ATI RN MENTAL HEALTH EXAM 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? - Answers -Easily distracted
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following
statements should the nurse make? - Answers -"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? - Answers -A 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? - Answers -"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? - Answers -Blood 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? - Answers -Nonmaleficence
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? - Answers -The 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? - Answers -Renew 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appears withdrawn and fearful.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? - Answers -Inform 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? - Answers -Assertive 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? - Answers -
Spending 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? - Answers -"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? - Answers -Greater 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? - Answers -Mild
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5%
above their ideal body weight. Which of the following interventions should the nurse
include in the plan? - Answers -Identify the client's trigger foods.
A charge nurse on a mental health unit is discussing client rights with a newly licensed
nurse. Which of the following statements should the nurse make? - Answers -"Clients
who are admitted involuntarily maintain the right to give informed consent for
procedures."
A nurse is reviewing the medication administration record for a client who is
experiencing adverse effects of chlorpromazine. The nurse should administer
benztropine to relieve which of the following adverse effects? - Answers -Acute dystonia
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which
of the following findings? - Answers -Tooth erosion
A nurse is talking with a group of parents who have recently experienced the death of a
child. Which of the following actions should the nurse take? - Answers -Suggest forming
a weekly support group for parents who have experienced the death of a child.
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? - Answers -Easily distracted
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following
statements should the nurse make? - Answers -"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? - Answers -A 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? - Answers -"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? - Answers -Blood 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? - Answers -Nonmaleficence
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? - Answers -The 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? - Answers -Renew 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? - Answers -Inform 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? - Answers -Assertive 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? - Answers -
Spending 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? - Answers -"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? - Answers -Greater 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? - Answers -Mild
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5%
above their ideal body weight. Which of the following interventions should the nurse
include in the plan? - Answers -Identify the client's trigger foods.
A charge nurse on a mental health unit is discussing client rights with a newly licensed
nurse. Which of the following statements should the nurse make? - Answers -"Clients
who are admitted involuntarily maintain the right to give informed consent for
procedures."
A nurse is reviewing the medication administration record for a client who is
experiencing adverse effects of chlorpromazine. The nurse should administer
benztropine to relieve which of the following adverse effects? - Answers -Acute dystonia
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which
of the following findings? - Answers -Tooth erosion
A nurse is talking with a group of parents who have recently experienced the death of a
child. Which of the following actions should the nurse take? - Answers -Suggest forming
a weekly support group for parents who have experienced the death of a child.
