ATI RN MENTAL HEALTH PROCTORED EXAM 60
QUESTIONS WITH ANSWERS /A+ GRADE ASSURED
• When admitting a patient to an inpatient mental health facility, a nurse notices that
the patient seems withdrawn and appears fearful. To establish atrusting nurse-patient
relationship, the nurse should first
• Introduce the patient to other patients in the day room (working phase)
• Inform the patient that her admission will be confidential (orientation
phase)
• Assist the patient in facilitating behavioral change (working phase)
• Determine coping strategies that the patient has used in the past(working
phase)
• A nurse is reviewing the potential adverse effects of lithium with a patient who
began the medication 2 weeks ago. For which of the following shouldthe nurse
instruct the patient to monitor and report to the provider?
• Hearing loss
• Dry persistent cough
• Bruising
• Coarse hand tremor (indication toxicity )
• A nurse is caring for a child who has conduct disorder and is behaving in a
destructive manner, throwing objects, and kicking others. Which of the following
therapeutic nursing interventions is the highest priority?
• Encourage expression of feelings (acknowledge them)
• Promote attendance at an assertiveness training group (how to beassertive
rather than aggressive)
• Assist the patient to perform relaxation breathing (assist the child to calm
down)
, • Use a therapeutic holding technique (the greatest risk to this child and
others is harm? Therefore, the nurse’s priority intervention is touse a
therapeutic holding technique to de-escalate the behavior andprevent
injury)
• A nurse in a mental health facility observes a patient who is experiencing panic level
of anxiety. Which of the following actions should the nurse takefirst?
• Teach the patient a relaxation technique (after the attack has subsidedto prevent
further escalations of anxiety)
• Establish an exercise routine for the patient (after the attack has
subsided to prevent further escalations anxiety)
• Assist the patient to identify anxiety triggers
• Accompany the patient to a quiet room
• A nurse is caring for a patient who is taking chlorpromazine for schizophrenia. Which of
the following assessment findings indicates that the patient is experiencing
extrapyramidal adverse effects?
• Fever and sore throat (indicate agranulocytosis)
• Urinary retention (Anticholinergic side effect)
• Postural hypotension (cardiovascular side effect)
• Lip smacking and tongue rolling (indicate long-term extrapyramidalside
effects associated with typical antipsychotic medications)
• A nurse is preparing to administer diazepam 7.5 mg IV bolus to a patient for alcohol
withdrawal. Available is diazepam injection 5 mg/ml. How many mL should the nurse
administer? (round the answer to the nearest tenth. Use aleading zero if applicable. Do
not use a trailing zero.)
1.5 mL
• A nurse is assessing a patient in the emergency department. The patient appears
agitated, his blood pressure is 152/94 mm Hg, his heart rate is 104/min, and his
pupils are dilated. The nurse should suspect intoxicationwith which of the following
substances?
• Heroin (intoxication constricted pupils, decrease blood pressure)
, • Cocaine (intoxication cause tachycardia, elevated blood pressure,dilated
pupils and agitation)
• Benzodiazepines (decreased blood pressure)
• Inhalants (central nervous system depression)
• A nurse is educating the parent of a child who has a new diagnosis of autism
spectrum disorder. Which of the following characteristics of thisdisorder should
the nurse include in the teaching?
• Fear of abandonment (separation anxiety disorder)
• Language delay (autism spectrum disorder)
• Hostile behavior (oppositional defiant disorder)
• Motor and verbal tics (Tourette’s disorder)
• A nurse is leading a group therapy session when a patient becomes agitatedand yells,
“Listening to all of you is making me worse!” which of the following is an
appropriate response?
• “You sound angry and frustrated. Tell us more about how you are
feeling?” ( the nurse is making observations and exploring the patient’sfeelings
to demonstrate caring)
• “Maybe you would like to go to another group from now on.” (nurse’sresponse
is showing disapproval of the patient and can make all of the patients
defensive)
• “Let’s not talk about this now. We will talk more about this in our individual
session.” (minimizing the patient’s immediate concerns andfeelings)
• “Do any of the other group members feel this way?”(showing disapproval
of the patient and can make all of the patients defensive)
• A home health nurse is assessing an older adult patient who lives alone. Which of the
following finding should indicate to the nurse that the patient isexperiencing delirium?
• Sudden onset (suddenly over hours to days)
• Euthymic mood ( patients who have delirium have rapid mood swings)
• Flat affect (demonstrate expressions of feelings)
QUESTIONS WITH ANSWERS /A+ GRADE ASSURED
• When admitting a patient to an inpatient mental health facility, a nurse notices that
the patient seems withdrawn and appears fearful. To establish atrusting nurse-patient
relationship, the nurse should first
• Introduce the patient to other patients in the day room (working phase)
• Inform the patient that her admission will be confidential (orientation
phase)
• Assist the patient in facilitating behavioral change (working phase)
• Determine coping strategies that the patient has used in the past(working
phase)
• A nurse is reviewing the potential adverse effects of lithium with a patient who
began the medication 2 weeks ago. For which of the following shouldthe nurse
instruct the patient to monitor and report to the provider?
• Hearing loss
• Dry persistent cough
• Bruising
• Coarse hand tremor (indication toxicity )
• A nurse is caring for a child who has conduct disorder and is behaving in a
destructive manner, throwing objects, and kicking others. Which of the following
therapeutic nursing interventions is the highest priority?
• Encourage expression of feelings (acknowledge them)
• Promote attendance at an assertiveness training group (how to beassertive
rather than aggressive)
• Assist the patient to perform relaxation breathing (assist the child to calm
down)
, • Use a therapeutic holding technique (the greatest risk to this child and
others is harm? Therefore, the nurse’s priority intervention is touse a
therapeutic holding technique to de-escalate the behavior andprevent
injury)
• A nurse in a mental health facility observes a patient who is experiencing panic level
of anxiety. Which of the following actions should the nurse takefirst?
• Teach the patient a relaxation technique (after the attack has subsidedto prevent
further escalations of anxiety)
• Establish an exercise routine for the patient (after the attack has
subsided to prevent further escalations anxiety)
• Assist the patient to identify anxiety triggers
• Accompany the patient to a quiet room
• A nurse is caring for a patient who is taking chlorpromazine for schizophrenia. Which of
the following assessment findings indicates that the patient is experiencing
extrapyramidal adverse effects?
• Fever and sore throat (indicate agranulocytosis)
• Urinary retention (Anticholinergic side effect)
• Postural hypotension (cardiovascular side effect)
• Lip smacking and tongue rolling (indicate long-term extrapyramidalside
effects associated with typical antipsychotic medications)
• A nurse is preparing to administer diazepam 7.5 mg IV bolus to a patient for alcohol
withdrawal. Available is diazepam injection 5 mg/ml. How many mL should the nurse
administer? (round the answer to the nearest tenth. Use aleading zero if applicable. Do
not use a trailing zero.)
1.5 mL
• A nurse is assessing a patient in the emergency department. The patient appears
agitated, his blood pressure is 152/94 mm Hg, his heart rate is 104/min, and his
pupils are dilated. The nurse should suspect intoxicationwith which of the following
substances?
• Heroin (intoxication constricted pupils, decrease blood pressure)
, • Cocaine (intoxication cause tachycardia, elevated blood pressure,dilated
pupils and agitation)
• Benzodiazepines (decreased blood pressure)
• Inhalants (central nervous system depression)
• A nurse is educating the parent of a child who has a new diagnosis of autism
spectrum disorder. Which of the following characteristics of thisdisorder should
the nurse include in the teaching?
• Fear of abandonment (separation anxiety disorder)
• Language delay (autism spectrum disorder)
• Hostile behavior (oppositional defiant disorder)
• Motor and verbal tics (Tourette’s disorder)
• A nurse is leading a group therapy session when a patient becomes agitatedand yells,
“Listening to all of you is making me worse!” which of the following is an
appropriate response?
• “You sound angry and frustrated. Tell us more about how you are
feeling?” ( the nurse is making observations and exploring the patient’sfeelings
to demonstrate caring)
• “Maybe you would like to go to another group from now on.” (nurse’sresponse
is showing disapproval of the patient and can make all of the patients
defensive)
• “Let’s not talk about this now. We will talk more about this in our individual
session.” (minimizing the patient’s immediate concerns andfeelings)
• “Do any of the other group members feel this way?”(showing disapproval
of the patient and can make all of the patients defensive)
• A home health nurse is assessing an older adult patient who lives alone. Which of the
following finding should indicate to the nurse that the patient isexperiencing delirium?
• Sudden onset (suddenly over hours to days)
• Euthymic mood ( patients who have delirium have rapid mood swings)
• Flat affect (demonstrate expressions of feelings)
