ATI RN Mental Health
2019/Mental Health ATI
160 Questions and 100%
Correct Answers and
Explanations Latest
Update
1. A nurse is teaching about deep-breathing exercises with a client who reports experiencing
intense stress at work. Which of the following statements by the client indicates an
understanding of the teaching? A. “I will hold my breath for 5 or 6 seconds each
time.”
B. “I will focus on how the muscles in my stomach feel with each breath.”
C. “I will focus on the causes of my stress during the exercise.”
D. “I will inhale through my mouth and exhale through my noise.”
Breathing exercises relax muscle tension, reduce stress and improve digestive health.
The main objective is to ensure the client focuses on the movement of muscles while
breathing rather than focusing on causes of the stress.
2. A nurse is caring for a client who has just received a terminal cancer diagnosis from
his provider. Which of the following actions should the nurse take?
A. Discourage the client forming new relationships
B. Change the subject when the client becomes upset
C. Offer the client advice about various treatment choices
D. Allow the client unlimited time for the grieving process
The more the client is willing to feel anger as difficult and endless as it may seem, the
more the feeling of hopelessness, and the actual grieving begins to fade.
,3. A nurse is caring for a client who is seeking treatment for opioid use disorder.
Which of the following actions should the nurse take? A. Initiate facility
procedures for emergency commitment
B. Inform the client about polices for dispensing methadone
C. Request a prescription for varenicline from the client’s provider
, D. Assess the client using the CAGE questionnaire
The CAGE questionnaire can be used to identify if a patient is at high risk of opioid
addiction. It is designed to assess the risk of problem solving before beginning the
treatment.
4. A nurse is caring for a school-age child who has conduct disorder and requires wrist
restrains. Which of the following actions should the nurse take?
A. Have the child perform range of motion exercises every 3 hr
B. Obtain a prescription for the restraints within 2 hr of initiating them
C. Monitor the child’s vital signs every 15 min
D. Ensure three fingers will fit between the child’s wrist and the restraint
Formal assessment should be carried out every 15 minutes to identify possible signs of
injury associated with the restraints, measuring vital signs, circulation and motion of
extremities, hygiene and psychological status.
5. A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.
The nurse should identify that which of the following findings is a contraindication for
aripiprazole therapy?
A. Crohn’s disease
B. Hypothyroidism C.
Seizure disorder
D. Asthma.
Though a rare side effect, aripiprazole may cause seizures or convulsions.
6. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of
the following findings is the priority for the nurse to report to the provider?
A. Nausea
B. Random blood glucose 130 mg/dL
C. Sore throat
D. Heart rate 104/min
Clozapine helps rebalance dopamine and serotonin to improve mood and behavior. It may
result to tachycardia, which occurs when the heart rate is over 100 beats per minute.
2019/Mental Health ATI
160 Questions and 100%
Correct Answers and
Explanations Latest
Update
1. A nurse is teaching about deep-breathing exercises with a client who reports experiencing
intense stress at work. Which of the following statements by the client indicates an
understanding of the teaching? A. “I will hold my breath for 5 or 6 seconds each
time.”
B. “I will focus on how the muscles in my stomach feel with each breath.”
C. “I will focus on the causes of my stress during the exercise.”
D. “I will inhale through my mouth and exhale through my noise.”
Breathing exercises relax muscle tension, reduce stress and improve digestive health.
The main objective is to ensure the client focuses on the movement of muscles while
breathing rather than focusing on causes of the stress.
2. A nurse is caring for a client who has just received a terminal cancer diagnosis from
his provider. Which of the following actions should the nurse take?
A. Discourage the client forming new relationships
B. Change the subject when the client becomes upset
C. Offer the client advice about various treatment choices
D. Allow the client unlimited time for the grieving process
The more the client is willing to feel anger as difficult and endless as it may seem, the
more the feeling of hopelessness, and the actual grieving begins to fade.
,3. A nurse is caring for a client who is seeking treatment for opioid use disorder.
Which of the following actions should the nurse take? A. Initiate facility
procedures for emergency commitment
B. Inform the client about polices for dispensing methadone
C. Request a prescription for varenicline from the client’s provider
, D. Assess the client using the CAGE questionnaire
The CAGE questionnaire can be used to identify if a patient is at high risk of opioid
addiction. It is designed to assess the risk of problem solving before beginning the
treatment.
4. A nurse is caring for a school-age child who has conduct disorder and requires wrist
restrains. Which of the following actions should the nurse take?
A. Have the child perform range of motion exercises every 3 hr
B. Obtain a prescription for the restraints within 2 hr of initiating them
C. Monitor the child’s vital signs every 15 min
D. Ensure three fingers will fit between the child’s wrist and the restraint
Formal assessment should be carried out every 15 minutes to identify possible signs of
injury associated with the restraints, measuring vital signs, circulation and motion of
extremities, hygiene and psychological status.
5. A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.
The nurse should identify that which of the following findings is a contraindication for
aripiprazole therapy?
A. Crohn’s disease
B. Hypothyroidism C.
Seizure disorder
D. Asthma.
Though a rare side effect, aripiprazole may cause seizures or convulsions.
6. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of
the following findings is the priority for the nurse to report to the provider?
A. Nausea
B. Random blood glucose 130 mg/dL
C. Sore throat
D. Heart rate 104/min
Clozapine helps rebalance dopamine and serotonin to improve mood and behavior. It may
result to tachycardia, which occurs when the heart rate is over 100 beats per minute.
