ATI RN MENTAL HEALTH ONLINE
PRACTICE 2023 A REVISION TEST
WITH ACCURATE ANSWERS
A school nurse is assessing a school aged child who experienced the
traumatic loss of a parent 8 months ago. Which of the following findings
should the nurse identify as an indication that the child is experiencing
post traumatic stress disorder (PTSD)
1. Clinging behaviors directed toward a teacher
2. Increased time spent sleeping
3. Intense focus on school work
4. Lack of interest in an upcoming holiday: Correct = 4. Lack of interest in
an upcoming holiday
The child who has PTSD will have negative moods and difficulty remembering
aspects of the traumatic event. The child can also have a loss of interest or lack
of participation in significant activities and events (e.g., Holidays)
*PTSD manifestations seen in children include detachment or estrangement
from others, difficulty sleeping/distressing dreams, difficulty concentrating on
tasks
2. A nurse is caring for a group of clients. Which of the following finding
should the nurse report?
1. A client who is taking clozapine and has a WBC count of 7,500
2. A client who is taking lamotrigine and has developed a rash
,3. A client who is taking valproate and has a platelet count of 150,000
4. A client who is taking lithium and has a lithium level of 1.2: Correct = 2.
A client who is taking lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The
nurse should identify that a rash is a potentially life threatening adverse effect of
the medication and report the finding immediately
3. A nurse is reviewing laboratory results for a client who has schizophrenia
and is taking clozapine. Which of the following values should the nurse
identify as contraindication for receiving clozapine?
1. WBC count 2,500
2. Hgb 11.5
3. Platelets 150,000
4. RBC count 3.5: Correct - 1. WBC count 2,500
Clozapine can cause agranulocytosis, which can be fatal due to overwhelming
infection. The nurse should identify a WBC count of less than 3,000 as a possible
manifestation of agranulocytosis and should withhold the medication and notify
the provider
4. A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statements indicates the
client has a decreased risk for suicide?
1. "I'm relieved now that my financial affairs are in order."
2. "It is easier to talk about my feelings now."
3. "Suddenly I have enough energy to do anything I want."
4. "Thank you for always taking such good care of me.": Correct - 2. "It is
easier to talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome
,*When clients who have depression verbalize getting their affairs in order, or
sudden- ly have more energy are at an increased risk of suicide. Clients who have
depression often show an appreciation for loved ones when they are
contemplating suicide
5. During a client's initial interview in a mental health inpatient setting, a
nurse identifies that the client is maintaining eye contact and leaning
forward. Which of the following assumptions should the nurse make based
on the client's nonverbal behaviors?
1. The client is interested in what the nurse is saying
2. The client is attempting to manipulate the nurse
3. The client is physically attracted to the nurse
4. The client is seeking acceptance by the nurse: Correct - 1. The client
is interested in what the nurse is saying
The client's posture and eye contact demonstrate an interest in the interview and
what the nurse is saying
6. A nurse is planning care for a client who has schizophrenia and reports
auditory hallucinations. Which of the following interventions should the
nurse include in the plan?
1. Promote use of music to compete with the client's auditory hallucination
2. Inform the client that the auditory hallucinations are not real
3. Avoid asking the client if they are experiencing auditory hallucinations
4. Instruct the client on the use of voice recognition regarding the auditory
hallucinations: Correct = 1. Promote the use of music to compete with the
client's auditory hallucinations
, Competing reality based stimulating such as the use of music or television during
auditory hallucinations can assist in limiting the effect the hallucinations have on
the client's stress level
*The nurse should acknowledge that the client is hearing auditory hallucinations,
but should tell the client that others cannot hear anything to reinforce reality. The
nurse should ask the client if they are hearing voices to evaluate whether these
are command hallucinations, which can place the client or others at risk for harm.
The nurse should assist the client to develop the skill of voice dismissal when
auditory hallucinations occur. This involves commanding the voices to stop, which
gives the client a sense of control
7. A nurse is caring for a client who has impaired cognition
A nurse is updating the client's plan of care. For each of the following
potential nursing interventions, click to specify if the potential intervention
is anticipat- ed, nonessential, or contraindicated for the client
Potential Intervention:
1. When addressing the client, approach them from the front when possible
2. Use a vest restrain to keep the client in a medical recliner
3. Ensure the bed is kept at a working height for the nurse
4. Provide the client with high-calorie protein drinks hourly
5. Give directions to the client slowly and in a moderate tone of voice
6. Decrease the sensory stimulation
7. Keep the lights off in the client's bedroom and bathroom at night
8. Assign the client to a room near the nurses' station
Exhibit 1:
Medical History
Day 1, 0800: Client treated for UTI 8 months ago
Day 3, 0830: Client fell getting out of bed to go to the ba: Correct =
PRACTICE 2023 A REVISION TEST
WITH ACCURATE ANSWERS
A school nurse is assessing a school aged child who experienced the
traumatic loss of a parent 8 months ago. Which of the following findings
should the nurse identify as an indication that the child is experiencing
post traumatic stress disorder (PTSD)
1. Clinging behaviors directed toward a teacher
2. Increased time spent sleeping
3. Intense focus on school work
4. Lack of interest in an upcoming holiday: Correct = 4. Lack of interest in
an upcoming holiday
The child who has PTSD will have negative moods and difficulty remembering
aspects of the traumatic event. The child can also have a loss of interest or lack
of participation in significant activities and events (e.g., Holidays)
*PTSD manifestations seen in children include detachment or estrangement
from others, difficulty sleeping/distressing dreams, difficulty concentrating on
tasks
2. A nurse is caring for a group of clients. Which of the following finding
should the nurse report?
1. A client who is taking clozapine and has a WBC count of 7,500
2. A client who is taking lamotrigine and has developed a rash
,3. A client who is taking valproate and has a platelet count of 150,000
4. A client who is taking lithium and has a lithium level of 1.2: Correct = 2.
A client who is taking lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The
nurse should identify that a rash is a potentially life threatening adverse effect of
the medication and report the finding immediately
3. A nurse is reviewing laboratory results for a client who has schizophrenia
and is taking clozapine. Which of the following values should the nurse
identify as contraindication for receiving clozapine?
1. WBC count 2,500
2. Hgb 11.5
3. Platelets 150,000
4. RBC count 3.5: Correct - 1. WBC count 2,500
Clozapine can cause agranulocytosis, which can be fatal due to overwhelming
infection. The nurse should identify a WBC count of less than 3,000 as a possible
manifestation of agranulocytosis and should withhold the medication and notify
the provider
4. A nurse is planning care for a client who has depression and has made
frequent suicide attempts. Which of the following statements indicates the
client has a decreased risk for suicide?
1. "I'm relieved now that my financial affairs are in order."
2. "It is easier to talk about my feelings now."
3. "Suddenly I have enough energy to do anything I want."
4. "Thank you for always taking such good care of me.": Correct - 2. "It is
easier to talk about my feelings now."
When clients express their feelings, this indicates a positive treatment outcome
,*When clients who have depression verbalize getting their affairs in order, or
sudden- ly have more energy are at an increased risk of suicide. Clients who have
depression often show an appreciation for loved ones when they are
contemplating suicide
5. During a client's initial interview in a mental health inpatient setting, a
nurse identifies that the client is maintaining eye contact and leaning
forward. Which of the following assumptions should the nurse make based
on the client's nonverbal behaviors?
1. The client is interested in what the nurse is saying
2. The client is attempting to manipulate the nurse
3. The client is physically attracted to the nurse
4. The client is seeking acceptance by the nurse: Correct - 1. The client
is interested in what the nurse is saying
The client's posture and eye contact demonstrate an interest in the interview and
what the nurse is saying
6. A nurse is planning care for a client who has schizophrenia and reports
auditory hallucinations. Which of the following interventions should the
nurse include in the plan?
1. Promote use of music to compete with the client's auditory hallucination
2. Inform the client that the auditory hallucinations are not real
3. Avoid asking the client if they are experiencing auditory hallucinations
4. Instruct the client on the use of voice recognition regarding the auditory
hallucinations: Correct = 1. Promote the use of music to compete with the
client's auditory hallucinations
, Competing reality based stimulating such as the use of music or television during
auditory hallucinations can assist in limiting the effect the hallucinations have on
the client's stress level
*The nurse should acknowledge that the client is hearing auditory hallucinations,
but should tell the client that others cannot hear anything to reinforce reality. The
nurse should ask the client if they are hearing voices to evaluate whether these
are command hallucinations, which can place the client or others at risk for harm.
The nurse should assist the client to develop the skill of voice dismissal when
auditory hallucinations occur. This involves commanding the voices to stop, which
gives the client a sense of control
7. A nurse is caring for a client who has impaired cognition
A nurse is updating the client's plan of care. For each of the following
potential nursing interventions, click to specify if the potential intervention
is anticipat- ed, nonessential, or contraindicated for the client
Potential Intervention:
1. When addressing the client, approach them from the front when possible
2. Use a vest restrain to keep the client in a medical recliner
3. Ensure the bed is kept at a working height for the nurse
4. Provide the client with high-calorie protein drinks hourly
5. Give directions to the client slowly and in a moderate tone of voice
6. Decrease the sensory stimulation
7. Keep the lights off in the client's bedroom and bathroom at night
8. Assign the client to a room near the nurses' station
Exhibit 1:
Medical History
Day 1, 0800: Client treated for UTI 8 months ago
Day 3, 0830: Client fell getting out of bed to go to the ba: Correct =
