ATI RN MENTAL HEALTH EXAM 2023
WITH NGN
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client
whose family reports episodes of confusion. Which of the following assessment findings
supports the nurse's suspicion of delirium? - ANSEasily distracted
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following
statements should the nurse make? - ANS"I'll stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify that
which of the following clients can give informed consent? - ANSA 35-year-old client who has
major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have
depressive disorders. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching? - ANS"I will update the plan of care as a client's
manifestations of depression change."
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following
a motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the
following findings should indicate to the nurse that the client is experiencing alcohol
withdrawal? - ANSBlood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward 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? - ANSNonmaleficence
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an
acute care facility undergoing detoxification. Which of the following information should the
, nurse include in the teaching? - ANSThe client should obtain a sponsor before discharge for an
increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening
to harm others on the unit. Which of the following interventions should the nurse include in the
plan? - ANSRenew the prescription for the client every 4 hr.
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following
actions should the nurse take first? - ANSInform the client that this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The
nurse should identify that which of the following treatment options can offer interdisciplinary
services for the client at home? - ANSAssertive community treatment
A nurse on a mental health unit is caring for a group of clients. Which of the following actions by
the nurse is an example of the ethical principle of justice? - ANSSpending adequate time with a
client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia
nervosa. Which of the following statements made by the guardians indicates an understanding
of their child's illness? - ANS"It is important for our child to have regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been receiving
amitriptyline for 1 week. Which of the following outcomes should the nurse expect? -
ANSGreater risk of attempting suicide as affect and energy improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of the
following levels of anxiety should the nurse plan to teach the client relaxation techniques? -
ANSMild
WITH NGN
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client
whose family reports episodes of confusion. Which of the following assessment findings
supports the nurse's suspicion of delirium? - ANSEasily distracted
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following
statements should the nurse make? - ANS"I'll stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify that
which of the following clients can give informed consent? - ANSA 35-year-old client who has
major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have
depressive disorders. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching? - ANS"I will update the plan of care as a client's
manifestations of depression change."
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following
a motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the
following findings should indicate to the nurse that the client is experiencing alcohol
withdrawal? - ANSBlood pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward 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? - ANSNonmaleficence
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an
acute care facility undergoing detoxification. Which of the following information should the
, nurse include in the teaching? - ANSThe client should obtain a sponsor before discharge for an
increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening
to harm others on the unit. Which of the following interventions should the nurse include in the
plan? - ANSRenew the prescription for the client every 4 hr.
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following
actions should the nurse take first? - ANSInform the client that this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The
nurse should identify that which of the following treatment options can offer interdisciplinary
services for the client at home? - ANSAssertive community treatment
A nurse on a mental health unit is caring for a group of clients. Which of the following actions by
the nurse is an example of the ethical principle of justice? - ANSSpending adequate time with a
client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of bulimia
nervosa. Which of the following statements made by the guardians indicates an understanding
of their child's illness? - ANS"It is important for our child to have regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been receiving
amitriptyline for 1 week. Which of the following outcomes should the nurse expect? -
ANSGreater risk of attempting suicide as affect and energy improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of the
following levels of anxiety should the nurse plan to teach the client relaxation techniques? -
ANSMild
