ATI RN MENTAL
HEALTH EXAM
PACK-BEST FOR
2022 EXAM
REVIEW
1. When admitting a client to an inpatient mental health facility, a nurse notices that
... [Show More] the client
seems withdrawn and appears fearful. To establish a trusting nurse-client relationship, the nurse
should first
a. Introduce the client to other clients in the day room (working phase)
b. Inform the client that her admission will be confidential (orientation phase)
c. Assist the client in facilitating behavioral change (working phase)
d. Determine coping strategies that the client has used in the past (working phase)
2. A nurse is reviewing the potential adverse effects of lithium with a client who began the
medication 2 weeks ago. For which of the following should the nurse instruct the client to
monitor and report to the provider?
a. Hearing loss
b. Dry persistent cough
c. Bruising
d. Coarse hand tremor (indication toxicity )
3. A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner,
throwing objects, and kicking others. Which of the following therapeutic nursing interventions is
the highest priority?
a. Encourage expression of feelings (acknowledge them)
b. Promote attendance at an assertiveness training group (how to be assertive rather than
aggressive)
c. Assist the client to perform relaxation breathing (assist the child to calm down)
d. Use a therapeutic holding technique (the greatest risk to this child and others is harm?
Therefore, the nurse’s priority intervention is to use a therapeutic holding technique to
de-escalate the behavior and prevent injury)
4. A nurse in a mental health facility observes a client who is experiencing panic level of anxiety.
Which of the following actions should the nurse take first?
a. Teach the client a relaxation technique (after the attack has subsided to prevent further
escalations of anxiety)
b. Establish an exercise routine for the client (after the attack has subsided to prevent
further escalations anxiety)
c. Assist the client to identify anxiety triggers
d. Accompany the client to a quiet room
5. A nurse is caring for a client who is taking chlorpromazine for schizophrenia. Which of the
following assessment findings indicates that the client is experiencing extrapyramidal adverse
effects?
a. Fever and sore throat (indicate agranulocytosis)
b. Urinary retention (Anticholinergic side effect)
c. Postural hypotension (cardiovascular side effect)
d. Lip smacking and tongue rolling (indicate long-term extrapyramidal side effects
associated with typical antipsychotic medications)
6. A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal.
Available is diazepam injection 5 mg/ml. How many mL should the nurse administer? (round the answer to
the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.) [Show Less]