ATI Mental Health TEST QUESTIONS AND
ANSWERS (2023/2024) (VERIFIED
ANSWERS)WITH NGN
A nurse is caring for a client who has a history of substance use
and was involuntarily admitted to a mental health facility. When
the nurse attempts to administer oral lorazepam, the client
refuses to take the medication and becomes physically
aggressive. Which of the following actions should the nurse take?
- Request a prescription for IV lorazepam.
- Do not administer the lorazepam.
- Request that another nurse attempt to administer the lorazepam.
- Place the lorazepam in the client's food. - CORRECT ANSWER
- Do not administer the lorazepam.
Clients who are involuntarily admitted retain the right to refuse
treatment. Requesting a prescription for and administering IV
lorazepam, requesting that another nurse attempt to administer
the lorazepam, and placing the lorazepam in the client's food all
violate the client's rights.
A nurse is preparing to participate in an interdisciplinary
conference for a client who has bipolar disorder. Which of the
following behaviors is the highest priority for the nurse to report to
the treatment team?
- Calling family members
- Spending time alone
- Giving away possessions
,- Excessive crying - CORRECT ANSWER - Giving away
possessions
Giving away possessions indicates this client is at greatest risk for
suicide; therefore, this is the priority finding. The nurse should
report that the client is: calling family members to indicate the
client has support,
is spending time alone to indicate the client is withdrawn from
others, and that the client is crying excessively to indicate the
client is showing signs of depression, but these are not the
highest priority findings.
A nurse is performing an assessment on a 78-year-old client who
has injuries consistent with suspected abuse. Which of the
following statements indicates the greatest potential risk factor for
abuse?
- "My children manage my finances, but I still have to sign the
checks."
- "My son enjoys a couple of drinks each night to unwind."
- "My daughter-in-law is expecting another baby soon."
- "I plan on living on my own with the help of home health
services." - CORRECT ANSWER - "My son enjoys a couple of
drinks each night to unwind."
Substance abuse increases the likelihood of family violence; use
of alcohol by this client's adult son places this client at greatest
risk for abuse. Dependency on others for financial matters places
this client at risk, but this client still retains ultimate control of final
decisions. The daughter-in-law's pregnancy may place added
stress on the household, but it is not the greatest risk for abuse.
Requiring the assistance of outside resources implies a level of
dependence but does not pose the greatest risk for abuse.
,A nurse is caring for a client who is experiencing acute alcohol
withdrawal. Which of the following medications should the nurse
administer?
- Methadone
- Disulfiram
- Naltrexone
- Chlordiazepoxide - CORRECT ANSWER - Chlordiazepoxide
The nurse should administer chlordiazepoxide for acute alcohol
withdrawal to prevent withdrawal symptoms. Methadone prevents
withdrawal symptoms from opioids. Disulfiram is administered
after alcohol detoxification to assist the client maintain abstinence.
Naltrexone is administered after alcohol detoxification to assist
the client to maintain abstinence.
A nurse is preparing to discharge an older adult client, who
attempted suicide, to his home where he lives alone. The client
also has difficulty performing ADLs. Which of the following
referrals should the nurse initiate? (Select all that apply.)
- Occupational therapy
- Meal delivery services
- Speech therapy
- Physical therapy
- Home health services - CORRECT ANSWER - Occupational
therapy
- Meal delivery services
- Physical therapy
- Home health services
An occupational therapist can assist the client to perform ADLs.
Meal delivery services are necessary due to the client's difficulty
performing ADLs. A physical therapist can assess the client's
mobility needs and assist with ADLs. Home health services
, provide nursing assessment of the client's physical and mental
status, as well as assistance with ADLs. There is no indication the
client needs a referral for speech therapy.
A nurse is caring for a client in a mental health facility who has
recently started a new prescription for valproic acid. For which of
the following should the nurse monitor to determine effectiveness
of the medication?
- The client has decreased preoccupation with thoughts of food.
- The client states that her craving for alcohol has decreased.
- The client has decreased episodes of pressured speech.
- The client is no longer experiencing agnosia. - CORRECT
ANSWER - The client has decreased episodes of pressured
speech.
The nurse should monitor for decreased episodes of pressured
speech, insomnia, grandiose thoughts and hyperactivity for a
client who has mania and is taking valproic acid. The nurse
should monitor for decreased preoccupation with thoughts of food
for a client with an eating disorder, decreased craving for alcohol
for a client who is experiencing withdrawal from alcohol, and
absence of agnosia for a client who has dementia, but these are
not therapeutic effects of valproic acid.
A nurse is caring for a client who is scheduled to undergo
electroconvulsive therapy (ECT). The provider has explained the
procedure to the client. Which of the following statements made
by the client indicates a need for further teaching?
- "Following the procedure, I can expect to have short-term
memory loss."
- "I can expect to have two treatments a week for the next 4 to 6
weeks."
- "During the procedure, I will have a cardiac monitor in place."
ANSWERS (2023/2024) (VERIFIED
ANSWERS)WITH NGN
A nurse is caring for a client who has a history of substance use
and was involuntarily admitted to a mental health facility. When
the nurse attempts to administer oral lorazepam, the client
refuses to take the medication and becomes physically
aggressive. Which of the following actions should the nurse take?
- Request a prescription for IV lorazepam.
- Do not administer the lorazepam.
- Request that another nurse attempt to administer the lorazepam.
- Place the lorazepam in the client's food. - CORRECT ANSWER
- Do not administer the lorazepam.
Clients who are involuntarily admitted retain the right to refuse
treatment. Requesting a prescription for and administering IV
lorazepam, requesting that another nurse attempt to administer
the lorazepam, and placing the lorazepam in the client's food all
violate the client's rights.
A nurse is preparing to participate in an interdisciplinary
conference for a client who has bipolar disorder. Which of the
following behaviors is the highest priority for the nurse to report to
the treatment team?
- Calling family members
- Spending time alone
- Giving away possessions
,- Excessive crying - CORRECT ANSWER - Giving away
possessions
Giving away possessions indicates this client is at greatest risk for
suicide; therefore, this is the priority finding. The nurse should
report that the client is: calling family members to indicate the
client has support,
is spending time alone to indicate the client is withdrawn from
others, and that the client is crying excessively to indicate the
client is showing signs of depression, but these are not the
highest priority findings.
A nurse is performing an assessment on a 78-year-old client who
has injuries consistent with suspected abuse. Which of the
following statements indicates the greatest potential risk factor for
abuse?
- "My children manage my finances, but I still have to sign the
checks."
- "My son enjoys a couple of drinks each night to unwind."
- "My daughter-in-law is expecting another baby soon."
- "I plan on living on my own with the help of home health
services." - CORRECT ANSWER - "My son enjoys a couple of
drinks each night to unwind."
Substance abuse increases the likelihood of family violence; use
of alcohol by this client's adult son places this client at greatest
risk for abuse. Dependency on others for financial matters places
this client at risk, but this client still retains ultimate control of final
decisions. The daughter-in-law's pregnancy may place added
stress on the household, but it is not the greatest risk for abuse.
Requiring the assistance of outside resources implies a level of
dependence but does not pose the greatest risk for abuse.
,A nurse is caring for a client who is experiencing acute alcohol
withdrawal. Which of the following medications should the nurse
administer?
- Methadone
- Disulfiram
- Naltrexone
- Chlordiazepoxide - CORRECT ANSWER - Chlordiazepoxide
The nurse should administer chlordiazepoxide for acute alcohol
withdrawal to prevent withdrawal symptoms. Methadone prevents
withdrawal symptoms from opioids. Disulfiram is administered
after alcohol detoxification to assist the client maintain abstinence.
Naltrexone is administered after alcohol detoxification to assist
the client to maintain abstinence.
A nurse is preparing to discharge an older adult client, who
attempted suicide, to his home where he lives alone. The client
also has difficulty performing ADLs. Which of the following
referrals should the nurse initiate? (Select all that apply.)
- Occupational therapy
- Meal delivery services
- Speech therapy
- Physical therapy
- Home health services - CORRECT ANSWER - Occupational
therapy
- Meal delivery services
- Physical therapy
- Home health services
An occupational therapist can assist the client to perform ADLs.
Meal delivery services are necessary due to the client's difficulty
performing ADLs. A physical therapist can assess the client's
mobility needs and assist with ADLs. Home health services
, provide nursing assessment of the client's physical and mental
status, as well as assistance with ADLs. There is no indication the
client needs a referral for speech therapy.
A nurse is caring for a client in a mental health facility who has
recently started a new prescription for valproic acid. For which of
the following should the nurse monitor to determine effectiveness
of the medication?
- The client has decreased preoccupation with thoughts of food.
- The client states that her craving for alcohol has decreased.
- The client has decreased episodes of pressured speech.
- The client is no longer experiencing agnosia. - CORRECT
ANSWER - The client has decreased episodes of pressured
speech.
The nurse should monitor for decreased episodes of pressured
speech, insomnia, grandiose thoughts and hyperactivity for a
client who has mania and is taking valproic acid. The nurse
should monitor for decreased preoccupation with thoughts of food
for a client with an eating disorder, decreased craving for alcohol
for a client who is experiencing withdrawal from alcohol, and
absence of agnosia for a client who has dementia, but these are
not therapeutic effects of valproic acid.
A nurse is caring for a client who is scheduled to undergo
electroconvulsive therapy (ECT). The provider has explained the
procedure to the client. Which of the following statements made
by the client indicates a need for further teaching?
- "Following the procedure, I can expect to have short-term
memory loss."
- "I can expect to have two treatments a week for the next 4 to 6
weeks."
- "During the procedure, I will have a cardiac monitor in place."
