Mental Health ATI, 334 Mental Health ATI,
Mental Health ATI Practice Assessment
B 4 LATEST VERSION
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. What is an appropriate response
by the nurse - CORRECT ANSWER "Succinylcholine is given to
reduce muscle movements during therapy
R: succinylocholine is a muscle paralyzing agent that will
decrease muscle movement during the procedure so that injury is
less likely to occur
A nurse is planning care for four clients in a mental health facility.
Which of the following clients is at the greatest risk for injury when
performing ADLs - CORRECT ANSWER A client who has
severe Alzheimer's disease
R: these pt are typically confused, have memory difficulties, tend
to wander, and will need assistance
A nurse is caring for a client who is experiencing a situational
crisis. Which of the following findings should the nurse expect -
CORRECT ANSWER The client recently lost a grandparent in a
motor vehicle crash
R: unexpected events
A charge nurse is planning a teaching session regarding the code
of ethics for registered nurses. Which of the following information
,should the nurse include in the teaching - CORRECT ANSWER
The right to treatment ensures individualized care
R: The Hospitalization of the Mentally Ill Act of 1964 requires that
pt admitted to an inpatient mental health facility have a right to
individualized tx
A nurse in the emergency department is admitting a client who
reports a headache along with heart palpitations after having a
glass of wine with dinner a few hours ago. The client has a history
of depression and has a blood pressure of 210/105 mm Hg.
Which of the following questions should the nurse ask first -
CORRECT ANSWER "What medications are you currently
taking?"
R: If the pt is taking MAOI to tx depression, they are at a greater
risk for hypertensive crisis, it can also be precipitated by tyramine
containing food
A nurse is caring for a client who has a history of substance use
disorder 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 -
CORRECT ANSWER Do not administer the lorazepam
R: pt who is involuntarily admitted have the right to refuse tx
A nurse in a community health center is counseling a family of two
parents and two children. Which of the following statements by a
family member indicates manipulative behavior - CORRECT
ANSWER "If you do my homework for me, I won't bother you for
the rest of the day
R: this is an ex of manipulative behavior
,A nurse is reviewing the medication administration record for a
client who is experiencing the adverse effects of chlorpromazine.
The nurse should administer benztropine to relieve which of the
following adverse effects - CORRECT ANSWER acute dystonia
*benztropine is an anticholinergic agent that relieve acute
dystonia which is an extra pyramidal adverse effect of
chlorpromazien
A nurse is planning care for a client who constantly threatens
others on the unit. Although the client does not want to leave the
unit, the nurse requests the provider to transfer the client to a unit
that is equipped to manage violent behavior. Which of the
following ethical principles should the nurse apply in this situation
- CORRECT ANSWER Nonmaleficence
R: it is the responsibility of the nurse to not harm to clients .
preventing injury to others
veracity - CORRECT ANSWER being truthful with client and
others
justice - CORRECT ANSWER treating all equally and fairlu
autonomy - CORRECT ANSWER respecting clients right to
make independent choices
A nurse is assessing a client who is experiencing opioid
withdrawal. Which of the following manifestations should the
nurse expect - CORRECT ANSWER Rhinorrhea
R: rhinorrhea and flu like manifestions such as yawning,
sneezing, and abd pain
, -hyperthermia, tachycardia, insomnia
A nurse is updating the plan of care for a client who has bulimia
nervosa and is 5% above his ideal body weight. Which of the
following interventions should the nurse include in the plan -
CORRECT ANSWER Identify the client's trigger foods
R: to help=t understand the thoughts and behaviors that relate to
the food of the patient. and identify what makes them initiate
binge
A nurse is caring for a client who is in an abusive relationship and
is assisting in the development of a safety plan. Which of the
following actions is the first component of a safety plan -
CORRECT ANSWER Identify signs of escalation of violence
*greatest risk because it increases awareness of when danger is
gonna come and it is time to leave
A nurse in a mental health facility is planning discharge for a client
who has a long history of alcohol use disorder. Which of the
following postdischarge activities should the nurse plan to include
- CORRECT ANSWER Attending a relapse prevention group
several times each week
R: most effective relapse prevention is a 12 step program such as
AA
Buprenorphine - CORRECT ANSWER for heroin overdose
methadone - CORRECT ANSWER substitute for heroin use
disorder
A nurse is caring for a client whose child has a terminal illness.
The client requests information about how to deal with the
Mental Health ATI Practice Assessment
B 4 LATEST VERSION
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. What is an appropriate response
by the nurse - CORRECT ANSWER "Succinylcholine is given to
reduce muscle movements during therapy
R: succinylocholine is a muscle paralyzing agent that will
decrease muscle movement during the procedure so that injury is
less likely to occur
A nurse is planning care for four clients in a mental health facility.
Which of the following clients is at the greatest risk for injury when
performing ADLs - CORRECT ANSWER A client who has
severe Alzheimer's disease
R: these pt are typically confused, have memory difficulties, tend
to wander, and will need assistance
A nurse is caring for a client who is experiencing a situational
crisis. Which of the following findings should the nurse expect -
CORRECT ANSWER The client recently lost a grandparent in a
motor vehicle crash
R: unexpected events
A charge nurse is planning a teaching session regarding the code
of ethics for registered nurses. Which of the following information
,should the nurse include in the teaching - CORRECT ANSWER
The right to treatment ensures individualized care
R: The Hospitalization of the Mentally Ill Act of 1964 requires that
pt admitted to an inpatient mental health facility have a right to
individualized tx
A nurse in the emergency department is admitting a client who
reports a headache along with heart palpitations after having a
glass of wine with dinner a few hours ago. The client has a history
of depression and has a blood pressure of 210/105 mm Hg.
Which of the following questions should the nurse ask first -
CORRECT ANSWER "What medications are you currently
taking?"
R: If the pt is taking MAOI to tx depression, they are at a greater
risk for hypertensive crisis, it can also be precipitated by tyramine
containing food
A nurse is caring for a client who has a history of substance use
disorder 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 -
CORRECT ANSWER Do not administer the lorazepam
R: pt who is involuntarily admitted have the right to refuse tx
A nurse in a community health center is counseling a family of two
parents and two children. Which of the following statements by a
family member indicates manipulative behavior - CORRECT
ANSWER "If you do my homework for me, I won't bother you for
the rest of the day
R: this is an ex of manipulative behavior
,A nurse is reviewing the medication administration record for a
client who is experiencing the adverse effects of chlorpromazine.
The nurse should administer benztropine to relieve which of the
following adverse effects - CORRECT ANSWER acute dystonia
*benztropine is an anticholinergic agent that relieve acute
dystonia which is an extra pyramidal adverse effect of
chlorpromazien
A nurse is planning care for a client who constantly threatens
others on the unit. Although the client does not want to leave the
unit, the nurse requests the provider to transfer the client to a unit
that is equipped to manage violent behavior. Which of the
following ethical principles should the nurse apply in this situation
- CORRECT ANSWER Nonmaleficence
R: it is the responsibility of the nurse to not harm to clients .
preventing injury to others
veracity - CORRECT ANSWER being truthful with client and
others
justice - CORRECT ANSWER treating all equally and fairlu
autonomy - CORRECT ANSWER respecting clients right to
make independent choices
A nurse is assessing a client who is experiencing opioid
withdrawal. Which of the following manifestations should the
nurse expect - CORRECT ANSWER Rhinorrhea
R: rhinorrhea and flu like manifestions such as yawning,
sneezing, and abd pain
, -hyperthermia, tachycardia, insomnia
A nurse is updating the plan of care for a client who has bulimia
nervosa and is 5% above his ideal body weight. Which of the
following interventions should the nurse include in the plan -
CORRECT ANSWER Identify the client's trigger foods
R: to help=t understand the thoughts and behaviors that relate to
the food of the patient. and identify what makes them initiate
binge
A nurse is caring for a client who is in an abusive relationship and
is assisting in the development of a safety plan. Which of the
following actions is the first component of a safety plan -
CORRECT ANSWER Identify signs of escalation of violence
*greatest risk because it increases awareness of when danger is
gonna come and it is time to leave
A nurse in a mental health facility is planning discharge for a client
who has a long history of alcohol use disorder. Which of the
following postdischarge activities should the nurse plan to include
- CORRECT ANSWER Attending a relapse prevention group
several times each week
R: most effective relapse prevention is a 12 step program such as
AA
Buprenorphine - CORRECT ANSWER for heroin overdose
methadone - CORRECT ANSWER substitute for heroin use
disorder
A nurse is caring for a client whose child has a terminal illness.
The client requests information about how to deal with the
