ATI Mental Health Proctored Exam Review

 Qwivy | Qwivy.com | www.qwivy.com

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

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

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

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

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

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

 Qwivy | Qwivy.com | www.qwivy.com

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

experiencing withdrawal manifestations. Which of the following medications should the

nurse anticipate administering to assist the client with maintaining abstinence from

alcohol?

a. Chlordiazepoxide

b. Bupropion

c. Disulfiram

d. Carbamazepine

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

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

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

a. Observes group techniques without interfering with the group process

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

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

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

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

problems.

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

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

teaching? (Select all that apply)

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

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

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

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

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

 Qwivy | Qwivy.com | www.qwivy.com

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

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

priority?

a. Administer flumazenil

b. Identify the client's level of orientation

c. Infuse IV fluids

d. Prepare the client for gastric lavage

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

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

understands the use of this medication?

a. "I will take the medication at bedtime.

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

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

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

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

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

syndrome? (Select all that apply)

a. Hypothermia

b. Hallucinations

c. Muscular flaccidity

d. Diaphoresis

e. Agitation 

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

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

a. Elevated blood glucose level

b. Orthostatic hypotension

c. Priapism

d. Headache

e. Bruxism

 Qwivy | Qwivy.com | www.qwivy.com

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

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

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

bruxism? (Select all that apply)

a. Concurrent administration of buspirone

b. Administration of a different SSRI

c. Use of a mouth guard.

d. Changing to a different class of antianxiety medication

e. Increasing the dose of paroxetine

A nurse is caring for a client following the loss of her 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 the order of occurrence. All steps must be

used.)

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 

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?

a. "While taking this medication, I'll need to stay out of the sun to avoid a skin rash.

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."

 Qwivy | Qwivy.com | www.qwivy.com

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?

a. The client has a family history of SAD.

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 10 lb. over the last year.

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

adult daughter, which of the following statements is the priority to report to the

provider?

a. "My mother has diabetes that is controlled by her diet."

b. "My mother recently completed a course of prednisone for acute bronchitis."

c. "My mother received her flu vaccine last month."

d. "My mother is currently on furosemide for her congestive heart failure."

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a

flat affect. The nurse should anticipate a prescription of which of the following

medications?

a. Chlorpromazine

b. Thiothixene

c. Risperidone

d. Haloperidol

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? (Select all that apply)

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

 Qwivy | Qwivy.com | www.qwivy.com

A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the

following statements by the newly licensed nurse indicates understanding?

a. "This medication increases the release of serotonin and norepinephrine."

b. "I will need to monitor the client for hyponatremia 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 nurse is caring for a client who is prescribed lithium therapy. The client states that he

wants to take ibuprofen for osteoarthritis pain relief. Which of the following statements

should the nurse make?

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."

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? (Select all that apply)

a. Constipation

b. Polyuria

c. Rash

d. Muscle weakness

e. Tinnitus

 Qwivy | Qwivy.com | www.qwivy.com