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ATI RN Mental Health Online Practice B (60 Questions)

(Each of the 4 options in each question has explained rationale)

1. A nurse is caring for a client whose child has a terminal illness. The client requests information about

how to deal with the upcoming loss. Which of the following statements should the nurse make:

a. "It will be better for you to keep busy to avoid thinking about your child's death."

Encouraging the client to avoid thinking about the child's death will not allow the client to begin

anticipatory grieving.

b. "You will complete the grieving process about a year after your child's death."

The grief process has no timeline. It varies for each individual.

c. "The grief process will start once your child actually dies."

The client can begin anticipatory grieving during the child's illness.

d. "It is not uncommon to feel angry toward yourself or others."

Feelings of blame and anger towards oneself or others are an expected reaction when a client is

experiencing a loss.

2. A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the

following instructions should the nurse include in the teaching?

a. "Take this medication with food."

Lithium can cause gastrointestinal distress. Therefore, this medication should be taken with

food.

B."Reduce sodium intake to 1,000 milligrams each day."

The client should maintain an adequate and consistent sodium intake to decrease the risk for lithium

toxicity. The recommended sodium intake for adults is 1,500 mg/day.

C."Limit fluid intake to 1,200 milliliters each day."

The client should consume 2,000 to 3,000 mL/day of fluids during initial treatment with lithium.

D."Be aware that this medication can be addictive."

Lithium is not classified as an addictive medication.

3. A nurse is planning care for four clients in a mental health facility. Which of the following clients is at

the greatest risk for injury when performing ADLs

a. A client who has severe Alzheimer's disease

The greatest risk to this client is injury from performing ADLs. Clients who have severe

Alzheimer's disease are typically confused, have memory difficulties, tend to wander, and need

assistance to perform ADLs.

B.A client who is in the maintenance phase of schizophrenia

Clients who are in the maintenance phase of schizophrenia are calm and able to provide self-care with

minimal risk for injury. Therefore, another client is at a greater risk for injury.

C.A client who has obsessive-compulsive disorder

A client who has obsessive-compulsive disorder typically performs ADLs repetitively and precisely. The

client should be able to provide self-care with minimal risk for injury. Therefore, another client is at a

greater risk for injury.

D.A client who has dysthymic disorder

Clients who have dysthymic disorder may have low energy or chronic fatigue, but they should be able to

provide self-care with minimal risk for injury. Therefore, another client is at a greater risk for injury.

4. A nurse who works with newborns is assessing the potential for abuse or neglect. Which of the

following family groups should the nurse identify as the highest potential for future child abuse

a. A family in which both parents are adolescents

A family in which both parents are adolescents indicates a risk for the parents to become

abusive toward the newborn due to lack of experience and knowledge regarding parenting.

However, another family group is at a higher risk for potential abuse.

b. A family in which the parents respond indifferently toward their newborn

A family in which the parents act indifferently about their newborn indicates a risk for the

parents to become abusive toward the newborn due to impaired bonding. However, another

family group is at a higher risk for potential abuse.

c. A family where one or both parents witnessed intimate partner violence in the home as children

Parents who witnessed intimate partner violence as children are more likely to become abusive

themselves. Therefore, this is the family group with the greatest potential for future child abuse.

d. A family in which one or both parents has a developmental disability

A family in which one or both parents have a developmental disability indicates a risk for the

parents to become abusive toward the newborn due to difficulty learning new skills. However,

another family group is at a higher risk for potential abuse.

5. A nurse is performing an admission assessment on a client and notices that the client appears

withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions

should the nurse take first

a. Inform the client that her admission is confidential.

According to evidence-based practice, the nurse should first inform the client about

confidentiality during the orientation phase of the nurse-client relationship.

B.Introduce the client to other clients in the day room.