ATI RN MENTAL HEALTH ONLINE PRACTICE

ATI RN MENTAL HEALTH ONLINE PRACTICE

2024 A AND B WITH NGN 200 QUESTIONS AND

ANSWERS WITH RATIONALES LATEST

VERSION AGRADE

ATI RN Mental Health Online Practice A

A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening?

• Offering self
• Use of silence
• Attention to body language
• Reflection of feelings - ANSWER✔✔c. Attention to body language

RATIONALE-Use of active listening involves identifying verbal and nonverbal communication by the client, which includes attention to body language.A home health nurse is assessing an older adult client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect?

• Increased confusion
• Sleep disturbances
• Cluttered environment 1 / 4

• Inappropriate dress - ANSWER✔✔d. Inappropriate dress

RATIONALE-Clothing that is soiled or clothing that is not appropriate for weather conditions is a possible indicator of neglect.A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse expect during the admission assessment?

• Diarrhea
• Heavy menstrual bleeding
• Tachycardia
• Orthostatic hypotension - ANSWER✔✔d. Orthostatic hypotension

RATIONALE-Low weight, electrolyte imbalances, starvation, and dehydration cause orthostatic hypotension.This is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy?

• Controls anger outbursts to avoid being placed in seclusion
• No longer exhibits a fear of social or public situations
• Refrains from manipulating others to earn dining room privileges
• Imitates the therapist's use of a relaxation technique - ANSWER✔✔c. Refrains from

manipulating others to earn dining room privileges

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RATIONALE-The goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative behavior is a desired response.A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as a priority?

• Decrease distractions during meal times.
• Provide positive feedback when the child completes a task.
• Clearly identify consequences for unacceptable behavior
• Remove unnecessary equipment from the child's surroundings. - ANSWER✔✔d.

Remove unnecessary equipment from the child's surroundings.

RATIONALE-The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Therefore, the priority intervention is to remove unnecessary equipment from the child's surroundings.The client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? - ANSWER✔✔c. Ask the family member if they have any thoughts or questions about the treatment plan.

RATIONALE-This action involves the family member and allows them a venue to communicate about the client's medication treatment plan.A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 pounds. Available is chlorpromazine syrup 10 mg/5 mL. How many milliliters should the nurse administer? round to whole number - ANSWER✔✔14mL 3 / 4

A nurse is delegating client care tasks to a LPN and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

• Obtain the weight of a client who has bipolar disorder and is experiencing mania
• Assess the nutritional intake of a client who has anorexia nervosa.
• Monitor the cardiovascular status of a client who is experiencing serotonin syndrome
• Change the dressings of a client who has borderline personality disorder and

superficial self-inflicted wounds - ANSWER✔✔d. Change the dressings of a client who has borderline personality disorder and superficial self-inflicted wounds.

A client who has borderline personality disorder is at risk for self-mutilation, such as cutting, self-inflicted wounds, scratching, or picking at wounds. It is within the LPN's scope of practice to change the dressing, cleanse the wound, and collect data regarding the healing of the wound.This is caring for a group of clients. Which of the following findings should the nurse report?

• A client who is taking clozapine and has a WBC count of 7,500/mm3
• A client who is taking lamotrigine and has developed a rash
• A client who is taking valproate and has a platelet count of 150,000/mm3
• A client who is taking lithium and has a lithium level of 1.2 mEq/L - ANSWER✔✔b. A

client who is taking lamotrigine and has developed a rash

RATIONALE-Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify that a rash is a potentially life-threatening adverse effect of the medication and report this finding immediately.

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