ATI RN Mental Health 2019/Mental Health ATI 160
Questions and 100% Correct Answers and
Explanations.New Update
1. A nurse is teaching about deep-breathing exercises with a client who reports
experiencing intense stress at work. Which of the following statementsby the
client indicates an understanding of the teaching?
A. “I will hold my breath for 5 or 6 seconds each time.”
B. “I will focus on how the muscles in my stomach feel with each
breath.”
C. “I will focus on the causes of my stress during the exercise.”
D. “I will inhale through my mouth and exhale through my noise.”
Breathing exercises relax muscle tension, reduce stress and improve digestive
health. The main objective is to ensure the client focuses on the movement of
muscles while breathing rather than focusing on causes of the stress.
2. A nurse is caring for a client who has just received a terminal cancer
diagnosis from his provider. Which of the following actions should the nurse
take?
A. Discourage the client forming new relationships
B. Change the subject when the client becomes upset
C. Offer the client advice about various treatment choices
D. Allow the client unlimited time for the grieving process
The more the client is willing to feel anger as difficult and endless as it may
,seem, the more the feeling of hopelessness, and the actual grieving begins to
fade.
3. A nurse is caring for a client who is seeking treatment for opioid use
disorder. Which of the following actions should the nurse take?
A. Initiate facility procedures for emergency commitment
B. Inform the client about polices for dispensing methadone
C. Request a prescription for varenicline from the client’s provider
D. Assess the client using the CAGE questionnaire
The CAGE questionnaire can be used to identify if a patient is at high risk of
opioid addiction. It is designed to assess the risk of problem solving before
beginning the treatment.
4. A nurse is caring for a school-age child who has conduct disorder and
requires wrist restrains. Which of the following actions should the nurse take?
A. Have the child perform range of motion exercises every 3 hr
B. Obtain a prescription for the restraints within 2 hr of initiating them
C. Monitor the child’s vital signs every 15 min
D. Ensure three fingers will fit between the child’s wrist and the restraint
Formal assessment should be carried out every 15 minutes to identify possible
signs of injury associated with the restraints, measuring vital signs, circulation
and motion of extremities, hygiene and psychological status.
5. A nurse is reviewing the medical record of a client who is to begin taking
aripiprazole. The nurse should identify that which of the following findings is a
contraindication for aripiprazole therapy?
A. Crohn’s disease
B. Hypothyroidism
C. Seizure disorder
D. Asthma.
Though a rare side effect, aripiprazole may cause seizures or convulsions.
, 6. A nurse is caring for a client who has schizophrenia and is taking clozapine.
Which of the following findings is the priority for the nurse to report to the
provider?
A. Nausea
B. Random blood glucose 130 mg/dL
C. Sore throat
D. Heart rate 104/min
Clozapine helps rebalance dopamine and serotonin to improve mood and
behavior. It may result to tachycardia, which occurs when the heart rate is over
100 beats per minute.
7. A nurse is planning to conduct a supporting group for adolescents who have
cancer. Which of the following actions should the nurse include during the
orientation phase?
A. Establish a rapport with group members
B. Maintain the group’s focus on identified issues
C. Encourage the use of problem-solving skills
D. Manage conflict within the group
The first session should involve rapport building, followed by psycho-education
about group process and cognitive behavioral approaches.
8. A nurse is conducting an education class for a group of clients who have
schizophrenia and a new prescription for clozapine. Which of the following
statements by a client indicates an understanding of the teaching?
A. “I should discontinue the medication if I have adverse effects.”
B. “My symptoms will resolve in 4 days.”
C. “I will need to have tab tests weekly for the first 6 months.”
D. “I can still take my St. John’s work.”
A permanent discontinuation of the treatment is recommended for patients
showing fatal side effects like myocarditis, or cardiomyopathy.
9. A nurse is providing teaching for a client who has a new prescription for a
monoamine oxidase inhibitor. Which of the following foods should the nurse
Questions and 100% Correct Answers and
Explanations.New Update
1. A nurse is teaching about deep-breathing exercises with a client who reports
experiencing intense stress at work. Which of the following statementsby the
client indicates an understanding of the teaching?
A. “I will hold my breath for 5 or 6 seconds each time.”
B. “I will focus on how the muscles in my stomach feel with each
breath.”
C. “I will focus on the causes of my stress during the exercise.”
D. “I will inhale through my mouth and exhale through my noise.”
Breathing exercises relax muscle tension, reduce stress and improve digestive
health. The main objective is to ensure the client focuses on the movement of
muscles while breathing rather than focusing on causes of the stress.
2. A nurse is caring for a client who has just received a terminal cancer
diagnosis from his provider. Which of the following actions should the nurse
take?
A. Discourage the client forming new relationships
B. Change the subject when the client becomes upset
C. Offer the client advice about various treatment choices
D. Allow the client unlimited time for the grieving process
The more the client is willing to feel anger as difficult and endless as it may
,seem, the more the feeling of hopelessness, and the actual grieving begins to
fade.
3. A nurse is caring for a client who is seeking treatment for opioid use
disorder. Which of the following actions should the nurse take?
A. Initiate facility procedures for emergency commitment
B. Inform the client about polices for dispensing methadone
C. Request a prescription for varenicline from the client’s provider
D. Assess the client using the CAGE questionnaire
The CAGE questionnaire can be used to identify if a patient is at high risk of
opioid addiction. It is designed to assess the risk of problem solving before
beginning the treatment.
4. A nurse is caring for a school-age child who has conduct disorder and
requires wrist restrains. Which of the following actions should the nurse take?
A. Have the child perform range of motion exercises every 3 hr
B. Obtain a prescription for the restraints within 2 hr of initiating them
C. Monitor the child’s vital signs every 15 min
D. Ensure three fingers will fit between the child’s wrist and the restraint
Formal assessment should be carried out every 15 minutes to identify possible
signs of injury associated with the restraints, measuring vital signs, circulation
and motion of extremities, hygiene and psychological status.
5. A nurse is reviewing the medical record of a client who is to begin taking
aripiprazole. The nurse should identify that which of the following findings is a
contraindication for aripiprazole therapy?
A. Crohn’s disease
B. Hypothyroidism
C. Seizure disorder
D. Asthma.
Though a rare side effect, aripiprazole may cause seizures or convulsions.
, 6. A nurse is caring for a client who has schizophrenia and is taking clozapine.
Which of the following findings is the priority for the nurse to report to the
provider?
A. Nausea
B. Random blood glucose 130 mg/dL
C. Sore throat
D. Heart rate 104/min
Clozapine helps rebalance dopamine and serotonin to improve mood and
behavior. It may result to tachycardia, which occurs when the heart rate is over
100 beats per minute.
7. A nurse is planning to conduct a supporting group for adolescents who have
cancer. Which of the following actions should the nurse include during the
orientation phase?
A. Establish a rapport with group members
B. Maintain the group’s focus on identified issues
C. Encourage the use of problem-solving skills
D. Manage conflict within the group
The first session should involve rapport building, followed by psycho-education
about group process and cognitive behavioral approaches.
8. A nurse is conducting an education class for a group of clients who have
schizophrenia and a new prescription for clozapine. Which of the following
statements by a client indicates an understanding of the teaching?
A. “I should discontinue the medication if I have adverse effects.”
B. “My symptoms will resolve in 4 days.”
C. “I will need to have tab tests weekly for the first 6 months.”
D. “I can still take my St. John’s work.”
A permanent discontinuation of the treatment is recommended for patients
showing fatal side effects like myocarditis, or cardiomyopathy.
9. A nurse is providing teaching for a client who has a new prescription for a
monoamine oxidase inhibitor. Which of the following foods should the nurse
