ATI MENTAL HEALTH 2023/2024 PREDICTION
EXAM
QUESTION AND ANSWERS DETAILED
RATIONALE GUARANTEED GRADE A+
A nurse is caring for 4 clients who are displaying the use of defense mechanisms.
Which of the following clients should the nurse identify as using a maladaptive
defense mechanism?
A. A client with multiple sclerosis stops taking their medication and says their
diagnosis is wrong.
B. An adolescent client who has difficulty with reading and becomes a star athlete.
C. A client admires a highschool principal who seperated two students who were
having a fight.
D. A client who has a gambling disorder volunteers at a head start program.
A. A client with multiple sclerosis stops taking their medication and says their
diagnosis is wrong.
Suppression is the blocking of thoughts or feelings that a client finds unacceptable.
Denying the presence of an illness is a maladaptive use of a defense mechanism.
A nurse is caring for a client who is taking lithium and reports presisant nausea and
vomiting for 2 days. Which of the following lab values should the nurse report to
the provider?
A. Potassium 4.0 mEq/L
B. Lithium 0.9 mEq/L
C. BUN 12 mg/dL
D. Sodium 132 mEq/L
D. Sodium 132 mEq/L
The nurse should identify that a sodium level of 132 mEq/L is not within the
,expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is collecting data from a client who is taking valproic acid for the
treatment of BPD. Which of the following findings is priority to report to the
provider?
A. Dizziness
B. Weight gain
C. Constipation
D. Yellow sclerae
D. Yellow sclerae
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is yellow sclerae because of the risk for
hepatotoxicity.
A nurse is reinforcing teaching about foods that contain tyramine with a client who
has a prescription for phenelzine. Which of the following foods should the nurse
instruct the client to avoid?
A. Fried chicken
B. Oranges
C. Smoked sausage
D. Lentils
C. Smoked sausage
Smoked sausages are high in tyramine. Clients who are prescribed monoamine
oxidase inhibitors (MAOIs) should avoid food that contain tyramine because
consuming them can cause a hypertensive crisis.
A nurse is caring for a client who recently lost their child in a motor-vehicle crash.
The client is expressing feelings of hopelessness. Which of the following questions
is the most important for the nurse to ask?
,A. "Are there times when you feel more upset than others?"
B. "Have you had any thoughts of harming yourself?"
C. "What type of support system do you currently have?"
D. "During difficult times in the past, what did you do to cope?"
B. "Have you had any thoughts of harming yourself?"
The greatest risk to this client is self-injury due to suicide. Asking whether or not
the client has plans to hurt themselves is the most important question for the nurse
to ask at this time because a positive response can alert the nurse to the need for
suicide precautions and intervention.
A nurse on a mental health unit is reinforcing teaching about informed consent
with a newly licensed nurse. Which of the following statement indicates an
understanding of the teaching?
A. "The consent form should be written at a seventh-grade reading level."
B. "If the consent form is signed, I can send a client for a procedure even if they
have questions."
C. "I should explain everything to the client about the procedure before the client
signs the consent form."
D. "The consent form should have the name of the provider who is performing the
procedure on the form."
D. "The consent form should have the name of the provider who is performing the
procedure on the form."
The consent form should include the name of the provider who will be performing
the procedure. This should be present on the form before the client signs it.
A nurse is contributing to the plan of care for a client who has antisocial
personality disorder. Which of the following short-term goals should the nurse
recommend be included in the plan?
A. The client will participate in assertiveness training.
B. The client will discuss feelings that cause hostility.
, C. The client will describe an activity they found enjoyable.
D. The client will dress in a manner appropriate for the setting and temperature.
B. The client will discuss feelings that cause hostility.
Clients who have antisocial personality disorder are frequently aggressive and are
at risk for injuring themselves or others. A short-term goal for these clients should
be to discuss feelings that precipitate aggression or hostility.
A nurse is caring for a client who has depressive disorder and declines ECT despite
the providers recommendation. Which of the following ethical principles is the
nurse demonstrating by supporting the clients decision?
A. Autonomy
B. Nonmaleficence
C. Fidelity
D. Justice
A. Autonomy
The nurse is demonstrating the principle of autonomy by respecting and supporting
the client's right to make decisions about their treatment.
A nurse is participating in group therapy for clients who have major depressive
disorder. Which of the following topics should the nurse include in the orientation
phase of group therapy?
A. Confidentiality
B. Developing goals
C. Problem solving
D. Identifying the roles of group members
A. Confidentiality
The nurse should establish the expectations of confidentiality during the
orientation phase of group therapy.
A nurse is collecting data from a client who has major depressive disorder and is
taking phenelzine. Which of the following findings should the nurse identify as an
EXAM
QUESTION AND ANSWERS DETAILED
RATIONALE GUARANTEED GRADE A+
A nurse is caring for 4 clients who are displaying the use of defense mechanisms.
Which of the following clients should the nurse identify as using a maladaptive
defense mechanism?
A. A client with multiple sclerosis stops taking their medication and says their
diagnosis is wrong.
B. An adolescent client who has difficulty with reading and becomes a star athlete.
C. A client admires a highschool principal who seperated two students who were
having a fight.
D. A client who has a gambling disorder volunteers at a head start program.
A. A client with multiple sclerosis stops taking their medication and says their
diagnosis is wrong.
Suppression is the blocking of thoughts or feelings that a client finds unacceptable.
Denying the presence of an illness is a maladaptive use of a defense mechanism.
A nurse is caring for a client who is taking lithium and reports presisant nausea and
vomiting for 2 days. Which of the following lab values should the nurse report to
the provider?
A. Potassium 4.0 mEq/L
B. Lithium 0.9 mEq/L
C. BUN 12 mg/dL
D. Sodium 132 mEq/L
D. Sodium 132 mEq/L
The nurse should identify that a sodium level of 132 mEq/L is not within the
,expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is collecting data from a client who is taking valproic acid for the
treatment of BPD. Which of the following findings is priority to report to the
provider?
A. Dizziness
B. Weight gain
C. Constipation
D. Yellow sclerae
D. Yellow sclerae
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is yellow sclerae because of the risk for
hepatotoxicity.
A nurse is reinforcing teaching about foods that contain tyramine with a client who
has a prescription for phenelzine. Which of the following foods should the nurse
instruct the client to avoid?
A. Fried chicken
B. Oranges
C. Smoked sausage
D. Lentils
C. Smoked sausage
Smoked sausages are high in tyramine. Clients who are prescribed monoamine
oxidase inhibitors (MAOIs) should avoid food that contain tyramine because
consuming them can cause a hypertensive crisis.
A nurse is caring for a client who recently lost their child in a motor-vehicle crash.
The client is expressing feelings of hopelessness. Which of the following questions
is the most important for the nurse to ask?
,A. "Are there times when you feel more upset than others?"
B. "Have you had any thoughts of harming yourself?"
C. "What type of support system do you currently have?"
D. "During difficult times in the past, what did you do to cope?"
B. "Have you had any thoughts of harming yourself?"
The greatest risk to this client is self-injury due to suicide. Asking whether or not
the client has plans to hurt themselves is the most important question for the nurse
to ask at this time because a positive response can alert the nurse to the need for
suicide precautions and intervention.
A nurse on a mental health unit is reinforcing teaching about informed consent
with a newly licensed nurse. Which of the following statement indicates an
understanding of the teaching?
A. "The consent form should be written at a seventh-grade reading level."
B. "If the consent form is signed, I can send a client for a procedure even if they
have questions."
C. "I should explain everything to the client about the procedure before the client
signs the consent form."
D. "The consent form should have the name of the provider who is performing the
procedure on the form."
D. "The consent form should have the name of the provider who is performing the
procedure on the form."
The consent form should include the name of the provider who will be performing
the procedure. This should be present on the form before the client signs it.
A nurse is contributing to the plan of care for a client who has antisocial
personality disorder. Which of the following short-term goals should the nurse
recommend be included in the plan?
A. The client will participate in assertiveness training.
B. The client will discuss feelings that cause hostility.
, C. The client will describe an activity they found enjoyable.
D. The client will dress in a manner appropriate for the setting and temperature.
B. The client will discuss feelings that cause hostility.
Clients who have antisocial personality disorder are frequently aggressive and are
at risk for injuring themselves or others. A short-term goal for these clients should
be to discuss feelings that precipitate aggression or hostility.
A nurse is caring for a client who has depressive disorder and declines ECT despite
the providers recommendation. Which of the following ethical principles is the
nurse demonstrating by supporting the clients decision?
A. Autonomy
B. Nonmaleficence
C. Fidelity
D. Justice
A. Autonomy
The nurse is demonstrating the principle of autonomy by respecting and supporting
the client's right to make decisions about their treatment.
A nurse is participating in group therapy for clients who have major depressive
disorder. Which of the following topics should the nurse include in the orientation
phase of group therapy?
A. Confidentiality
B. Developing goals
C. Problem solving
D. Identifying the roles of group members
A. Confidentiality
The nurse should establish the expectations of confidentiality during the
orientation phase of group therapy.
A nurse is collecting data from a client who has major depressive disorder and is
taking phenelzine. Which of the following findings should the nurse identify as an
