
coping?
I hope to have surgery to cure my cancer."
"I need to return to work as soon as my treatment is complete. "
I should start making my funerat arrangements."
I still believe my cancer will go into remission." - ...ANSWER...I should start making my
funerat arrangements."
A nurse is monitoring a client who has major depressive disorder and is taking
amitriptyline. Which of the following findings should the nurse
identify as an adverse effect of this medication?
Urinary retention
Hypertension
Diarrhea
Excessive salivation - ...ANSWER...Urinary retention
A nurse is monitoring a client who is receiving haloperidol. Which of the following
findings is the priority to report to the provider?
Hypoactive bowel sounds in all four quadrants
client report of dry mouth
Client report of photosensitivity
