answered and explained mental health ati exam updated 2022 rationale pdf 2

Mental Health ATI Exam Updated 2022 +
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1. A nurse is providing teaching about confidentiality with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a. “The courts might require me to discuss confidential information.”
b. “I am required to provide confidential information to insurance companies.”
c. “If questioned during a police investigation, I am required to divulge confidential information.”
d. “I am legally allowed to discuss confidential information with the client’s former therapist.”
2. A nurse in an emergency department is performing an assessment on a client who reports being
sexually assaulted. Which of the following actions should the nurse take first?
a. Ask the client for permission to take photographs.
b. Document the client’s verbatim statements.
c. Provide community sexual assault support contacts.
d. Determine any physical signs of injury.
3. A nurse is caring for a client who was admitted to the facility in critical condition following a
cerebrovascular accident. The client’s son says to the nurse, “I wish I could stay, but I need to go
home to see how my children are doing. I really hate to leave.” Which of the following responses
should the nurse make?
a. “Perhaps you could call your children to see how they are doing.”
b. “Don’t worry. We’ll take good care of your parent while you are gone.”
c. “You are feeling drawn in two separate directions.”
d. “There’s nothing you can do here. You should go home to your children.”
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4. A nurse is assessing a client who has a mood disorder to determine his readiness for discharge.
Which of the following statements by the client indicates he is ready for discharge?
a. “Right now, I can’t bathe or dress myself, but that’s not important.”
b. “When I get home, I’m going to let the people who put me here know how angry I am.”
c. “I will take my medicines as I should & know to call the number you gave me if I have bad thoughts.”
d. “Taking care of myself is important, but it’s okay if I want to take a break & not do anything.”
5. A charge nurse overhears another nurse talking with a client who has schizophrenia. Suddenly
the client yells, “I am the devil! I am God! Open the gate for me!” Which of the following replies
by the nurse requires intervention?
a. “It sounds frightening to feel like both God & the devil at the same time.”
b. “I don’t understand. Can you tell me what that means?”
c. “Are you saying that you are both good & bad?”
d. “There is no gate for me to open.”
6. A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD)
& is constantly picking up after others in the day room. The nurse should recognize that the
client uses this behavior to do which of the following?
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a. Limit the amount of time available to interact with others.
b. Focus attention on meaningful tasks.
c. Manipulate & control others’ behaviors.
d. Decrease anxiety to a tolerable level.Answer
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7. A nurse is assessing a client who has schizophrenia & is taking resperidone. Which of the
following findings should the nurse expect?
a. Weight gain
b. Dependent edema
c. Nightmares
d. BradycardiaAnswer
8. A nurse is caring for a client who has bipolar disorder & is running around the unit asking people
to dance with her. Which of the following interventions should the nurse take?
a. Turn on a dance video so the client can burn off excess energy.
b. Offer the client a low-calorie snack in return for stopping the behavior.
c. Take the client outside & sit with her in the garden area.
d. Observe the client closely for the development of aggressive behavior
9. A nurse is assessing an adolescent client who has anorexia nervosa. Which of the following client
statements is a sign of cognitive distortion?
a. “I like to cut my food into small pieces.”
b. “I really need to get into shape.”
c. “If I eat one piece of candy, I may as well eat ten.”
d. “I can’t afford to gain weight.”Answer
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10. A nurse is providing teaching to the parents of an adolescent who has a depressive disorder & a
new prescription for trazodone. Which of the following information should the nurse include in
the teaching?
a. “Trazodone can cause suicidal thoughts in adolescents.”
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b. “Expect your child to lose weight while taking trazodone.”
c. “Your child’s symptoms of depression should improve within one week.”
d. “Trazodone should be taken in the morning to prevent insomnia.
11. A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications
& who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, &
diaphoresis. The nurse should recognize that which of the following adverse effects may be
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a. Tardive dyskinesia
b. Neuroleptic malignant syndrome
c. Acute dystonia
d. PseudoparkinsonismAnswer
12. A nurse is caring for a client who was involved in heavy combat & observed war casualties. The
nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the
client makes which of the following statements?
a. “I check any room I enter because the enemy is still after me & could be hiding anywhere.”
b. “My child was born with a birth defect due to an exposure I had overseas.”
c. “I killed four enemy soldiers with my bare hands & saved my entire battalion.”
d. “In my dreams, all I can see are the wounded reaching out & trying to grab me.”
13. A nurse is leading a family therapy session for a mother, father, & two adolescent siblings.
Which of the following statements should the nurse recognize as an example of effective
communication among family members?
a. “If you keep saying that, I will tell everyone what you did last night.”
b. “She is always bossing me around. Should she do that?”
c. “Can you tell me the reason you get upset each time I go to the mall?”
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d. “Please do not raise your voice at the children. I am the one who left dishes in the sink.”Answer
14. A nurse is providing medication teaching for a client who has a new prescription for phenelzine.
Which of the following statements should the nurse include in the teaching?
a. “You should change positions slowly while taking this medication.”
b. “This medication is prescribed to help overcome alcohol addiction.”
c. “You should omit foods containing oxalates while taking phenalzine.”
d. “You should avoid drinking liquids after your evening meal.”Answer Full file at:
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