NUR 220 MENTAL HEALTH EXAM WITH
QUESTIONS AND VERIFIED ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
ATI: A nurse is facilitating a community meeting for acute care clients. One
client is constantly talking and using the majority of the group's time. Which of
the following intervent ATI: 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?
A. Include a liquid supplement with meals.
B. Identify the client's trigger foods.
C. Allow the client at least 1 hr for each meal.
D. Weigh the client at bedtime each day. - ANSWER-B. Identify the client's
trigger foods.
The nurse should identify the trigger foods that initiate the client's binge and
assist the client to understand their thoughts and behavior that relate to the food.
ATI: A nurse is teaching a group of newly licensed nurses about the use of
mechanical restraints. Which of the following information should the nurse
include in the teaching?
A. Complete documentation about the client's status every hour while they are
in restraints.
B. Maintain the client in restraints for a minimum of 4 hr.
,C. Apply restraints when other means of managing the client's behavior have
failed.
D. Request that the provider assess the client within 8 hr of the application of
restraints. - ANSWER-C. Apply restraints when other means of managing the
client's behavior have failed.
According to the Patient Self-Determination Act, clients have a right to be free
from restraints or seclusion unless the safety of the client or others is at risk. De-
escalation methods for controlling behavior should be attempted prior to
initiating restraints.
ATI: A nurse is educating the parent of a child who has a new diagnosis of
autism spectrum disorder. Which of the following manifestations of this
disorder should the nurse include in the teaching?
A. Fear of abandonment
B. Motor and verbal tics
C. Hostile behavior
D. Language delay
E.
F. - ANSWER-D. Language delay
The nurse should identify that language delays are a manifestation of autism
spectrum disorder.
ATI: A nurse is caring for a client who has borderline personality disorder.
Which of the following goals is the priority when planning care for this client?
A. The client will take prescribed medications as scheduled.
B. The client will express feelings of frustration.
C. The client will refrain from self-mutilation.
,D. The client will participate in group therapy. - ANSWER-C. The client will
refrain from self-mutilation.
The greatest risk to the client is injury to self and others. Therefore, the priority
goal is for the client to refrain from self-mutilation.
ATI: A client who has a diagnosis of depression is attending group therapy.
During the group meeting the nurse asks each member to identify one gaol for
the day. When it's the client's turn, they do not respond. Which of the following
actions should the nurse take before repeating the request to the client?
A. Allow the client time to formulate an answer.
B. Prompt the client to give a response.
C. Move on to the next client.
D. Offer the client a suggestion for a goal. - ANSWER-A. Allow the client time
to formulate an answer.
Slowed response time is common in clients who have depression. The nurse
should allow the client time to comprehend and formulate an answer to the
question.
ATI: A nurse is caring for a group of clients. Which of the following findings
should the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3
B. A client who is taking lamotrigine and has developed a rash
C. A client who is taking valproate and has a platelet count of 150,000/mm3
D. A client who is taking lithium and has a lithium level of 1.2 mEq/L -
ANSWER-B. 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 this finding immediately.
ATI: A nurse is caring for a client in a mental health facility. The nurse
overhears another staff member making derogatory comments to the client.
Which of the following actions should the nurse take?
A. Confront the staff member.
B. Encourage the client to report the incident.
C. Document the incident in the client's health record.
D. Report the occurrence to the charge nurse. - ANSWER-D. Report the
occurrence to the charge nurse.
It is the charge nurse and the nurse manager's responsibility to confront the staff
member about the derogatory comments made to the client.
ATI: A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an
adolescent who weighs 110 lb. Available is chlorpromazine syrup 10 mg/5mL.
How many mL should the nurse administer - ANSWER-14 mL
ATI: A nurse is caring for a group of clients. Which of the following findings is
the nurse required to report?
A. A client who has bipolar disorder and tested positive for genital herpes
simplex virus reports having multiple sexual partners.
B. A client who has depression reports having a lack of interest in assisting their
partner in the care of their children.
C. A client who has borderline personality disorder threatened to harm their
roommate.
QUESTIONS AND VERIFIED ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
ATI: A nurse is facilitating a community meeting for acute care clients. One
client is constantly talking and using the majority of the group's time. Which of
the following intervent ATI: 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?
A. Include a liquid supplement with meals.
B. Identify the client's trigger foods.
C. Allow the client at least 1 hr for each meal.
D. Weigh the client at bedtime each day. - ANSWER-B. Identify the client's
trigger foods.
The nurse should identify the trigger foods that initiate the client's binge and
assist the client to understand their thoughts and behavior that relate to the food.
ATI: A nurse is teaching a group of newly licensed nurses about the use of
mechanical restraints. Which of the following information should the nurse
include in the teaching?
A. Complete documentation about the client's status every hour while they are
in restraints.
B. Maintain the client in restraints for a minimum of 4 hr.
,C. Apply restraints when other means of managing the client's behavior have
failed.
D. Request that the provider assess the client within 8 hr of the application of
restraints. - ANSWER-C. Apply restraints when other means of managing the
client's behavior have failed.
According to the Patient Self-Determination Act, clients have a right to be free
from restraints or seclusion unless the safety of the client or others is at risk. De-
escalation methods for controlling behavior should be attempted prior to
initiating restraints.
ATI: A nurse is educating the parent of a child who has a new diagnosis of
autism spectrum disorder. Which of the following manifestations of this
disorder should the nurse include in the teaching?
A. Fear of abandonment
B. Motor and verbal tics
C. Hostile behavior
D. Language delay
E.
F. - ANSWER-D. Language delay
The nurse should identify that language delays are a manifestation of autism
spectrum disorder.
ATI: A nurse is caring for a client who has borderline personality disorder.
Which of the following goals is the priority when planning care for this client?
A. The client will take prescribed medications as scheduled.
B. The client will express feelings of frustration.
C. The client will refrain from self-mutilation.
,D. The client will participate in group therapy. - ANSWER-C. The client will
refrain from self-mutilation.
The greatest risk to the client is injury to self and others. Therefore, the priority
goal is for the client to refrain from self-mutilation.
ATI: A client who has a diagnosis of depression is attending group therapy.
During the group meeting the nurse asks each member to identify one gaol for
the day. When it's the client's turn, they do not respond. Which of the following
actions should the nurse take before repeating the request to the client?
A. Allow the client time to formulate an answer.
B. Prompt the client to give a response.
C. Move on to the next client.
D. Offer the client a suggestion for a goal. - ANSWER-A. Allow the client time
to formulate an answer.
Slowed response time is common in clients who have depression. The nurse
should allow the client time to comprehend and formulate an answer to the
question.
ATI: A nurse is caring for a group of clients. Which of the following findings
should the nurse report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3
B. A client who is taking lamotrigine and has developed a rash
C. A client who is taking valproate and has a platelet count of 150,000/mm3
D. A client who is taking lithium and has a lithium level of 1.2 mEq/L -
ANSWER-B. 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 this finding immediately.
ATI: A nurse is caring for a client in a mental health facility. The nurse
overhears another staff member making derogatory comments to the client.
Which of the following actions should the nurse take?
A. Confront the staff member.
B. Encourage the client to report the incident.
C. Document the incident in the client's health record.
D. Report the occurrence to the charge nurse. - ANSWER-D. Report the
occurrence to the charge nurse.
It is the charge nurse and the nurse manager's responsibility to confront the staff
member about the derogatory comments made to the client.
ATI: A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an
adolescent who weighs 110 lb. Available is chlorpromazine syrup 10 mg/5mL.
How many mL should the nurse administer - ANSWER-14 mL
ATI: A nurse is caring for a group of clients. Which of the following findings is
the nurse required to report?
A. A client who has bipolar disorder and tested positive for genital herpes
simplex virus reports having multiple sexual partners.
B. A client who has depression reports having a lack of interest in assisting their
partner in the care of their children.
C. A client who has borderline personality disorder threatened to harm their
roommate.
