ATI Mental Health Proctored Exam Review

A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum.

Which of the following information should the nurse include in the teaching?

a. Chew the gm for no more than 10 min.

b. Rinse out the mouth immediately before chewing the gum.

c. Avoid eating 15 min prior to chewing the gum.

d. Use of the gum is limited to 90 days.

A nurse is caring for a client who has alcohol use disorder. The client is no longer

experiencing withdrawal manifestations. Which of the following medications should the

nurse anticipate administering to assist the client with maintaining abstinence from

alcohol?

a. Chlordiazepoxide

b. Bupropion

c. Disulfiram

d. Carbamazepine

A nurse wants to use democratic leadership with a group whose purpose is to learn

appropriate conflict resolution techniques. The nurse is correct in implementing this form

of group leadership when she demonstrates which of the following actions?

a. Observes group techniques without interfering with the group process

b. Discusses a technique and then directs members to practice the technique

c. Asks for group suggestions of techniques and then support discussion

d. Suggests techniques and asks group members to reflect on their use

e. Democratic leadership supports group interaction and decision making to solve

problems.

A nurse is providing teaching to the family of a client who has a substance use disorder.

Which of the following statements by a family member indicate an understanding of the

teaching? (Select all that apply)

a. "We need to understand that she is responsible for her disorder."

b. "Eliminating any codependent behavior will promote her recovery."

c. "She should participate in an Al-Anon group to help her recover."

d. "The primary goal of her treatment is abstinence from substance use."

e. "She needs to discuss her feelings about substance use to help her recover."

A nurse working in an emergency department is caring for a client who has

benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's

priority?

a. Administer flumazenil

b. Identify the client's level of orientation

c. Infuse IV fluids

d. Prepare the client for gastric lavage

A nurse is caring for a client who is to begin taking fluoxetine for treatment of

generalized anxiety disorder. Which of the following statements indicates the client

understands the use of this medication?

a. "I will take the medication at bedtime.

b. "I will follow a low-sodium diet while taking this medication.

c. "I will need to discontinue this medication slowly.

d. "I will be at risk for weight loss with long term use of this medication."

A nurse is assessing a client 4 hr. after receiving an initial dose of fluoxetine. Which of the

following findings should the nurse report to the provider as indications of serotonin

syndrome? (Select all that apply)

a. Hypothermia

b. Hallucinations

c. Muscular flaccidity

d. Diaphoresis

e. Agitation 

A nurse is caring for a client who is taking phenelzine. For which of the following adverse

effects should the nurse monitor? (Select all that apply)

a. Elevated blood glucose level

b. Orthostatic hypotension

c. Priapism

d. Headache

e. Bruxism

A nurse is caring for a client who takes paroxetine to treat PTSD. The client states that he

grinds his teeth during the night, which causes pain in his mouth. The nurse should

identify which of the following interventions as possible measures to manage the client's

bruxism? (Select all that apply)

a. Concurrent administration of buspirone

b. Administration of a different SSRI

c. Use of a mouth guard.

d. Changing to a different class of antianxiety medication

e. Increasing the dose of paroxetine