Mental Health ATI Practice B
Mental Health ATI Practice
B
1. A nurse in an inpatient mental health unit is supervising a group of clients in the unit's
dayroom. The nurse fails to respond to the escalating, aggressive behavior of a client who
eventually becomes violent and injures another client. For which of the following is the nurse
liable?
A. Battery
B. Nonmaleficence
C. Negligence
D. Boundary violation
The nurse is liable for negligence by failing to respond to the client's escalating, aggressive
behavior and prevent harm to others.
2. A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The
nurse should identify that which of the following findings indicates a potential need for a PRN
dose of benztropine?
A. Sore throat
B. Increased mental confusion
C. Urinary retention
D. Shuffling gait
The nurse should identify that a shuffling gait can be indicative of the presence of
pseudoparkinsonism, which can be treated with a PRN dose of benztropine.
3. A nurse is collecting data from a client who has a history of cocaine use. Which of the
following findings is an indication that the client is experiencing cocaine toxicity?
A. Hypothermia
B. Piloerection
C. Somnolence
D. Seizures
The nurse should expect a client who is experiencing cocaine toxicity to experience seizures.
Other findings include severe anxiety, hallucinations, and paranoid thoughts.
4. A nurse is reinforcing teaching with a client who has a new prescription for phenelzine. The
nurse should instruct the client that eating foods containing tyramine can cause which of the
following adverse reactions with this medication?
A. Hypertensive crisis
B. Serotonin syndrome
C. Hearing loss
,Mental Health ATI Practice B
D. Urinary incontinence
, Mental Health ATI Practice B
Tyramine can cause severe hypertension in clients who are taking phenelzine, a monoamine
oxidase inhibitor. Manifestations include palpitations, stiff neck, headache, nausea, vomiting,
and elevated temperature.
5. A nurse is monitoring communication between a client who has alcohol use disorder and their
partner. Which of the following communication patterns of the client's partner should the nurse
identify as being effective?
A. "I can never talk to you because you are always drunk."
B. "I become very angry when you get drunk."
C. "Because of your drinking, we can't have guests in our home."
D. "Don't be mad at the kids. It was my fault that the dishes did not get done."
The nurse should identify that this statement is an example of a healthy, effective communication
pattern. The partner is discussing personal feelings instead of focusing on the client's negative
behavior.
6. A nurse is talking with a client who has borderline personality disorder. The client states they
think that the other nurses avoid them, but they are afraid to share this thought with the other
staff. Which of the following actions should the nurse take?
A. Encourage the use of transference in the nurse-client relationship.
B. Offer to talk to the staff until the client gains an increased level of trust.
C. Encourage the client's verbalization of feeling and perceptions.
D. Ask the client why they think the staff is avoiding them.
The nurse should encourage the client to verbalize their feelings, perceptions, and fears.
Discussing these dynamics can help increase the client's comfort in expressing concerns directly
to other members of staff.
7. A nurse is caring for a client who has dementia. Which of the following actions should the
nurse take?
A. Keep the client's room dark at night.
B. Alternate the client's caregivers on a routine basis.
C. Stand in front of the client when speaking.
D. Remove personal belongings from the client's room.
The nurse should stand in front of the client when speaking to them to maintain eye contact and
maximize the client's understanding of the conversation.
8. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and
performs hand hygiene to decrease anxiety. Which of the following actions should the nurse take
to demonstrate modeling as a behavioral intervention strategy?
A. Setting a time limit between episodes of hand hygiene
B. Reminding the client to shout "stop" each time they have an urge to perform hand
hygiene
C. Demonstrating performing hand hygiene at appropriate times
Mental Health ATI Practice
B
1. A nurse in an inpatient mental health unit is supervising a group of clients in the unit's
dayroom. The nurse fails to respond to the escalating, aggressive behavior of a client who
eventually becomes violent and injures another client. For which of the following is the nurse
liable?
A. Battery
B. Nonmaleficence
C. Negligence
D. Boundary violation
The nurse is liable for negligence by failing to respond to the client's escalating, aggressive
behavior and prevent harm to others.
2. A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The
nurse should identify that which of the following findings indicates a potential need for a PRN
dose of benztropine?
A. Sore throat
B. Increased mental confusion
C. Urinary retention
D. Shuffling gait
The nurse should identify that a shuffling gait can be indicative of the presence of
pseudoparkinsonism, which can be treated with a PRN dose of benztropine.
3. A nurse is collecting data from a client who has a history of cocaine use. Which of the
following findings is an indication that the client is experiencing cocaine toxicity?
A. Hypothermia
B. Piloerection
C. Somnolence
D. Seizures
The nurse should expect a client who is experiencing cocaine toxicity to experience seizures.
Other findings include severe anxiety, hallucinations, and paranoid thoughts.
4. A nurse is reinforcing teaching with a client who has a new prescription for phenelzine. The
nurse should instruct the client that eating foods containing tyramine can cause which of the
following adverse reactions with this medication?
A. Hypertensive crisis
B. Serotonin syndrome
C. Hearing loss
,Mental Health ATI Practice B
D. Urinary incontinence
, Mental Health ATI Practice B
Tyramine can cause severe hypertension in clients who are taking phenelzine, a monoamine
oxidase inhibitor. Manifestations include palpitations, stiff neck, headache, nausea, vomiting,
and elevated temperature.
5. A nurse is monitoring communication between a client who has alcohol use disorder and their
partner. Which of the following communication patterns of the client's partner should the nurse
identify as being effective?
A. "I can never talk to you because you are always drunk."
B. "I become very angry when you get drunk."
C. "Because of your drinking, we can't have guests in our home."
D. "Don't be mad at the kids. It was my fault that the dishes did not get done."
The nurse should identify that this statement is an example of a healthy, effective communication
pattern. The partner is discussing personal feelings instead of focusing on the client's negative
behavior.
6. A nurse is talking with a client who has borderline personality disorder. The client states they
think that the other nurses avoid them, but they are afraid to share this thought with the other
staff. Which of the following actions should the nurse take?
A. Encourage the use of transference in the nurse-client relationship.
B. Offer to talk to the staff until the client gains an increased level of trust.
C. Encourage the client's verbalization of feeling and perceptions.
D. Ask the client why they think the staff is avoiding them.
The nurse should encourage the client to verbalize their feelings, perceptions, and fears.
Discussing these dynamics can help increase the client's comfort in expressing concerns directly
to other members of staff.
7. A nurse is caring for a client who has dementia. Which of the following actions should the
nurse take?
A. Keep the client's room dark at night.
B. Alternate the client's caregivers on a routine basis.
C. Stand in front of the client when speaking.
D. Remove personal belongings from the client's room.
The nurse should stand in front of the client when speaking to them to maintain eye contact and
maximize the client's understanding of the conversation.
8. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and
performs hand hygiene to decrease anxiety. Which of the following actions should the nurse take
to demonstrate modeling as a behavioral intervention strategy?
A. Setting a time limit between episodes of hand hygiene
B. Reminding the client to shout "stop" each time they have an urge to perform hand
hygiene
C. Demonstrating performing hand hygiene at appropriate times
