ATI Mental Health practice 2019 A & B Questions and 100%Correct Answers.
ATI Mental Health practice 2019 A & B
1. A nurse is admitting a client who has
... [Show More] alcohol use disorder. Which of the following
statements by the client indicates that the client is using denial as a defense mechanism?
• “I am able to go to work every day, so I don't have a problem.” By insisting that their
drinking is not a problem because they can go to work every day, the client is using the defense
mechanism of denial. This allows the client to ignore the existence of their substance use disorder.
2. A nurse in the emergency Department is caring for a client who has alcohol toxicity and
is unresponsive. Which of the following interventions should the nurse take?
• Gather supplies for endotracheal intubation. The nurse should gather supplies for
endotracheal intubation because an expected finding of an unresponsive client who has alcohol
toxicity is respiratory depression.
3. A nurse in an outpatient mental health setting is collecting a health history from a client
who is taking paroxetine for depression. the client reports to the nurse that he also takes
herbal supplements. The nurse should advise the client that which of the following
supplements interacts adversely with paroxetine?
• St. John’s Wort St. John's wort is an herbal preparation that decreases the reuptake of
serotonin. The nurse should advise the client that taking St. John's wort with another medication
that also inhibits the reuptake of serotonin, such as paroxetine, places the client at risk for
serotonin syndrome
4. A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) Ann
will receive succinylcholine. The client asks the nurse about this medication. Which of
the following responses should the nurse make?
• Succinylcholine is given to reduce muscle movements during therapy. Succinylcholine
is a muscle-paralyzing agent that will decrease muscle movement during the procedure so the
client is less likely to be injured.
5. A nurse is assessing a client who recently used cocaine which of the following findings
should the nurse expect?
• Hypertension Cocaine is a stimulant that increases blood pressure. It also increases heart rate,
body temperature, energy levels, and metabolism.
6. A nurse in a community Health Center is counseling a family of two parents and two
children. Which of the following statements by a family member indicates manipulative
behavior?
• “If you do my homework for me, I won't bother you for the rest of the day.” This is
an example of manipulative behavior. It is an example of manipulation when the family member
uses a behavior to get what they desire rather than directly asking for what they want.
7. 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/5 mL. How many mL should
the nurse administer? (Round the answer to the nearest whole number. Use a leading zero
if it applies. do not use a trailing zero.)
• 14 mL
Step 4: Solve for X.
X mL/dose = 13.75 mL/dose
Step 5: Round if necessary. 13.75 mL/dose = 14 mL/dose
Step 6: Determine whether the amount to administer makes sense. If there are 10 mg/5 mL and the
prescription reads 0.55 mg/kg, it makes sense to administer 14 mL. The nurse should administer
chlorpromazine syrup 14 mL PO.
8. A nurse is planning care for a client who has schizophrenia and reports auditory
hallucinations. Which of the following interventions should the nurse include in the plan?
• Promote the use of music to compete with the client’s auditory hallucinations.
Competing reality-based stimulation such as the use of music or television during auditory
hallucinations can assist in limiting the effect the hallucinations have on the client's stress level.
9. A client who has paranoid schizophrenia is attending a treatment planning conference
with a family member. During the discussion of the medication adherence portion of the
plan, a nurse notices that the family member seems distracted. Which of the following
actions should the nurse take?
• Ask the family member if they have any thoughts or questions about the treatment
plan. This action involves the family member and allows them a venue to communicate about
the client's medication treatment plan.
10. During a client’s initial interview in a mental health inpatient setting, a nurse identifies
that the client is maintaining eye contact in leaning forward. Which of the following
assumptions should the nurse make based on the client’s nonverbal behaviors?
• The client is interested in what the nurse is saying. The client's posture and eye contact
demonstrates an interest in the interview and what the nurse is saying. [Show Less]