ATI MENTAL HEALTH B
NGN Mental health mental mental health
b 180QUESTIONS AND ANSWERS
2023/2024
1. A nurse in a provider’s office is assessing a school age child who has a spiral fracture. The parent of the
child provides different accounts for the cause of the injury. Which of the following actions should the
nurse take first?
a. Request that the parent leaves the room while you interview the child
b. Report suspected abuse to child protective services
c. Ask the child how the injury occurred
d. Determine the immediate safety needs of the child
2. An older adult client is brought to the mental clinic by her daughter. The daughter reports that her mother
is not eating and seems uninterested in routine activities. The daughter states, I'm so worried that my
mother is depressed. Which of the following responses should the nurse make?
a. Older adults are usually diagnosed with depressive disorder as they age
b. everyone gets depressed from time to time
c. you shouldn’t worry about this, because depressive disorder is easily treated
d. tell me the reasons you think your mother is depressed
3. A nurse in a mental health facility is caring for a client. Which of the following actions the nurse take
during though working phase of the nurse-client relationship?
a. Summarize goals and objectives
b. Address confidentiality
c. promote problem-solving skills
d. establish a participation contract
4. a nurse is caring for a client who suddenly directs profanities at her, then abruptly hangs his head and
says, “please forgive me, I’m not sure what came over me I don’t know why said those things.” The nurse
interprets this behavior as which of the following?
a. Emotional lability
b. Confabulation
c. flight of ideas
d. Neologism
5. A nurse is providing teaching for the family of a client who has dementia. Which of the following should
the nurse include in the teaching as a contributing factor for this disorder?
a. Hypotension
b. alcohol use disorder
c. Dehydration
d. change in environment
6. A nurse is caring for a client who has been taking valproic acid. Which of the following is expected
outcome of the medication?
a. The client reports improved short-term memory
b. the client has a decreased euphoric mood
c. the client reports absence of auditory hallucinations
d. the client has decreased anxiety
, ATI MENTAL HEALTH B
7. A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of
the phone information should the nurse include?
a. This therapy works as a cure for major depressive disorders
b. You will be awake and alert during the procedure
c. You might experience confusion for a few hours after treatment
d. This therapy will stimulate the vagus nerve to improve your mood
8. A nurse emergency department is assessing a client who has major depressive disorder. Which of the
following actions should the nurse take? (Exhibit question)
a. ask the client if she has eaten foods containing thyramine
b. Give regular insulin subcutaneously to the client
c. Prepare the client for electroconvulsive therapy
d. administer dantrolene IV bolus to the client
9. A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder.
Which of the following laboratory results should the nurse report to the provider?
a. Urine specific gravity 1.029
b. Platelets 90,000/mm3
c. urine pH 5.6
d. RBC 4.7/mm3
10. A nurse is caring for a client who has schizophrenia and started taking clozapine two months ago. Which of
the following laboratory results should the nurse report to the provider?
a. WBC 3,000/mm3
b. Potassium 4.2 mEq/L
c. Hgb 16 g/dL
d. Platelets 300,000/mm3
11. A nurse is assessing the boundaries of a client’s family one of the family members says to the client, “ I
know exactly what you’re thinking right now.” The nurse should recognize that the following family
boundaries?
a. Rigid
b. Inconsistent
c. Enmeshed
d. Clear
12. A nurse is assessing a client who requires bupropion for smoking cessation. Which of the following
findings in the client’s history should the nurse recognized as a contraindication for taking this medication?
a. Seizures
b. Anemia
c. Migraines
d. Asthma
13. A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse
take?
a. Seat the client at a dining table with six or more residents
b. provide the client with several choices for meal selection
c. give complete directions before starting client care
d. use symbols to assist the client in locating rooms
14. A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the
following findings should the nurse document as an adverse effect of this medication?
a. Anhedonia
b. Waxy flexibility
NGN Mental health mental mental health
b 180QUESTIONS AND ANSWERS
2023/2024
1. A nurse in a provider’s office is assessing a school age child who has a spiral fracture. The parent of the
child provides different accounts for the cause of the injury. Which of the following actions should the
nurse take first?
a. Request that the parent leaves the room while you interview the child
b. Report suspected abuse to child protective services
c. Ask the child how the injury occurred
d. Determine the immediate safety needs of the child
2. An older adult client is brought to the mental clinic by her daughter. The daughter reports that her mother
is not eating and seems uninterested in routine activities. The daughter states, I'm so worried that my
mother is depressed. Which of the following responses should the nurse make?
a. Older adults are usually diagnosed with depressive disorder as they age
b. everyone gets depressed from time to time
c. you shouldn’t worry about this, because depressive disorder is easily treated
d. tell me the reasons you think your mother is depressed
3. A nurse in a mental health facility is caring for a client. Which of the following actions the nurse take
during though working phase of the nurse-client relationship?
a. Summarize goals and objectives
b. Address confidentiality
c. promote problem-solving skills
d. establish a participation contract
4. a nurse is caring for a client who suddenly directs profanities at her, then abruptly hangs his head and
says, “please forgive me, I’m not sure what came over me I don’t know why said those things.” The nurse
interprets this behavior as which of the following?
a. Emotional lability
b. Confabulation
c. flight of ideas
d. Neologism
5. A nurse is providing teaching for the family of a client who has dementia. Which of the following should
the nurse include in the teaching as a contributing factor for this disorder?
a. Hypotension
b. alcohol use disorder
c. Dehydration
d. change in environment
6. A nurse is caring for a client who has been taking valproic acid. Which of the following is expected
outcome of the medication?
a. The client reports improved short-term memory
b. the client has a decreased euphoric mood
c. the client reports absence of auditory hallucinations
d. the client has decreased anxiety
, ATI MENTAL HEALTH B
7. A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of
the phone information should the nurse include?
a. This therapy works as a cure for major depressive disorders
b. You will be awake and alert during the procedure
c. You might experience confusion for a few hours after treatment
d. This therapy will stimulate the vagus nerve to improve your mood
8. A nurse emergency department is assessing a client who has major depressive disorder. Which of the
following actions should the nurse take? (Exhibit question)
a. ask the client if she has eaten foods containing thyramine
b. Give regular insulin subcutaneously to the client
c. Prepare the client for electroconvulsive therapy
d. administer dantrolene IV bolus to the client
9. A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder.
Which of the following laboratory results should the nurse report to the provider?
a. Urine specific gravity 1.029
b. Platelets 90,000/mm3
c. urine pH 5.6
d. RBC 4.7/mm3
10. A nurse is caring for a client who has schizophrenia and started taking clozapine two months ago. Which of
the following laboratory results should the nurse report to the provider?
a. WBC 3,000/mm3
b. Potassium 4.2 mEq/L
c. Hgb 16 g/dL
d. Platelets 300,000/mm3
11. A nurse is assessing the boundaries of a client’s family one of the family members says to the client, “ I
know exactly what you’re thinking right now.” The nurse should recognize that the following family
boundaries?
a. Rigid
b. Inconsistent
c. Enmeshed
d. Clear
12. A nurse is assessing a client who requires bupropion for smoking cessation. Which of the following
findings in the client’s history should the nurse recognized as a contraindication for taking this medication?
a. Seizures
b. Anemia
c. Migraines
d. Asthma
13. A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse
take?
a. Seat the client at a dining table with six or more residents
b. provide the client with several choices for meal selection
c. give complete directions before starting client care
d. use symbols to assist the client in locating rooms
14. A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the
following findings should the nurse document as an adverse effect of this medication?
a. Anhedonia
b. Waxy flexibility
