1. 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?: Easily distracted
2. A nurse is caring for a client who gave birth to a stillborn baby. Which of
the following statements should the nurse make?: "I'll stay with you just in case
you want to talk."
3. 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?-
: A 35-year-old client who has major depressive disorder
4. 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?: "I will
update the plan of care as a client's manifestations of depression change."
5. 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?: Blood
pressure 154/96 mm Hg
6. 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?: Nonmaleficence
7. 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?: The client should obtain a sponsor before discharge for an increased
chance of recovery.
8. 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?: Renew the
prescription for the client every 4 hr.
9. A nurse is performing an admission assessment on a client and notices
that the client appears withdrawn and fearful. To establish a trusting nurse-
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, ATI RN MENTAL HEALTH EXAM 2025 WITH NGN
client relationship, which of the following actions should the nurse take first?:
Inform the client that this admission is confidential.
10. 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?-
: Assertive community treatment
11. 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?: Spending adequate time with a client who is verbally abusive.
12. 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?: "It is
important for our child to have regular dental checkups."
13. 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?: Greater risk of attempting suicide as affect and energy
improve
14. 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?: Mild
15. 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?: Identify the client's trigger foods.
16. 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?: "Clients who are admitted involuntarily maintain the right to give informed
consent for procedures."
17. 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?:
Acute dystonia
18. A nurse is assessing a client who has bulimia nervosa. The nurse should
expect which of the following findings?: Tooth erosion
19. 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?:
Suggest forming a weekly support group for parents who have experienced the
death of a child.
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