ATI RN MENTAL HEALTH 2019 WITH NGN 100%
PASS WITH RATIONALES
1.A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive
succinylcholine. The client asks the nurse about this medication. Which of the following responses
should the nurse make?
"Succinylcholine is given to reduce muscle movements during therapy." - Succinylcholine is a muscle-
paralyzing agent that will decrease muscle movement during the procedure so the client is less likely
to be injured.
2.A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. Which of the following resources
should the nurse recommend to the caregiver?
Respite care
3.A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
The client reports an inability to breathe easily.
4.A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic
medication yesterday. Which of the following findings indicates the nurse should administer
benztropine 2 mg IM?
Shuffling gait
,5.A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral
therapy through operant conditioning. Which of the following client behaviors indicates
effectiveness of the therapy?
Refrains from manipulating others to earn dining room privileges
6.A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which
of the following interventions should the nurse include in the plan of care?
Encourage the client to drink 125 mL of fluid each hour while awake.
7.A nurse is obtaining a mental health history from an older adult client. Which of the following
actions should the nurse plan to take?
Interview the client in a private setting.
8.A community health nurse is planning an education program about depressive disorders. Which of
the following factors should the nurse include as increasing the risk for depression?
Substance use disorder
9.A nurse is admitting a client who has alcohol use disorder. Which of the following statements by
the client indicates that the client is using denial as a defense mechanism?
"I am able to go to work every day, so I don't have a problem."
10.A client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. During the discussion of the medication adherence portion of the plan, a nurse
,notices that the family member seems distracted. Which of the following actions should the nurse
take?
Ask the family member if they have any thoughts or questions about the treatment plan.
11.A nurse is documenting admission assessment findings for a client who has major depressive
disorder. The nurse should identify which of the following findings as clinical manifestations? (Select
all that apply.)
Feelings of hopelessness
Anhedonia
Flat facial expression
12.A nurse is reviewing routine laboratory values for several clients who are taking lithium
carbonate. Which of the following clients should the nurse assess further for flings indicating lithium
toxicity?
A client who has a sodium level of 128 mEq/L
13.A nurse is assessing a client who recently used cocaine. Which of the following findings should
the nurse expect?
Hypertension
14.A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations.
Which of the following interventions should the nurse include in the plan?
Promote the use of music to compete with the client's auditory hallucinations.
, 15.A client who has a diagnosis of depression is attending group therapy. During the group meeting,
the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not
respond. Which of the following actions should the nurse take before repeating the request to the
client?
Allow the client time to formulate an answer.
16.A nurse in an emergency department is admitting a client who reports experiencing a headache
and heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression
and a blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the following
actions should the nurse take first?
Determine the client's prescribed medication regimen.- The first action the nurse should take when
using the nursing process is to assess the client. By determining the client's prescribed medications,
the nurse can determine the cause of the hypertension, such as the client taking an MAOI to treat
depression. These medications can precipitate a hypertensive crisis if consumed with tyramine-
containing foods, including wine.
18.A charge nurse is preparing an education session for a group of newly licensed nurses to review
client rights under the law. Which of the following statements should the nurse make?
"In the event a client threatens harm to others, medications can be administered without consent."
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking lamotrigine and has developed a rash
19.A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which
of the following information should the nurse include in the teaching?
Avoid looking directly at the light during treatment.
PASS WITH RATIONALES
1.A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive
succinylcholine. The client asks the nurse about this medication. Which of the following responses
should the nurse make?
"Succinylcholine is given to reduce muscle movements during therapy." - Succinylcholine is a muscle-
paralyzing agent that will decrease muscle movement during the procedure so the client is less likely
to be injured.
2.A nurse is discussing the home care of a client who has advanced Alzheimer's disease with the
client's partner, who is planning to go out of town for several days. Which of the following resources
should the nurse recommend to the caregiver?
Respite care
3.A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify the provider?
The client reports an inability to breathe easily.
4.A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic
medication yesterday. Which of the following findings indicates the nurse should administer
benztropine 2 mg IM?
Shuffling gait
,5.A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral
therapy through operant conditioning. Which of the following client behaviors indicates
effectiveness of the therapy?
Refrains from manipulating others to earn dining room privileges
6.A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which
of the following interventions should the nurse include in the plan of care?
Encourage the client to drink 125 mL of fluid each hour while awake.
7.A nurse is obtaining a mental health history from an older adult client. Which of the following
actions should the nurse plan to take?
Interview the client in a private setting.
8.A community health nurse is planning an education program about depressive disorders. Which of
the following factors should the nurse include as increasing the risk for depression?
Substance use disorder
9.A nurse is admitting a client who has alcohol use disorder. Which of the following statements by
the client indicates that the client is using denial as a defense mechanism?
"I am able to go to work every day, so I don't have a problem."
10.A client who has paranoid schizophrenia is attending a treatment planning conference with a
family member. During the discussion of the medication adherence portion of the plan, a nurse
,notices that the family member seems distracted. Which of the following actions should the nurse
take?
Ask the family member if they have any thoughts or questions about the treatment plan.
11.A nurse is documenting admission assessment findings for a client who has major depressive
disorder. The nurse should identify which of the following findings as clinical manifestations? (Select
all that apply.)
Feelings of hopelessness
Anhedonia
Flat facial expression
12.A nurse is reviewing routine laboratory values for several clients who are taking lithium
carbonate. Which of the following clients should the nurse assess further for flings indicating lithium
toxicity?
A client who has a sodium level of 128 mEq/L
13.A nurse is assessing a client who recently used cocaine. Which of the following findings should
the nurse expect?
Hypertension
14.A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations.
Which of the following interventions should the nurse include in the plan?
Promote the use of music to compete with the client's auditory hallucinations.
, 15.A client who has a diagnosis of depression is attending group therapy. During the group meeting,
the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not
respond. Which of the following actions should the nurse take before repeating the request to the
client?
Allow the client time to formulate an answer.
16.A nurse in an emergency department is admitting a client who reports experiencing a headache
and heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression
and a blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the following
actions should the nurse take first?
Determine the client's prescribed medication regimen.- The first action the nurse should take when
using the nursing process is to assess the client. By determining the client's prescribed medications,
the nurse can determine the cause of the hypertension, such as the client taking an MAOI to treat
depression. These medications can precipitate a hypertensive crisis if consumed with tyramine-
containing foods, including wine.
18.A charge nurse is preparing an education session for a group of newly licensed nurses to review
client rights under the law. Which of the following statements should the nurse make?
"In the event a client threatens harm to others, medications can be administered without consent."
A nurse is caring for a group of clients. Which of the following findings should the nurse report?
A client who is taking lamotrigine and has developed a rash
19.A nurse is providing teaching to a client who is to begin undergoing light therapy at home. Which
of the following information should the nurse include in the teaching?
Avoid looking directly at the light during treatment.
