ATI Mental Health Final Exam Part One 2025

A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing Acute Mania. Which of the following client goals should the nurse identify as priority? The goal is to prevent physical exhaustion and meet nutritional needs: consider Maslow's hierarchy of needs - maintain adequate hydration A nurse is planning care for a client who has Borderline Personality Disorder who self- mutilates which of the following treatment approcahes should the nurse plan the take?. Maintaining close observation reduces risk of injury - Maintain close observation of the client A nurse is contributing to the plan of care for a group of clients. Which of the following interventions is priority for the nurse to include? - Offer high-calorie beverages To a client who is in the manic phase of bipolar disorder A nurse is collecting data from a client who is at risk for cognitive impairment. Which of the findings should the nurse identify as an early indication of cognitive decline. Short term memory loss is generally an early indicator of mild cognitive decline. Also misplaying household items and demonstrating subtle changes im personality. - impaired recent memory A nurse is caring for a client who has schizophrenia. The nurse notices the client is pacing up and down the hall rapidly and muttering in an angry manner. Which of the following actions should the nurse take first? Least restrictive interventions creating a non threatening environment. Physical or chemical restraints are only used when safety of the clients, staff or others is at risk. - Approach the client and a non-threatening manner A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? - Speak to the client using simple and concrete terminology A nurse is collecting data from a client who has post-traumatic stress disorder PTSD due to sexual assault that occurred three months ago. Which of the following findings should the nurse expect? - Dreaming about the assault A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing morning hygiene care. Which of the following actions should the nurse take? - Talk to the client from two arm lengths away A nurse is reinforcing teaching with a client who has agoraphobia about systemic desensitization. Which of the following comments should the nurse include in teaching? - "You will slowly be exposed to increasing levels of public spaces. " A nurse is contributing to the plan of care for a client who has physical dependence on alprazolam and must discontinue the medication. Which of the following actions should the nurse recommend? - Taper the medication gradually over several weeks A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has substance use disorder for which of the following substances? - Opiates A nurse at a long term care facility notes that a client with dementia is having problems with orientation. Which of the following actions should the nurse take to improve clients a level of orientation? - Post a large calendar on the bulletin board A nurse is talking with a client about his admission to a mental health unit. The client states, "I just don't know if I should be here. What will my family think?" Which of the following responses by the nurse uses the therapeutic technique of reflection.? - "It sounds like you are concerned about your family's reaction." A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "nothing good ever happened to me during my marriage. "When using cognitive reframing, which of the following responses should the nurse provide? Cognitive reframing Turning negative perceived situations and developing more accurate and positive perceptions. - "What did you learn from your marriage to help you in the future?" The nurse is collecting data from a client who has schizophrenia. The client suddenly stops talking and begins staring intently at a chair in the corner of the room. Which of the following responses should the nurse make? - "Tell me what you are seeing by that chair." A nurse is caring for a client who was hospitalized several days ago following a suicide attempt. The client informs the nurse, "I do not want visitors today because I look and feel terrible." Which of the following responses should the nurse make? - Would you like to talk about why you feel this way? A nurse at an acute care facility is assisting with the care of a client who is receiving IV antibiotic regimen for an infection. The client reported daily alcohol use at home. On the second day of admission, the client becomes agitated, hypertensive, and tachycardic. Which of the following actions should the nurse plan to take.