ATI Mental Health Exam
1. A nurse is planning a menu for a client with bipolar disorder who was admitted for an acute manic episode. Which of the
... [Show More] following is an appropriate meal for this client?
a. Spaghetti and meat balls, salad, banana.
b. Beef and vegetable stew, bread, vanilla pudding.
c. Chicken nuggets, ear of corn, apple
d. Fish fillets, stewed tomatoes, cake
2. A nurse is caring for a client who was admitted to the psychiatric hospital for an evaluation. The client has been unable to leave the house for the past 10 years without accompaniment. When attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse identifies the problem as which of the following?
a. Agoraphobia
b. Conversion disorder
c. Panic disorder
d. OCD
3. A nurse is caring for a client who is experiencing the early phase of alcohol withdrawal. Which of the following should be the primary focus of nursing care?
a. Education about alcohol abuse and treatment
b. Assessing coping skills
c. Confronting the use of denial and other defense mechanisms
d. Rest and nutrition.
4. Four days after admission, a client who is taking haloperidol (Haldol) is pacing up and down the hallway. The nurse observes and assesses further by asking how the client feels. The client replies “I am very restless and can’t seem to sit still.” The nurse should understand that the client is experiencing which of the following extrapyramidal side effects?
a. Dystonia
b. Parkinsonism
c. Tardive dyskinesia
d. Akathisia – an extrapyramidal side effect characterized by the client’s complaint of a sense of inner restlessness and observable behaviors like pacing and fidgeting.
5. A client is admitted for the 3rd time to a psychiatric hospital with a diagnosis of schizophrenia. During the admission procedure, the nurse notices that the client’s appearance is unkempt, and the client seems to be actively hallucinating. Which of the following should be the nurse’s priority nursing assessment?
a. Perception of reality
b. Ability to follow direction
c. Physical needs – the client’s appearance and behavior may be due to a physical illness or injury, or to a fluid and electrolyte imbalance. Assessing the client’s physical health needs should be the initial priority for the nurse.
d. Mental status
6. A nurse plans to teach important information about the anxiolytic agent diazepam (Valium) to a client for whom it has just been prescribed. The nurse should include in the teaching plan which of the following?
a. Side effects include insomnia and seizures
b. Valium can be habit forming.
c. This medication is administered solely by mouth
d. It takes 2 to 3 weeks to reach full therapeutic effect.
7. An emergency room nurse is assessing a client for cocaine intoxication. The nurse should know that which of the following is associated with cocaine intoxication?
a. Pinpoint pupils – dilated pupils are associated with cocaine intoxication
b. Drowsiness – hyperactivity and hyper-alertness are common effects of cocaine intoxication
c. Nystagmus – frequently occurs with the use of phencyclidine (PCP, “angel dust”), not cocaine
d. Paranoia – symptom associated with cocaine intoxication
8. A client is receiving lorazepam (Ativan) for anxiety. In reviewing the client’s discharge plans, the nurse should emphasize that lorazepam.
a. Should not be taken during pregnancy.
b. Must be discontinued by gradual tapering over time.
c. Is contraindicated for clients with asthma.
d. Is a safe medication with no known adverse effects.
Rapid withdrawal from lorazepam has been associated with withdrawal symptoms (anxiousness, sleeplessness, and irritability). As a general rule, it is discontinued by gradually tapering it off over time to avoid any adverse responses.
9. A nurse is administering the neuroleptic medication thioridazine hydrochloride (Mellaril) 150 mg four times a day. The client reports hand tremors, drooling, and restlessness. Which of the following is an appropriate nursing action?
a. Chart observations and reassure the client that these manifestations are normal.
b. Administer diazepam (Valium) 5mg PO (ordered PRN).
c. Encourage deep breathing and relaxation
d. Administer benztropine Mesylate (Cogentin) 1mg PO (ordered PRN). – this client is experiencing extrapyramidal system effects of Mellaril. Benztropine Mesylate (Cogentin) is the drug of choice to counteract this adverse effect.
10. A nurse should understand that clients who are diagnosed with agoraphobia display which defense mechanism?
a. Displacement – the unconscious defense mechanism characterized by transferring of painful feelings to a neutral object. In agoraphobia, a phobic disorder, the anxiety is displaced from the original source to another object or situation, resulting in the phobia.
b. Isolation – Separating or blocking the feelings associated with a memory of a situation or person.
c. Denial – the avoidance of disagreeable realities by ignoring or refusing to recognize them.
d. Undoing – an act or communication that reverses or negates a previous act that was unacceptable.
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