Mental Health

A nurse is discussing normal grief with a client who recently lost a child. Which of the following statements made by the client indicates understanding? SATA ATI MH 164 A) "I may experience feelings of resentment." B) "I will probably withdraw from others." C) "I can expect to experience changes in sleep." D) "It is possible that I will experience suicidal thoughts." E) "It is expected that I will have a loss of self-esteem."

A) "I may experience feelings of resentment." B) "I will probably withdraw from others." C) "I can expect to experience changes in sleep."

A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? ATI MH 85 A) "I'm scared that you're going to leave me." B) "I'll go to group therapy if you'll let me smoke." C) "I need to feel that everyone admires me." D) "I sometimes feel better if I cut myself."

A) "I'm scared that you're going to leave me."

Which patient statement supports the diagnosis of anorexia nervosa? A) "I'm terrified of gaining weight." B) "I wish I had a good friend to talk to." C) "I've been told I drink way too much alcohol." D) "I don't get much pleasure out of life anymore"

A) "I'm terrified of gaining weight."

A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lbs. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? ATI MH 102 A) "Life isn't worth living if I gain weight." B) "Don't pretend like you don't know how fat I am." C) "If I could be skinny, I know I'd be popular." D) "When I look in the mirror, I see myself as obese."

A) "Life isn't worth living if I gain weight."

A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? SATA ATI MH 156 A) "Methadone is a replacement for physical dependence on opioids." B) "Methadone reduces the unpleasant effects associated with abstinence syndrome." C) "Methadone can be used during opioid withdrawal and to maintain abstinence." D) "Methadone increases the risk for acetaldehyde syndrome." E) "Methadone must be prescribed and dispensed by an approved treatment center."

A) "Methadone is a replacement for physical dependence on opioids." B) "Methadone reduces the unpleasant effects associated with abstinence syndrome." C) "Methadone can be used during opioid withdrawal and to maintain abstinence." E) "Methadone must be prescribed and dispensed by an approved treatment center."

A nurse is assessing a client who has major depressive disorder. The nurse should identify which of the following client statements as an overt comment about suicide? SATA ATI MH 180 A) "My family will be better off if I'm dead." B) "The stress in my life is too much to handle." C) "I wish my life was over." D) "I don't feel like I can ever be happy again." E) "If I kill myself then my problems will go away."

A) "My family will be better off if I'm dead." C) "I wish my life was over." E) "If I kill myself then my problems will go away."

Which statement made by a family member tends to support a diagnosis of delirium rather than dementia? A) "She was fine last night but this morning she was confused." B) "Dad doesn't seem to recognize us anymore." C) "This has been going on for a year and she's still not getting better." D) "I'm glad she doesn't get easily overstimulated."

A) "She was fine last night but this morning she was confused."

A patient repeatedly stated, "I'm stupid." Which statement by that patient would show progress resulting from cognitive-behavioral therapy? A) "Sometimes I do stupid things." B) "Things always go wrong for me." C) "I always fail when I try new things." D) "I'm disappointed in my lack of ability."

A) "Sometimes I do stupid things."

A nurse is caring for a client who is screaming at staff members and other clients Which of the following is a therapeutic response by the nurse to the client? ATI MH 183 A) "Stop screaming, and walk with me outside." B) "Why are you so angry and screaming at everyone?" C) "You will not get your way by screaming." D) "What was going through your mind when you started screaming?"

A) "Stop screaming, and walk with me outside."

The daughter of a woman with dementia asks the nurse if her mother will ever be able to live independently again. Which would be the most appropriate response by the nurse? A) "Symptoms of dementia gradually get worse. Unfortunately, she will not be independent again." B) "You sound like you aren't ready for her to be dependent on caregivers." C) "Her confusion is a temporary complication of her physical illness and should subside when the illness gets better." D) "With early treatment, mild dementia can be reversed. It may be possible."

A) "Symptoms of dementia gradually get worse. Unfortunately, she will not be independent again."

A nurse is caring for a client who has generalized anxiety disorder and is experiencing severe anxiety. Which of the following statements should the nurse make? ATI MH 59 A) "Tell me about how you are feeling right now." B) "You should focus on the positive thing in your life to decrease your anxiety." C) "Why do you believe you are experiencing this anxiety?" D) "Let's discuss the medications your provider is prescribing to decrease your anxiety."

A) "Tell me about how you are feeling right now."

A nurse interacts with patients diagnosed with various mental illnesses. Which statements reflect use of therapeutic communication? (Select all that apply.) A) "Tell me more about that situation." B) "Let's talk about something else." C) "I notice you are pacing a lot." D) "I'll stay with you a while." E) "Why did you do that?"

A) "Tell me more about that situation." C) "I notice you are pacing a lot." D) "I'll stay with you a while."

A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? ATI MH 127 A) "This medication increases the release of serotonin and norepinephrine." B) "I should tell the client about the likelihood of insomnia while taking this medication." C) "This medication is contraindicated for clients who have an eating disorder." D) "Sexual dysfunction is a common adverse effect of this medication."

A) "This medication increases the release of serotonin and norepinephrine."

A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? ATI MH 156 A) "This medication will help prevent seizures during alcohol withdrawal." B) "Taking this medication will decrease your cravings for alcohol." C) "This medication maintains your blood pressure at a normal level during alcohol withdrawal." D) "Taking this medication will improve your ability to maintain abstinence from alcohol."

A) "This medication will help prevent seizures during alcohol withdrawal."

The nurse is caring for a client with schizophrenia who is hospitalized for the fourth time in six months due to non-adherence of his medication. The client states, "I just can't remember to take my medication. Which reply is most appropriate? A) "What do you know about Zyprexa Relprevv?" B) "If this continues you will be court committed." C) "When you miss a dose, just take it the next time you remember." D) "Have you considered a long acting from of fluoxetine?"

A) "What do you know about Zyprexa Relprevv?"

A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? SATA ATI MH 102 A) "What is your relationship like with your family?" B) "Why do you want to lose weight?" C) "Would you describe your current eating habits?" D) "At what weight do you believe you will look better?" E) "Can you discuss your feelings about your appearance?"

A) "What is your relationship like with your family?" C) "Would you describe your current eating habits?" E) "Can you discuss your feelings about your appearance?"

A nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make? SATA ATI MH 80 A) "When did you start hearing these things?" B) "The voices are not real, or else we would both hear them." C) "It must be scary to hear voices." D) "Are the voices you hear telling you to hurt yourself?" E) "Why are the voices talking to only you?"

A) "When did you start hearing these things?" C) "It must be scary to hear voices." D) "Are the voices you hear telling you to hurt yourself?"

A nurse is caring for a client who lost a guardian to cancer last month. The client states, "I'd still have my guardian if the doctor would have made a diagnosis sooner." Which of the following responses should the nurse make? ATI MH 164 A) "You sound angry. Anger is a normal feeling associated with loss." B) "I think you would feel better if you talked about your feelings with a support group." C) "I understand just how you feel. I felt the same when my guardian died." D) "Do other members of your family also feel this way?"

A) "You sound angry. Anger is a normal feeling associated with loss."

Patient says, "It's been so long since I've been with my family." Which statement by the nurse is an example of restating? A) "You're saying you haven't seen your family in a while." B) "Tell me what happened when you last saw your family." C) "Go on. Tell me more." D) "When was the last time you saw your family?"

A) "You're saying you haven't seen your family in a while."

The nurse is conducting an audit of various medical records. Which finding signals a violation of patients' rights? A) A patient was not allowed to have visitors. B) A patient's belongings were searched at admission C) A patient with suicidal ideation was placed on continuous observation. D) Physical restraint was used after a patient was assaultive toward a staff member.

A) A patient was not allowed to have visitors.

A nurse is discussing routine follow-up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following? ATI MH 133 A) AST/ALT and LDH B) Creatinine and BUN C) WBC and granulocyte counts D) Blood sodium and potassium

A) AST/ALT and LDH

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the client's lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take? ATI MH 133 A) Administer the next dose of lithium carbonate as scheduled. B) Prepare for administration of aminophylline. C) Notify the provider for a possible increase in the dosage of lithium carbonate. D) Request a stat repeat of the client's lithium blood level.

A) Administer the next dose of lithium carbonate as scheduled.

Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? A) Always afraid another student will steal her belongings B) An unusual interest in numbers and specific topics C) Demonstrates no interest in athletics or organized sports D) Appears more comfortable around males

A) Always afraid another student will steal her belongings

A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first? ATI MH 59 A) Assess the client's risk for self harm B) Instill hope for positive outcomes C) Encourage the client to participate in group therapy sessions D) Assist the client to participate in treatment decisions

A) Assess the client's risk for self harm

Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa? A) Assist the patient to identify triggers to binge eating. B) Provide corrective consequences for weight loss. C) Explore patient needs for health teaching. D) Assess for signs of impulsive eating.

A) Assist the patient to identify triggers to binge eating.

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? SATA ATI MH 80 A) Auditory hallucination B) Lack of motivation C) Use of clang associations D) Delusion of persecution E) Constantly waving arms F) Flat affect

A) Auditory hallucination C) Use of clang associations D) Delusion of persecution E) Constantly waving arms

A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first-generation antipsychotics? SATA ATI MH 141 A) Auditory hallucinations B) Withdrawal form social situations C) Delusions of grandeur D) Severe agitation E) Anhedonia

A) Auditory hallucinations C) Delusions of grandeur D) Severe agitation

A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example? ATI MH 39 A) Aversion therapy B) Flooding C) Biofeedback D) Dialectical behavior therapy

A) Aversion therapy

A nurse is teaching a group of guardians about manifestations of conduct disorder. Which of the following findings should the nurse include? SATA ATI MH 170 A) Bullying of others B) Threats of suicide C) Law-breaking activities D) Narcissistic behavior E) Flat affect

A) Bullying of others B) Threats of suicide C) Law-breaking activities

A nurse is caring for a client who takes paroxetine to treat post traumatic stress disorder. The client states, "I grind my teeth during the night, which causes pain in my mouth." The nurse should identify which of the following interventions as possible measures to manage the client's bruxism? SATA ATI MH 118 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

A) Concurrent administration of buspirone. C) Use of a mouth guard D) Changing to a different class of antianxiety medication

A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. Which of the following interventions should the nurse include as a primary intervention? SATA ATI MH 180 A) Conducting a suicide risk screening on all new clients. B) Creating a support group for family members of clients who completed suicide. C) Educating high school teens about suicide prevention. D) Initiating one-on-one observation for a client who has current suicidal ideation. E) Teaching middle-school educators about warning indicators of suicide.

A) Conducting a suicide risk screening on all new clients. C) Educating high school teens about suicide prevention. E) Teaching middle-school educators about warning indicators of suicide.

The nurse is caring for a client experiencing opioid withdrawal. Which assessment finding should the nurse prepare to encounter? A) Diaphoresis, anxiety, and vomiting B) Epistaxis, euphoria, and hypotension C) Bradycardia, slurred speech, and sedation D) Respiratory depression and pinpoint pupils

A) Diaphoresis, anxiety, and vomiting

A nurse working on an acute mental health units is caring for a client who has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect? SATA ATI MH 64 A) Difficulty concentrating on tasks B) Obsessive need to talk about the traumatic event C) Negative self-image D) Recurring nightmares E) Diminished reflexes

A) Difficulty concentrating on tasks C) Negative self-image D) Recurring nightmares

A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? SATA ATI MH 85 A) Difficulty in getting along with other members of a group. B) Belief in the ability to become invisible during times of stress. C) Display of defense mechanisms when routines are changed. D) Claiming to be more important than other persons. E) Difficulty understanding why it is inappropriate to have a personal relationship with staff.

A) Difficulty in getting along with other members of a group. C) Display of defense mechanisms when routines are changed. E) Difficulty understanding why it is inappropriate to have a personal relationship with staff.

A nurse is providing teaching to an adolescent client who has a new prescription for clomipramine for OCD. Which of the following information should the nurse provide? ATI MH 150 A) Eat a diet high in fiber B) Check temperature daily C) Take medication first thing in the morning before eating D) Add extra calories to the diet as between-meal snacks

A) Eat a diet high in fiber

A nurse is working in a community mental health facility. Which of the following services does this type of program provide? SATA ATI MH 39 A) Educational groups B) Medication dispensing programs C) Individual counseling programs D) Detoxification programs E) Family therapy

A) Educational groups B) Medication dispensing programs C) Individual counseling programs E) Family therapy

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect? SATA ATI MH 59 A) Excessive worry for 6 months B) Impulsive decision making C) Delayed reflexes D) Restlessness E) Sleep disturbances

A) Excessive worry for 6 months D) Restlessness E) Sleep disturbances

Which action by a psychiatric nurse best applies the ethical principle of autonomy? A) Exploring alternative solutions with the patient, who then makes a choice. B) Suggesting that two patients who were fighting be restricted to the unit. C) Intervening when a self-mutilating patient attempts to harm self. D) Staying with a patient demonstrating a high level of anxiety.

A) Exploring alternative solutions with the patient, who then makes a choice.

Which behavior best demonstrates aggression? A) Grabbing an empty tray from the meal cart and approaching the nurse with the tray cocked back. B) Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing. C) Telling the primary nurse, "I felt angry when you said I could not have a second helping at lunch." D) Telling the medication nurse, "I am not going to take that, or any other, medication you try to give me."

A) Grabbing an empty tray from the meal cart and approaching the nurse with the tray cocked back.

Which of the following would indicate potential lithium toxicity? A) Hand tremors B) Constipation C) Hypertension D) Pyrexia

A) Hand tremors

A client abruptly stands up from a table and pushes the table over and shouts, "I've had enough!". Which action by the nurse is most appropriate? A) In a calm, clear tone asks, "You appear upset, would you share with me what is upsetting you?" B) Immediately rushes to the client and blocks the client from leaving until the table is turned upright. C) Gathers security to form a show of force and forcibly takes the client to locked seclusion. D) Ignores the behavior and calmly walks into the dining room and places the table back in place.

A) In a calm, clear tone asks, "You appear upset, would you share with me what is upsetting you?"

A home health nurse is making a visit to a client who has Alzheimer's disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury? SATA ATI MH 91 A) Install extra locks at the top of exit doors. B) Place rugs over electrical cords. C) Put cleaning supplies on the top of a shelf. D) Place the client's mattress on the floor. E) Install light fixtures above stairs.

A) Install extra locks at the top of exit doors. D) Place the client's mattress on the floor. E) Install light fixtures above stairs.

A nurse is working with a client who has recently lost a guardian. The nurse recognizes that which of the following factors influence a client's grief and coping ability? SATA ATI MH 164 A) Interpersonal relationships B) Culture C) Birth order D) Religious beliefs E) Prior experience with loss

A) Interpersonal relationships B) Culture D) Religious beliefs E) Prior experience with loss

A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, "Back off!" and then goes to the dayroom. Which action by the nurse is most appropriate? A) Make sure there is adequate physical space between the nurse and patient. B) Move into a position that places the patient close to the door. C) Maintain one arm's length distance from the patient. D) Begin talking to the patient about appropriate behavior.

A) Make sure there is adequate physical space between the nurse and patient.

The nurse notes that the patient is unable to maintain eye contact, often with their chin on the chest, staring at the floor. Which aspect of communication is being noted? A) Nonverbal communication B) A message filter C) A cultural barrier D) Social skills

A) Nonverbal communication

A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? ATI MH 18 A) Offering advice B) Reflecting C) Listening attentively D) Giving information

A) Offering advice Advice tends to interfere with the client's ability to make personal decisions and choices

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? SATA SATA ATI MH 141 A) Olanzapine B) Quetiapine C) Aripiprazole D) Clozapine E) Asenapine

A) Olanzapine C) Aripiprazole D) Clozapine E) Asenapine

A nurse is preparing to implement cognitive reframing techniques for a client who has anxiety disorder. Which of the following techniques should the nurse include in the plan of care? SATA ATI MH 39 A) Priority restructuring B) Monitoring thoughts C) Diaphragmatic breathing D) Journal keeping E) Meditation

A) Priority restructuring B) Monitoring thoughts D) Journal keeping

Which technique is most applicable to aversion therapy? A) Punishment B) Desensitization C) Role modeling D) Positive reinforcement

A) Punishment

The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3.Select the nurse's best action. A) Report the results to the health care provider immediately. B) Administer the next dose as prescribed. C) Give aspirin and force fluids. D) Repeat the laboratory test.

A) Report the results to the health care provider immediately.

Which technique will best communicate to a patient that the nurse is interested in listening? A) Restating a feeling or thought the patient has expressed. B) Asking a direct question, such as "Did you feel angry?" C) Making a judgment about the patient's problem. D) Saying, "I understand what you're saying."

A) Restating a feeling or thought the patient has expressed.

A nurse is teaching the guardians of a child who has autism spectrum disorder about indications of imipramine toxicity. Which of the following should the nurse include in the teaching? SATA ATI MH 150 A) Seizures B) Agitation C) Photophobia D) Dry mouth E) Irregular pulse

A) Seizures B) Agitation E) Irregular pulse

A suicidal patient was hospitalized and prescribed an antidepressant medication. The following day the patient is now more talkative and shows increased energy. Select the highest priority nursing intervention. A) Supervise the patient 24 hours a day. B) Begin discharge planning for the patient. C) Refer the patient to art and music therapists. D) Discontinue medication and treat for serotonin syndrome.

A) Supervise the patient 24 hours a day.

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority? A) The patient refuses to eat or bathe. B) The patient reports feelings of alienation from family. C) The patient is reluctant to participate in unit social activities. D) The patient is unaware of medication action and side effects.

A) The patient refuses to eat or bathe.

A patient has talked constantly throughout the group therapy session and other members were initially attentive but then became quiet. Which action by the nurse would be most effective? A) To group: "Most of you have become quiet. I wonder if it might be related to concerns you may have about how the group is progressing today." B) To group: "One person has done most of the talking. I think it would be helpful for everyone to say how that has affected your experience of the group." C) To group: "I noticed that as our group progressed most members became quiet, then disinterested and now seem almost angry. What is going on?" D) To individual: You have been doing most of the talking, and others have not had a chance to speak as a result. Could you please yield to others now?"

A) To group: "Most of you have become quiet. I wonder if it might be related to concerns you may have about how the group is progressing today."

The parent of an adolescent is concerned their child is at risk for suicide. Which places the adolescent at the greatest risk for suicide? A) Two of the adolescent's friends committed suicide two weeks ago. B) The adolescent sees a counselor once per week. C) The adolescent's uncle is diagnosed with a major depressive disorder. D) The adolescent's parents are divorced.

A) Two of the adolescent's friends committed suicide two weeks ago.

A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? SATA ATI MH 53 A) Voice changes B) Seizure activity C) Disorientation D) Cough E) Neck pain

A) Voice changes D) Cough E) Neck pain

A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? SATA ATI MH 127 A) Void just before taking the medication. B) Increase the dietary intake of potassium. C) Wear sunglasses when outside. D) Change positions slowly when getting up. E) Chew sugarless gum.

A) Void just before taking the medication. C) Wear sunglasses when outside. E) Chew sugarless gum.

Inpatient hospitalization for persons with mental illness is generally reserved for patients who: A) present a clear danger to self or others. B) are noncompliant with medication at home. C) have limited support systems in the community. D) develop new symptoms during the course of an illness.

A) present a clear danger to self or others.

The nurse is providing discharge teaching to a patient with a Cluster C personality disorder. Which statement by the patient indicates an understanding of the teaching? A) "I need to take lorazepam every day for 3-4 weeks before it will effectively control my shyness." B) "Both group and individual therapy can help me improve the way I interact with others." C) "There is no effective treatment for my disorder, but with help I can learn to live with it." D) "I should periodically review my safety plan to ensure that the information is up to date."

B) "Both group and individual therapy can help me improve the way I interact with others."

A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? SATA ATI MH 12 A) "Client ate most of their breakfast." B) "Client was offered 8oz of water every hour." C) "Client shouted obscenities at assistive personnel." D) "Client received chlorpromazine 15 mg by mouth at 1000." E) "Client acted out after lunch."

B) "Client was offered 8oz of water every hour." C) "Client shouted obscenities at assistive personnel." D) "Client received chlorpromazine 15 mg by mouth at 1000."

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 indicates an understanding of the teaching? SATA ATI MH 97 A) "We need to understand that our sibling is responsible for their disorder." B) "Eliminating codependent behavior will promote recovery." C) "Our sibling should participate in an Al-Anon group to assist with recovery." D) "The primary goal of treatment is abstinence from substance use." E) "Our sibling needs to discuss personal feelings about substance use to help with recovery."

B) "Eliminating codependent behavior will promote recovery." D) "The primary goal of treatment is abstinence from substance use." E) "Our sibling needs to discuss personal feelings about substance use to help with recovery."

The nurse is conducting a mental status examination on a new patient. Which question would be most beneficial in assessing perceptual disturbances in the patient. A) "How would you describe your experience as a child?" B) "Have you seen something that you thought wasn't real?" C) "Have you ever felt sad at a happy event, or happy at a sad event?" D) "What does it mean when someone say's a dime a dozen'?"

B) "Have you seen something that you thought wasn't real?"

Which statement made by a 9-year-old child after hitting a classmate is a typical comment associated with childhood conduct disorder. A) "I'm sorry, I won't hit him again." B) "He deserved it for being a sissy." C) "I didn't think I hit him very hard." D) "I don't have to do what you say".

B) "He deserved it for being a sissy."

A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which of the following responses should the nurse make? ATI MH 75 A) "Why do you think you feel the need to give money away?" B) "I am here to provide care and cannot accept this from you." C) "I can request that your case manager discuss appropriate charity options with you." D) "You should know that giving away your money is inappropriate."

B) "I am here to provide care and cannot accept this from you."

A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization? ATI MH 80 A) "I am a superhero and am immortal." B) "I am no one, and everyone is me." C) "I feel monsters pinching me all over." D) "I know that you are stealing my thoughts."

B) "I am no one, and everyone is me."

A patient cries as the nurse explores the patient's feelings about the death of a close friend. The patient sobs, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse facilitate communication? (Select all that apply.) A) "Why do you think you are so upset?" B) "I can see that you feel sad about this situation." C) "The loss of a close friend is very painful for you." D) "Crying is a way of expressing the hurt you are experiencing." E) "Let's talk about something else because this subject is upsetting you."

B) "I can see that you feel sad about this situation." C) "The loss of a close friend is very painful for you." D) "Crying is a way of expressing the hurt you are experiencing."

A client with schizophrenia is seen sitting alone and talking out loud. Suddenly, the client stops and turns as if listening to someone. The nurse approaches and sits down beside the client. Which is the best initial response by the nurse? A) "You must be talking to John Cena, because I can't see him. B) "I don't hear or see anyone else; what are you hearing and seeing?" C) "I can tell you are hearing voices, but they are not real." D) "How long have you known the person you are talking to?"

B) "I don't hear or see anyone else; what are you hearing and seeing?"

A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? ATI MH 127 A) "I can expect to experience diarrhea while taking this medication." B) "I may feel drowsy for a few weeks after starting this medication." C) "I cannot eat my favorite pizza with pepperoni while taking this medication." D) "This medication will help me lose the weight that I have gained over the last year."

B) "I may feel drowsy for a few weeks after starting this medication."

Two weeks ago, a soldier returned to the United States from active duty in a combat zone. The soldier was diagnosed with PTSD. Which comment by the soldier requires the nurse's immediate attention? A) "It's good to be home. I missed my home, family, and friends." B) "I saw my best friend get killed by a roadside bomb. I don't understand why it wasn't me." C) "Sometimes I think I hear bombs exploding, but it's just the noise of traffic in my hometown." D) "I want to continue my education, but I'm not sure how I will fit in with other college students."

B) "I saw my best friend get killed by a roadside bomb. I don't understand why it wasn't me."

The nurse is discharging a patient on sertraline, which statement by the patient indicates a need for further education? A) "It may take six weeks for the medication to do it's job" B) "I should avoid any foods with tyramine, like cured meats" C) "I could experience sexual side effects, and that should be reported" D) "It could be dangerous to stop taking this medication cold turkey'"

B) "I should avoid any foods with tyramine, like cured meats"

A patient has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today this patient shouts, "They're all plotting to destroy me. Isn't that true?" Select the nurse's most therapeutic response. A) "Everyone here is trying to help you. No one wants to harm you." B) "I understand you are frightened. I'm your nurse, I'm here to help you." C) "That is not true. People here are trying to help you if you will let them." D) "Staff members are health care professionals who are qualified to help vou."

B) "I understand you are frightened. I'm your nurse, I'm here to help you."

A patient diagnosed with schizophrenia tells the nurse, "The Central Intelligence Agency is monitoring us through the fluorescent lights in this room. The CIA is everywhere, so be careful what you say." Which response by the nurse is most therapeutic? A) "Let's talk about something other than the CIA." B) "It sounds like you're concerned about your privacy." C) "The CIA is prohibited from operating in health care facilities." D) "You have lost touch with reality, which is a symptom of your illness."

B) "It sounds like you're concerned about your privacy."

A 14-year-old client is being treated for conduct disorder. The client refuses to attend class today, stating that yesterday the other nurse told the client that the client did not have to go to class if the client didn't want. Best response? A) "Fine, but you're confined to your room." B) "Missing class is against the rules." C) "You and I both know you're lying." D) "Why do you keep fighting the system?"

B) "Missing class is against the rules."

A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make? ATI MH 133 A) "That is a good choice. Ibuprofen does not interact with lithium." B) "Regular aspirin would be a better choice than ibuprofen." C) "Lithium decreases the effectiveness of ibuprofen." D) "The ibuprofen will make your lithium level fall too low."

B) "Regular aspirin would be a better choice than ibuprofen."

A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The patient asks, "Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's appropriate response. A) "You will be able to stop the medication in about 1 month." B) "Taking the medication every day helps reduce the risk of a relapse." C) "Most patients take medication for approximately 6 months after discharge." D) "It's unusual that the health care provider hasn't already stopped your medication."

B) "Taking the medication every day helps reduce the risk of a relapse."

A nurse is teaching a client who has anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? ATI MH 39 A) "Even if my anxiety improves, I will need to continue this therapy for 6 weeks." B) "The therapist will focus on my past relationships during our sessions." C) "Psychoanalysis will help me reduce my anxiety by changing my behaviors." D) "This therapy will address my conscious feelings about stressful experiences."

B) "The therapist will focus on my past relationships during our sessions."

Which hallucination necessitates the nurse to implement safety measures? The patient says, A) "I hear angels playing harps." B) "The voices say everyone is trying to kill me." C) "My dead father tells me I am a good person." D) "The voices talk only at night when I'm trying to sleep."

B) "The voices say everyone is trying to kill me."

When teaching the parents of a child with attention deficit hyperactivity disorder (ADHD), which statement by the parents would indicate the need for further teaching? A) "We'll make sure the child completes one task before going on to another." B) "We'll have the child do homework at the kitchen table with the child's siblings." C) "We'll set up rules with specific times for eating, sleeping, and playing." D) "We'll use simple, clear directions and instructions."

B) "We'll have the child do homework at the kitchen table with the child's siblings."

A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicates an understanding of the teaching? ATI MH 156 A) "Taking this medication will help reduce my craving for heroin." B) "While taking this medication, I should keep a pack of sugarless gum." C) "I can expect some diarrhea from taking this medication." D) "Each dose of this medication should be placed under my tongue to dissolve."

B) "While taking this medication, I should keep a pack of sugarless gum."

A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? ATI MH 91 A) "You should avoid taking over-the-counter acetaminophen while on donepezil." B) "You should take this medication before going to bed at the end of the day." C) "You will be screened for underlying kidney disease prior to starting donepezil." D) "You should stop taking donepezil if you experience nausea or diarrhea."

B) "You should take this medication before going to bed at the end of the day."

A nurse is caring for a group of clients. Which of the following clients should the nurse consider for referral to an assertive community treatment (ACT) group? ATI MH 39 A) A client in an acute care mental health facility who has fallen several times while running down the hallway. B) A client who lives at home and keeps "forgetting" to come in for a scheduled monthly antipsychotic injection for schizophrenia. C) A client in a day treatment program who reports increasing anxiety during group therapy. D) A client in a weekly grief support who reports still missing a deceased partner who has been dead for three months.

B) A client who lives at home and keeps "forgetting" to come in for a scheduled monthly antipsychotic injection for schizophrenia.

A nurse is teaching a child who has intermittent explosive disorder about a new prescription for fluoxetine. Which of the following information should the nurse provide? SATA ATI MH 150 A) An adverse effect of this medication is CNS depression B) Administer the medication in the morning C) Monitor for weight loss while taking this medication D) Therapeutic effects of this medication will take 1 to 3 weeks to fully develop E) This medication blocks the synaptic reuptake of serotonin in the brain

B) Administer the medication in the morning C) Monitor for weight loss while taking this medication E) This medication blocks the synaptic reuptake of serotonin in the brain

A nurse is speaking with a client who has schizophrenia when the client suddenly seems to stop focusing on the nurse's questions and begins looking at the ceiling and talking to themselves. Which of the following actions should the nurse take? ATI MH 80 A) Stop the interview at this point, and resume later when the client is better able to concentrate. B) Ask the client, "Are you seeing something on the ceiling?" C) Tell the client, "You seem to be looking at something on the ceiling. I see something there, too." D) Continue the interview without comment on the client's behavior.

B) Ask the client, "Are you seeing something on the ceiling?"

The nurse is providing education to a client that is trying to quit smoking. As part of the education, the nurse will provide information on which medication? A) Lorazepam B) Bupropion C) Naltrexone D) Naloxone

B) Bupropion

A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client is in the pre-assaultive stage of violence? SATA ATI MH 183 A) Lethargy B) Defensive responses to questions C) Disorientation D) Facial grimacing E) Agitation

B) Defensive responses to questions D) Facial grimacing E) Agitation

A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? ATI MH 22 A) Reaction formation B) Denial C) Displacement D) Sublimination

B) Denial

A charge nurse is reviewing Kubler-Ross: Five Stages of Grief with a group of newly licensed nurses. Which of the following stages should the charge nurse include in the teaching? SATA ATI MH 164 A) Disequilibrium B) Denial C) Bargaining D) Anger E) Depression

B) Denial C) Bargaining D) Anger E) Depression

A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? SATA ATI MH 75 A) Use caffeine in moderation to prevent relapse. B) Difficulty sleeping can indicate a relapse. C) Begin taking your medications as soon as relapse begins. D) Participating in psychotherapy can help prevent a relapse. E) Anhedonia is a clinical manifestation of a depressive relapse.

B) Difficulty sleeping can indicate a relapse. D) Participating in psychotherapy can help prevent a relapse. E) Anhedonia is a clinical manifestation of a depressive relapse.

A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? SATA ATI MH 22 A) Reassure the client that everything will be okay. B) Discuss prior use of coping mechanisms with the client. C) Ignore the client's anxiety so that she will not be embarrassed. D) Demonstrate a calm manner while using simple and clear directions. E) Gather information from the client using closed-ended questions.

B) Discuss prior use of coping mechanisms with the client. D) Demonstrate a calm manner while using simple and clear directions.

A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)? SATA ATI MH 141 A) Decreased level of consciousness B) Drooling C) Involuntary arm movements D) Urinary retention E) Continual pacing

B) Drooling C) Involuntary arm movements E) Continual pacing

Which nursing intervention should take priority for a child with attention deficit hyperactivity disorder (ADHD)? A) Structured daily routine B) Ensuring the child's safety and that of others C) Simplifying instructions and directions D) Improved role performance

B) Ensuring the child's safety and that of others

A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? ATI MH 12 A) Invasion of privacy B) False imprisonment C) Assault D) Battery

B) False imprisonment

A nurse is performing an admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? SATA ATI MH 91 A) History of gradual memory loss B) Family report of personality changes C) Hallucinations D) Unaltered level of consciousness E) Restlessness

B) Family report of personality changes C) Hallucinations E) Restlessness

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? SATA ATI MH 97 A) Bradycardia B) Fine tremors of both hands C) Hypotension D) Vomiting E) Restlessness

B) Fine tremors of both hands D) Vomiting E) Restlessness

A nurse is assessing a client 4hr after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indication of serotonin syndrome? SATA ATI MH 118 A) Hypothermia B) Hallucinations C) Muscular flaccidity D) Diaphoresis E) Agitation

B) Hallucinations D) Diaphoresis E) Agitation

A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? SATA ATI MH 102 A) Amenorrhea B) Hypokalemia C) Yellowing of the skin D) Slightly elevated body weight E) Presence of lanugo on the face

B) Hypokalemia D) Slightly elevated body weight

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? ATI MH 118 A) Administer flumazenil B) Identify the client's level of orientation C) Infuse IV fluids D) Prepare the client for gastric lavage

B) Identify the client's level of orientation

A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are stating, "kill your doctor." Which of the following actions should the nurse take first? ATI MH 80 A) Encourage the client to participate in group therapy on the unit. B) Initiate one-to-one observation of the client. C) Focus the client on reality. D) Notify the provider of the client's statement.

B) Initiate one-to-one observation of the client.

A nurse is caring for a client who states, "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority? ATI MH 180 A) Client's educational and economic background. B) Lethality of the method and availability of means. C) Quality of the client's social support. D) Client's insight into the reasons for the decision.

B) Lethality of the method and availability of means.

A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first? A) Verify the patient's learning style. B) Lower the patient's current anxiety. C) Create outcomes and a teaching plan. D) Assess how the patient uses defense mechanisms

B) Lower the patient's current anxiety.

A nurse is reviewing the medical records of multiple clients at a community mental health facility. Which of the following events is an example of a client experiencing a maturational crisis? ATI MH 174 A) Rape B) Marriage C) Severe physical illness D) Job loss

B) Marriage

A nurse is providing preoperative teaching for a client who was informed of the need for emergency surgery. The client has a respiratory rate of 30/min, and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? ATI MH 22 A) Mild B) Moderate C) Severe D) Panic

B) Moderate

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? SATA ATI MH 75 A) Provide flexible client behavior expectations. B) Offer concise explanations C) Establish consistent limits D) Disregard client concerns E) Use a firm approach with communication

B) Offer concise explanations C) Establish consistent limits E) Use a firm approach with communication

A nurse is caring for a client who is taking phenelzine. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? SATA ATI MH 127 A) Elevated blood glucose level B) Orthostatic hypotension C) Priapism D) Hypomania E) Bruxism

B) Orthostatic hypotension D) Hypomania

A nurse is caring for a client who is experiencing a crisis. Which of the following medications might the provider prescribe? SATA ATI MH 174 A) Lithium carbonate B) Paroxetine C) Risperidone D) Haloperidol E) Lorazepam

B) Paroxetine E) Lorazepam

When assessing a patient with suicide ideation, it is essential to assess for what? A) Plan, history, and lethality B) Plan, means, and lethality C) Plan, history, and means D) History, means, and lethality

B) Plan, means, and lethality

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching? SATA ATI MH 133 A) Constipation B) Polyuria C) Rash D) Muscle weakness E) Tinnitus

B) Polyuria D) Muscle weakness

A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the following manifestations should the nurse assess? ATI MH 170 A) Impulsive behavior B) Repetitive counting C) Destructiveness D) Somatic problems

B) Repetitive counting

A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take? ATI MH 183 A) Insist that the client stop yelling. B) Request that other staff members remain close by. C) Move as close to the client as possible. D) Walk away from the client.

B) Request that other staff members remain close by.

When a client expresses negative transference behavior, which approach should the nurse take? A) Chastise the patient for incorrectly assessing the relationship of the nurse and the client. B) Return the focus onto the client's personal relationship that is contributing to the transference. C) Empathize with the patient by sharing a personal experience that resulted in similar negative feelings. D) Use the transference to put the client in a state of submission to promote treatment adherence.

B) Return the focus onto the client's personal relationship that is contributing to the transference.

A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's commands or respond to verbal interventions. Which nursing diagnosis is of highest priority? A) Fear B) Risk for injury C) Self-care deficit D) Disturbed thought processes

B) Risk for injury

A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? ATI MH 85 A) Regression B) Splitting C) Undoing D) Identification

B) Splitting

A nurse prepares to administer a scheduled IM injection of anti-psychotic to a patient diagnosed with schizophrenia. The patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side effects." Select the nurse's best action. A) Assemble other staff for a show of force and proceed with the injection, using restraint if necessary. B) Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having." C) Proceed with the injection but explain to the patient that there are medications that will help reduce the unpleasant side effects. D) Say to the patient, "Since I've already drawn the medication in the syringe, I'm required to give it, but let's talk to the doctor about delaying next month's dose."

B) Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having."

A nurse is performing an admission assessment on an adolescent client who has depression. Which of the following findings are expected for this disorder? SATA ATI MH 170 A) Fear of being alone B) Substance use C) Weight gain D) Irritability E) Aggressiveness

B) Substance use D) Irritability E) Aggressiveness

What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy (ECT) treatment? A) Nutrition and hydration B) Supporting physiological stability C) Reducing disorientation and confusion D) Assisting the patient to identify and test negative thoughts

B) Supporting physiological stability

A nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse use to help prevent developing a trauma-related disorder? SATA ATI MH 64 A) Avoid thinking about the incident when it's over. B) Take breaks during the incident for food and water. C) Debrief with others following the incident. D) Avoid displays of emotion in the days following the incident. E) Take advantage of offered counseling.

B) Take breaks during the incident for food and water. C) Debrief with others following the incident. E) Take advantage of offered counseling.

A client says, "Facebook has a new tracking capacity. If I use the Internet, Homeland Security will detain me as a terrorist." Select the nurse's best initial action. A) Tell the client, "Facebook is a safe website. You don't need to worry about Homeland Security." B) Tell the client, "You are in a safe place where you will be helped." C) Administer a prn dose of an antipsychotic medication. D) Tell the client, "You don't need to worry about that."

B) Tell the client, "You are in a safe place where you will be helped."

A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? ATI MH 12 A) Notify the nurse manager B) Tell the nurse to stop discussing the behavior C) Provide an in-service program about confidentiality D) Complete an incident report

B) Tell the nurse to stop discussing the behavior

Which action by the nurse violates the ethical concept of justice? A) The nurse places a client with schizophrenia in restraints for refusing medication. B) The nurse allows a client with borderline personality to watch tv after hours. C) The nurse discusses care of a client with depression with friends at lunch. D) The nurse gives a client the wrong medication but does not report the mistake.

B) The nurse allows a client with borderline personality to watch tv after hours.

A nurse is providing teaching to an adolescents client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects? SATA ATI MH 150 A) Somnolence B) Yellowing skin C) Increased appetite D) Fever E) Malaise

B) Yellowing skin D) Fever E) Malaise

A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of A) hypotensive shock. B) hypertensive crisis. C) cardiac dysrhythmia. D) cardiogenic shock.

B) hypertensive crisis.

A nurse wants to enhance growth of a patient by showing positive regard. The nurse's action most likely to achieve this goal is: A) making rounds daily. B) staying with a tearful patient. C) administering medication as prescribed. D) examining personal feelings about a patient.

B) staying with a tearful patient.

Ms. A, 53, has just been admitted to your unit with bipolar disorder I and is in the manic state. What symptoms might you expect to see? A. Catatonia B. Expression of racing thoughts C. Low self esteem and tearfulness D. Lack of interest in her environment

B. Expression of racing thoughts

A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate? A) "What are the common elements here?" B) "Tell me again about your experiences." C) "Am I correct in understanding that." D) "Tell me everything from the beginning."

C) "Am I correct in understanding that."

A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? ATI MH 75 A) "ECT is the recommended initial treatment for bipolar disorder." B) "ECT is contraindicated for clients who have suicidal ideation." C) "ECT is effective for clients who are experiencing severe mania." D) "ECT is prescribed to prevent relapse of bipolar disorder."

C) "ECT is effective for clients who are experiencing severe mania."

A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? ATI MH 85 A) "I can promote my client's sense of control by establishing a schedule." B) "I should encourage clients who have a schizoid personality disorder to increase socialization." C) "I should practice limit-setting to help prevent client manipulation." D) "I should implement assertiveness training with clients who have antisocial personality disorder."

C) "I should practice limit-setting to help prevent client manipulation."

A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make? ATI MH 102 A) "Many clients are concerned about their weight. However, the dietician will ensure that you don't get too many calories in your diet." B) "Instead of worrying about your weight, try to focus on other problems at this time." C) "I understand that you have concerns about your weight, but first, let's talk about your recent accomplishments." D) "You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you."

C) "I understand that you have concerns about your weight, but first, let's talk about your recent accomplishments."

A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates understanding of the teaching? ATI MH 141 A) "I will be able to stop taking this medication as soon as I feel better." B) "If I feel drowsy during the day, I will stop taking this medication and call my provider." C) "I will be careful not to gain too much weight while taking this medication." D) "This medication is highly addictive and must be withdrawn slowly."

C) "I will be careful not to gain too much weight while taking this medication."

A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following statements indicates the client understands the use of this medication? ATI MH 118 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."

C) "I will need to discontinue this medication slowly."

Which comments by a nurse demonstrate use of therapeutic communication techniques? (Select all that apply.) A) "Why do you think these events have happened to you?" B) "There are people with problems much worse than yours." C) "I'm glad you were able to tell me how you felt about your loss." D) "I noticed your hands trembling when you told me about your accident." E) "You look very nice today. I'm proud you took more time with your appearance."

C) "I'm glad you were able to tell me how you felt about your loss." D) "I noticed your hands trembling when you told me about your accident."

The nurse educator is reviewing interventions for bipolar mania with new nurses. Which statement by one of the nurses indicates a need for further teaching? A) "We should strive to keep stimulation on the unit low for these patients" B) "We need to ensure that these patients are getting enough to eat and drink" C) "We should encourage these patients to join group therapy and participate" D) "We should use distraction as a tool to de-escalate undesirable behavior"

C) "We should encourage these patients to join group therapy and participate"

A patient tells the nurse, "I don't think I'll ever get out of here." Select the nurse's most therapeutic response. A) "Don't talk that way. Of course you will leave here!" B) "Keep up the good work, and you certainly will." C) "You don't think you're making progress?" D) "Everyone feels that way sometimes."

C) "You don't think you're making progress?"

Which therapeutic communication statement might a psychiatric mental health registered nurse use when a a patient's nursing diagnosis is 'altered thought processes'? A) "I know you say you hear voices, but I cannot hear them." B) "Stop listening to the voices. They are not real." C) "You say you hear voices. What are they telling you?" D) "Please tell the voices to leave you alone for now."

C) "You say you hear voices. What are they telling you?"

A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? ATI MH 12 A) A client who has schizophrenia with delusions of grandeur B) A client who has manifestations of depression and attempted suicide a year ago C) A client who has borderline personality disorder and assaulted a homeless man with a metal rod D) A client who has bipolar disorder and paces quickly around the room while talking to themselves

C) A client who has borderline personality disorder and assaulted a homeless man with a metal rod

A nurse is planning care for several clients who are attending community-based mental health programs. Which of the following clients should the nurse visit first? ATI MH 39 A) A client who received a burn on the arm while using a hot iron at home. B) A client who requests a change of antipsychotic medication due to some new adverse effects. C) A client who reports hearing a voice saying that life is not worth living anymore. D) A client who tells the nurse about experiencing manifestations of severe anxiety before and during a job interview.

C) A client who reports hearing a voice saying that life is not worth living anymore.

Which individual may need voluntary hospitalization? A) A person with alcoholism who has been sober for 6 months but has started drinking again. B) An individual with schizophrenia who has stopped taking prescribed antipsychotic drugs. C) An individual with bipolar disorder, manic phase, who has not eaten in 4 days. D) Someone who repeatedly phones a national TV broadcasting service with new tips.

C) An individual with bipolar disorder, manic phase, who has not eaten in 4 days.

Which is a symptom of serotonin syndrome? A) Bradycardia B) Hypothermia C) Apnea D) Hypotension

C) Apnea

A nurse observes a client who has OCD repeatedly applying, removing, and reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? ATI MH 59 A) Narcissistic behavior B) Fear of rejection from staff C) Attempt to reduce anxiety D) Adverse effect of antidepressant medication

C) Attempt to reduce anxiety

A nurse is assisting with a court-ordered evaluation of a client who has an antisocial personality disorder. Which of the following findings should the nurse expect? SATA ATI MH 85 A) Demonstrates extreme anxiety when placed in a social situation. B) Often engages in magical thinking. C) Attempts to convince other clients to relinquish their belongings. D) Becomes agitated if personal area is not neat and orderly. E) Blames others for personal past and current problems.

C) Attempts to convince other clients to relinquish their belongings. E) Blames others for personal past and current problems.

A nurse in an acute mental health facility is assisting with discharge planning for a client who has a severe mental illness and requires supervision. The client's partner works all day but is home by late afternoon. Which of the following strategies should the nurse suggest for follow-up care? ATI MH 39 A) Receiving daily care from a home health aide B) Having a weekly visit from a nurse case worker C) Attending a partial hospitalization program D) Visiting a community mental health center on a daily basis

C) Attending a partial hospitalization program

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? ATI MH 156 A) Chew the gum 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.

C) Avoid eating 15 min prior to chewing the gum.

A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion? ATI MH 53 A) Borderline personality disorder B) Acute withdrawal related to a substance use disorder C) Bipolar disorder with rapid cycling D) Dysphoric disorder

C) Bipolar disorder with rapid cycling

A nurse is assisting the guardians of a school-age child who has oppositional defiant disorder in identifying strategies to promote positive behavior. Which of the following strategies should the nurse recommend? SATA ATI MH 170 A) Allow the child to choose which behaviors are unacceptable. B) Use role-playing to act out unacceptable behavior. C) Develop a reward system for acceptable behavior. D) Encourage the child to participate in school sports. E) Be consistent when addressing unacceptable behavior.

C) Develop a reward system for acceptable behavior. D) Encourage the child to participate in school sports. E) Be consistent when addressing unacceptable behavior.

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? ATI MH 97 A) Chlordiazepoxide B) Bupropion C) Disulfiram D) Carbamazepine

C) Disulfiram

A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol? SATA ATI MH 156 A) Lorazepam B) Diazepam C) Disulfiram D) Naltrexone E) Acamprosate

C) Disulfiram D) Naltrexone E) Acamprosate

A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse implement as a method of tertiary prevention? ATI MH 39 A) Educating clients on health promotion techniques to reduce the risk of depression. B) Performing screenings for depression at community health programs. C) Establishing rehabilitation programs to decrease the effects of depression. D) Providing support groups for clients at risk for depression.

C) Establishing rehabilitation programs to decrease the effects of depression.

The nurse is caring for a 6-year-old child and discovers several injuries indicative of physical abuse. Which action by the nurse is of highest priority? A) Document the location of each wound in the electronic medical record. B) Provide the child with contact information for a self-defense course. C) Following established hospital protocols, report the suspected abuse. D) Confront the parents of the child and determine who is abusing the child.

C) Following established hospital protocols, report the suspected abuse.

A nurse is assisting with systemic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? ATI MH 39 A) Demonstrate riding in an elevator, and then ask the client to imitate the behavior. B) Advise the client to say "stop" out loud every time they begin to feel an anxiety response related to an elevator. C) Gradually expose the client to an elevator while practicing relaxation techniques. D) Stay with the client in an elevator until the anxiety response diminishes.

C) Gradually expose the client to an elevator while practicing relaxation techniques.

A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as priority? ATI MH 97 A) Orient the client frequently to time, place, and person. B) Offer fluids and nourishing diet as tolerated. C) Implement seizure precautions. D) Encourage participation in group therapy sessions.

C) Implement seizure precautions.

Which of the following would the nurse expect to assess in a client with antisocial personality disorder? A) Overwhelming empathy B) High self-esteem C) Manipulative behaviors D) Pervasive suspiciousness

C) Manipulative behaviors

A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? SATA ATI MH 53 A) Hypotension B) Paralytic ileus C) Memory loss D) Polyuria E) Confusion

C) Memory loss E) Confusion

A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. Which of the following is the priority nursing action? ATI MH 183 A) Encourage the client to express feelings out loud. B) Maintain eye contact with the client. C) Move the client away from others. D) Tell the client that the behavior is not acceptable.

C) Move the client away from others.

A client who drinks heavily was admitted to the inpatient unit 24 hours ago. The client has a fever and is diaphoretic. Which action by the nurse is most appropriate? A) Administer PRN dose of prescribed disulfiram and initiate cooling measures. B) Reassure the patient that while uncomfortable, the symptoms are not dangerous. C) Observe the client as they drink a bottle of Gatorade and continue to monitor. D) Contact the provider and request transfer of the client to the intensive care unit.

C) Observe the client as they drink a bottle of Gatorade and continue to monitor.

A nurse is planning a self education program on substance use in older adults. Which of the following information should the nurse include in the presentation? ATI MH 97 A) Older adults require higher doses of a substance to achieve a desired effect. B) Older adults commonly use rationalization to cope with a substance use disorder. C) Older adults are at an increased risk for substance use following retirement. D) Older adults develop substance use to mask manifestations of dementia.

C) Older adults are at an increased risk for substance use following retirement.

A nurse is making a home visit to a client who is in the late stage of Alzheimer's disease. The client's partner, who is the primary caregiver, wishes to discuss concerns about the client's nutrition and the stress of providing care. Which of the following actions should the nurse take? ATI MH 91 A) Verify that a current power of attorney document is on file. B) Instruct the client's partner to offer finger foods to increase oral intake. C) Provide information on resources for respite care. D) Schedule the client for placement of an enteral feeding tube.

C) Provide information on resources for respite care.

A patient diagnosed with schizophrenia has taken haloperidol 5 mg po bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a mask-like face, and drooling. Which term applies to these symptoms? A) Neuroleptic malignant syndrome B) Hepatocellular effects. C) Pseudoparkinsonism D) Akathisia

C) Pseudoparkinsonism

During which phase of escalation does the staff debriefing occur? A) Escalation phase B) Crisis phase C) Recovery phase D) Postcrisis phase

C) Recovery phase Allows for discussion of the event, how it was handled, what worked well or needed improvement, and how the situation could have been diffused more effectively

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should expect a prescription for which of the following medications? ATI MH 141 A) Chlorpromazine B) Thiothixene C) Risperidone D) Haloperidol

C) Risperidone

As a nurse prepares to administer medication to a patient diagnosed with a borderline personality disorder. The patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response? A) Reinforce this assertive action by the patient. Leave the medication on the table as requested. B) Respond to the patient, "I'm worried that you might not take it. I'll come back later." C) Say to the patient, "I must watch you take the medication. Please take it now." D) Say to the patient, "Take the medication or else!"

C) Say to the patient, "I must watch you take the medication. Please take it now."

A person has minor physical injuries after an auto accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is the person's level of anxiety? A) Mild B) Moderate C) Severe D) Panic

C) Severe

A nurse is caring for a client following the loss of a partner due to a terminal illness. Identify the sequence of Engel's five stages of grief that the nurse should expect the client to experience. (Select the stages of grief in order of occurrence. All steps must be used.) ATI MH 164 A) Developing awareness B) Restitution C) Shock and disbelief D) Recovery E) Resolution of the loss

C) Shock and disbelief A) Developing awareness B) Restitution E) Resolution of the loss D) Recovery

What is the nurse's priority focused assessment for side effects in a child taking methylphenidate for ADHD? A) Dystonia, akinesia, and extrapyramidal symptoms B) Bradycardia and hypotensive episodes C) Sleep disturbances and weight loss D) Neuroleptic malignant syndrome

C) Sleep disturbances and weight loss

An 11-year-old diagnosed with ODD becomes angry over the rules at a residential treatment program and begins cursing at the nurse. Select the best method for the nurse to defuse the situation. A) Ignore the child's behavior. B) Send the child to time-out for 2 hours. C) Take the child to the gym and engage in an activity. D) Role-play a more appropriate behavior with the child.

C) Take the child to the gym and engage in an activity.

A client tells the nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me." Which of the following actions should the nurse take? ATI MH 12 A) Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince them to admit to hiding the knife. B) Keep the client's communication confidential, but watch the client and their roommate closely. C) Tell the client that this must be reported to the healthcare team because it concerns the health and safety of the client and others. D) Report the incident to the healthcare team, but do not inform the client of the intention to do so.

C) Tell the client that this must be reported to the healthcare team because it concerns the health and safety of the client and others.

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider? ATI MH 127 A) The client has a family history of seasonal pattern depression. B) The client currently smokes 1.5 packs of cigarettes per day. C) The client had a motor vehicle crash last year and sustained a head injury. D) The client has a BMI of 25 and has gained 10lb over the last year.

C) The client had a motor vehicle crash last year and sustained a head injury.

A nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealization? ATI MH 64 A) The client describes a feeling of floating above the ground. B) The client has suspicions of being targeted in order to be killed and robbed. C) The client states that the furniture in the room seems to be small and far away. D) The client cannot recall anything that happened during the past 2 weeks.

C) The client states that the furniture in the room seems to be small and far away.

A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? ATI MH 18 A) The nurse discusses the client's weight loss during a healthcare team meeting. B) The nurse examines their own personal feelings about clients who have anorexia nervosa. C) The nurse asks the client about personal body image perception. D) The nurse present an educational session about anorexia nervosa to a large group of adolescents.

C) The nurse asks the client about personal body image perception.

When alprazolam is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to: A) report drowsiness. B) eat a tyramine-free diet. C) avoid alcoholic beverages. D) adjust dose and frequency based on anxiety level.

C) avoid alcoholic beverages.

One week after beginning therapy with olanzepine, the client demonstrates muscle rigidity, a temperature of 103°F, stupor, and incontinence. The nurse should notify the physician because these symptoms are indicative of what? A) acute dystonic reaction. B) extrapyramidal side effects. C) neuroleptic malignant syndrome. D) tardive dyskinesia.

C) neuroleptic malignant syndrome.

A patient diagnosed with obsessive-compulsive disorder expresses anxiety due to their inability to refrain from the daily and irrational practice of deep cleaning the home. The nurse helps this patient identify what as the source of the behavior? A) feelings of responsibility for the health of family members B) approval-seeking behavior from friends and family C) persistent thoughts about bacteria, germs, and dirt D) needs to avoid interactions with others

C) persistent thoughts about bacteria, germs, and dirt

A patient tells a nurse, "I know I shouldn't drink so much, but I've been assigned a really difficult project at work, and allowing myself that indulgence is the only thing getting me through this." This patient is demonstrating which defense mechanism? A) denial. B) projection. C) rationalization. D) compensation.

C) rationalization.

A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the guardian about this disorder, which of the following statements should the nurse include in the teaching? ATI MH 170 A) "Behaviors associated with ADHD are present prior to age 3." B) "This disorder is characterized by argumentativeness." C) "Below-average intellectual functioning is associated with ADHD." D) "Because of this disorder, your child is at an increased risk for injury."

D) "Because of this disorder, your child is at an increased risk for injury."

A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment? A) "It sounds as though you were uncomfortable with the content of your dream." B) "I understand what you're saying. Bad dreams leave me feeling tired, too." C) "So you feel as though you did not get enough quality sleep last night?" D) "Can you give me an example of what you mean by 'stoned'?"

D) "Can you give me an example of what you mean by 'stoned'?"

A patient diagnosed with schizophrenia anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question. A) "How long has the voice been directing your behavior?" B) "Does what the voice tell you to do frighten you?" C) "Do you recognize the voice speaking to you?" D) "Can you tell me what you are being told to do?"

D) "Can you tell me what you are being told to do?"

A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client's caregiver, which of the following statements is the priority to report to the provider? ATI MH 133 A) "Current medical conditions include diabetes that is controlled by diet." B) "Recent medications include a course of prednisone for acute bronchitis." C) "Current vaccinations include a flu vaccine last month." D) "Current medications include furosemide for congestive heart failure."

D) "Current medications include furosemide for congestive heart failure."

A nurse in a long-term care facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building. The client states, "I have to get home." Which of the following statements should the nurse make? ATI MH 91 A) "You have forgotten that this is your home." B) "You cannot go outside without a staff member." C) "Why would you want to leave? Aren't you happy with your care?" D) "I am your nurse. Let's walk together to your room."

D) "I am your nurse. Let's walk together to your room."

A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? ATI MH 39 A) "I will write down my dreams as soon as I wake up." B) "I might begin to associate my therapist with important people in my life." C) "I can learn to express myself in a nonaggressive manner." D) "I should say the first thing that comes to my mind."

D) "I should say the first thing that comes to my mind."

A nurse is talking with a caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child's condition, which of the following responses should the nurse make? ATI MH 18 A) "I think your child is getting better. Have you noticed?" B) "I'm sure everything will be okay. It just takes time to heal." C) I'm not sure what's wrong. Have you asked the doctor about your concerns?" D) "I understand you're concerned. Let's discuss what concerns you specifically."

D) "I understand you're concerned. Let's discuss what concerns you specifically."

A nurse is providing teaching for a client who is scheduled to receive ECT for a treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? ATI MH 53 A) "It is common to treat depression with ECT before trying medications." B) "I can have my depression cured if I receive a series of ECT treatments." C) "I should receive ECT once a week for 6 weeks." D) "I will receive a muscle relaxant to protect me from injury during ECT."

D) "I will receive a muscle relaxant to protect me from injury during ECT."

A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? ATI MH 53 A) "TMS is indicated for clients who have schizophrenia spectrum disorders." B) "I will provide post anesthesia care following TMS." C) "TMS treatments usually last 5 to 10 minutes." D) "I will schedule the client for TMS treatments 3 to 5 times a week for the first several weeks."

D) "I will schedule the client for TMS treatments 3 to 5 times a week for the first several weeks."

A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self." A) "I've also had traumatic life experiences. Maybe it would help if I told you about them." B) "Why do you think you had so much difficulty adjusting to this change in your life?" C) "I hope you will feel better after getting accustomed to how this unit operates." D) "I'd like to sit with you for a while to help you get comfortable talking to me."

D) "I'd like to sit with you for a while to help you get comfortable talking to me."

A patient diagnosed with schizophrenia says, "It's beat. Time to eat. No room for the cat." Which response by nurse is most appropriate? A) "You're not making any sense, try again." B) "Why are you engaging in clang association?" C) "It's not time to eat, come back at dinner time." D) "I'm having difficulty understanding what you are saying."

D) "I'm having difficulty understanding what you are saying."

Which statement by the patient would indicate they are experiencing complicated grieving? A) "The man I've been having an affair with died last night in a car accident" B) "Nobody tells you what to expect if you have a miscarriage, I'm lost" C) "My wife died last month from cancer, I think about her every day" D) "It's been two years since he died. If I had called 911 he would still be here"

D) "It's been two years since he died. If I had called 911 he would still be here"

A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response. A) "Just ignore them and they will leave you alone." B) "You should make friends with other children." C) "Call them names if they do that to you." D) "Tell me more about how you feel."

D) "Tell me more about how you feel."

Select the best response for the nurse to a question from another health professional regarding the difference between a diagnosis in DSM-V and a nursing diagnosis. A) "There is no functional difference between the two. Both identify human disorders." B) "The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes culture into account." C) "The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis does not explore etiology." D) "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing."

D) "The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing."

During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. How should the nurse respond? A) "Why do you keep asking about me?" B) "Nurses direct the interviews with patients." C) "Do not ask questions about my personal life." D) "The time we spend together is to discuss your concerns."

D) "The time we spend together is to discuss your concerns."

Which assessment question would best assess a patient for concrete vs. abstract thinking? A) "Are you seeing anything that you think may not be real?" B) "If you found a wallet on the ground, what would you do?" C) "How does having bipolar disorder effect your daily life?" D) "What do I mean when I say "Break a leg"?"

D) "What do I mean when I say "Break a leg"?"

The client asks the nurse, "What will happen if I drink while taking disulfiram?" What should be the nurse's reply? A) "You will not want to drink while taking Antabuse. It reduces the cravings." B) "You will not get any effect from the alcohol you drink." C) "Disulfiram will reverse the effects of alcohol." D) "You will experience a severe reaction, including a throbbing headache and vomiting."

D) "You will experience a severe reaction, including a throbbing headache and vomiting."

A nurse is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication? ATI MH 183 A) "I wish you would not make me angry." B) "I feel angry when you leave me." C) "It makes me angry when you interrupt me." D) "You'd better listen to me."

D) "You'd better listen to me."

A nurse is conducting a class for a group of newly licensed nurses on caring for clients who are at risk for suicide. Which of the following information should the nurse include in the teaching? ATI MH 180 A) A client's verbal threat of suicide is attention-seeking behavior. B) Interventions are ineffective for clients who really want to commit suicide. C) Using the term suicide increases the client's risk for a suicide attempt. D) A no-suicide contract decreases the client's risk for suicide.

D) A no-suicide contract decreases the client's risk for suicide.

A client is caught taking personal items from another client's room. The nurse knows that this behavior must be addressed by establishing limits and confronting the client about the inappropriate behavior, particularly for which disorder(s)? A) Borderline Personality Disorder B) Antisocial Personality Disorder C) Histrionic Personality Disorder D) All of the above

D) All of the above

Jeff's parents have described his lack of interest in things he used to enjoy, like games with his friends, and his classes, which he used to like. This may be best described by the term A) Inappetence B) Impotence C) Indolence D) Anhedonia

D) Anhedonia

A client immediately transitions from a kind and gentle demeanor to verbally assaulting the nurse and threatens to engage in self-harm when not getting their way. The nurse recognizes this as what? A) Avoidant personality disorder B) Obsessive-Compulsive Personality C) Paranoid Personality Disorder D) Borderline Personality Disorder

D) Borderline Personality Disorder

The nurse is caring for a patient experiencing moderate levels of anxiety, and determines that the patient would benefit from an atypical (non-benzodiazepine) anxiolytic. The nurse reviews the patient's PRN medications and correctly prepares to administer: A) Lorazepam B) Quetiapine C) Omeprazole D) Buspirone

D) Buspirone

Your patient tells you, "I can't take it anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment? A) Identify measures useful to help improve the couple's communication. B) The patient's feelings about the possibility of having a mastectomy C) Whether the husband is still engaged in an extramarital affair D) Clarify what the patient means by "I can't take anymore."

D) Clarify what the patient means by "I can't take anymore."

A nurse is caring for a client who is on suicide precautions. Which of the following interventions should the nurse include in the plan of care? ATI MH 180 A) Assign the client to a private room. B) Document the client's behavior every hour. C) Allow the client to keep perfume in her room. D) Ensure that the client swallows medication.

D) Ensure that the client swallows medication.

A nurse is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care? ATI MH 102 A) Allow the client to select preferred mealtime. B) Establish consequences for purging behavior. C) Provide the client with a high-fat diet at the start of treatment. D) Implement one-to-one observation during mealtimes.

D) Implement one-to-one observation during mealtimes.

A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? ATI MH 18 A) Personal space B) Posture C) Eye contact D) Intonation

D) Intonation The tone of one's voice

A nurse is caring for a client who has bipolar disorder. Which of the following is the priority nursing action? ATI MH 75 A) Set consistent limits for expected client behavior. B) Administer prescribed medications as scheduled. C) Provide the client with step-by-step instructions during hygiene activities. D) Monitor the client for escalating behavior.

D) Monitor the client for escalating behavior.

Which medication to maintain abstinence would most likely be prescribed for patients with an addiction to either alcohol or opioids? A) Bromocriptine B) Methadone C) Disulfiram D) Naltrexone

D) Naltrexone

A nurse is caring for a school-age child who has conduct disorder and a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication? ATI MH 150 A) Apply the patch once daily at bedtime. B) Place the patch carefully in a trash can after removal. C) Apply the transdermal patch to the anterior waist area. D) Remove the patch each day after 9hr.

D) Remove the patch each day after 9hr.

A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse provide? ATI MH 118 A) Three to six weeks of treatment is required to achieve therapeutic benefit. B) Combining alcohol with alprazolam will produce a paradoxical response. C) Alprazolam has a lower risk of dependence than other antianxiety medications. D) Report confusion as a potential indication of toxicity.

D) Report confusion as a potential indication of toxicity.

A nurse in an acute mental health facility is communicating with a client. The client states, "I can't sleep, I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? ATI MH 18 A) Offering general leads B) Summarizing C) Focusing D) Restating

D) Restating

What are the four areas that must be assessed in a crisis situation? A) Safety, Perception of the Event, Patient Judgement, Coping Skills B) Safety, Patient Judgement, Support System, Coping Skills C) Safety, Perception of the Event, Support System, Patient Judgement D) Safety, Perception of the Event, Support System, Coping Skills

D) Safety, Perception of the Event, Support System, Coping Skills

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? ATI MH 59 A) Discuss new relaxation techniques B) Show the client how to change the behavior C) Distract the client with a television show D) Stay with the client and remain quiet

D) Stay with the client and remain quiet

A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with the child's disorder? A) The child has occasional toileting accidents. B) The child interrupts or intrudes on others. C) The child cries when separated from a parent. D) The child continuously rocks in place for 30 minutes.

D) The child continuously rocks in place for 30 minutes.

A nurse is assessing a client who has been placed in restraints. Which finding would indicate that the client is ready to reintegrate into the milieu? A) The client's vital signs are within expected range. B) The client requests to use the bathroom. C) The client accepts foods and liquids offered. D) The client demonstrates the ability to follow directions.

D) The client demonstrates the ability to follow directions.

A nurse is collecting an admission history for a client who has acute stress disorder (ASD). Which of the following client behaviors should the nurse expect? ATI MH 64 A) The client remembers many details about the traumatic incident. B) The client expresses heightened elation about what is happening. C) The client remembers first noticing manifestations of the disorder 6 weeks after the traumatic incident occurred. D) The client expresses a sense of unreality about the traumatic event.

D) The client expresses a sense of unreality about the traumatic event.

A client was admitted overnight following a three-day drinking binge. The following morning the client is agitated and presents with hand tremors. The nurse recognizes these symptoms as indicative of what? A) The client is still intoxicated and fall risk prevention measures should be implemented. B) The client is feigning withdrawal symptoms in an effort to receive anxiolytic medication. C) The client is experiencing Wernicke-Korsakoff syndrome and IV thiamine is indicated. D) The client is experiencing classic signs of alcohol withdrawal commonly called the Jitters

D) The client is experiencing classic signs of alcohol withdrawal commonly called the Jitters

A nurse in an acute mental health facility is planning care for a client who has dissociative fugue. Which of the following interventions should the nurse add to the plan of care? ATI MH 64 A) Teach the client to recognize how stress brings on a personality change in the client. B) Repeatedly present the client with information about past events. C) Make decisions for the client regarding routine daily activities. D) Work with the client on grounding techniques.

D) Work with the client on grounding techniques.

A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after A) identifying culture-bound issues. B) implementing scientifically proven interventions. C) correcting inferior health practices of the population. D) exploring commonly held beliefs and values of the population.

D) exploring commonly held beliefs and values of the population.

After a spouse's death, the partner repeatedly says, "I should have recognized what was happening and been more helpful." This adult is experiencing A) depression B) bargaining C) anger D) guilt

D) guilt

The nurse assigned to ACT should explain the program's treatment goal as: A) assisting patients to maintain abstinence from alcohol and other substances of abuse B) providing a daily outpatient program that is highly structured and therapeutic for patients with a strong support system. C) maintaining medications and stable psychiatric status for incarcerated inmates who have a history of mental illness. D) providing services for mentally ill individuals who require intensive treatment to continue to live in the community.

D) providing services for mentally ill individuals who require intensive treatment to continue to live in the community.

The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment to include: A) arrogant, grandiose, and a sense of self-importance B) attention seeking, melodramatic, and flirtatious. C) impulsive, restless, socially aggressive behavior. D) socially anxious, rambling stories, peculiar ideas.

D) socially anxious, rambling stories, peculiar ideas.

Which individual diagnosed with mental illness may need emergency or involuntary admission? The individual who: A) resumes using heroin while still taking naltrexone (ReVia) B) reports hearing angels playing harps during thunderstorms. C) does not keep an outpatient appointment with the mental health nurse. D) throws a heavy plate at a waiter at the direction of command hallucinations.

D) throws a heavy plate at a waiter at the direction of command hallucinations.

True or False: A client with narcissistic personality disorder typically likes to be the center of attention.

False. Being the center of attention is a finding typically associated with a client with a histrionic personality disorder.

True or False: Cluster A personality disorders are characterized by dramatic and emotional behaviors.

False. Cluster A personality disorders are characterized by odd or eccentric behaviors.

True or False: Hostility and aggression are terms that can be used interchangeably.

False. Hostility means verbal aggression. Physical aggression involves attack on or injury to another person or destruction of property.

True or False: A client with a history of violent or aggressive behavior is more likely to exhibit similar behavior in the future.

True. A history of violent or aggressive behavior is one of the best predictors of future aggression.

Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply. a. Hold his medication and contact his prescriber. b. Wipe him with a washcloth wet with cold water or alcohol. c. Administer a medication such as benztropine IM to correct this dystonic reaction. d. Reassure him that although there is no treatment for his tardive dyskinesia, it will pass. e. Hold his medication for now and consult his prescriber when he comes to the unit later today.

a. Hold his medication and contact his prescriber. b. Wipe him with a washcloth wet with cold water or alcohol. This patient is experiencing Neuroleptic Malignant Syndrome (NMS)