ATI Mental Health assessment | Nurselytic

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ATI Mental Health assessment Questions

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Question 1 of 5

A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

Correct Answer: B

Rationale: The correct answer is B. The nurse should assess the client with schizophrenia reporting command hallucinations first as it indicates a high risk of harm to self or others. Command hallucinations are auditory hallucinations that instruct the individual to engage in harmful behaviors. Assessing this client first ensures immediate safety.


Choice A is incorrect because splitting behaviors in borderline personality disorder do not present an immediate risk of harm.
Choice C is incorrect as a fine hand tremor is a common side effect of lithium and can be assessed later.
Choice D is incorrect as dry mouth from nicotine is not urgent compared to potential harm from command hallucinations.

Question 2 of 5

A charge nurse is providing education to a group of newly-licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses by a newly-licensed nurse indicates understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C: These clients can vote in local and federal elections. Involuntary admission does not negate an individual's right to vote. This response indicates understanding of the teaching because it recognizes the importance of upholding clients' rights to participate in the democratic process. The other choices are incorrect because:

A: Inspecting packages does not relate to the rights of involuntarily admitted clients.
B: Participation in a research study is not related to the rights of involuntarily admitted clients.
D: Involuntarily admitted clients have the right to refuse medications unless a court order is obtained.

Question 3 of 5

A nurse is caring for a client who is taking a tricyclic antidepressant. For which of the following findings should the nurse monitor as an adverse effect of tricyclic antidepressants?

Correct Answer: A

Rationale: The correct answer is A: Orthostatic hypotension. Tricyclic antidepressants can cause orthostatic hypotension due to their effects on alpha-adrenergic receptors, leading to a drop in blood pressure when changing positions. The nurse should monitor for dizziness, lightheadedness, and potential falls. Diarrhea (
B) is not a common adverse effect of tricyclic antidepressants. Hyperactivity (
C) is not associated with tricyclic antidepressants and is more commonly seen with stimulant medications. Increased urinary output (
D) is not a typical adverse effect of tricyclic antidepressants; instead, they often cause urinary retention.

Question 4 of 5

A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Available is haloperidol 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 0.4

Rationale: The correct answer is 0.4 mL.
To calculate this, we use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). In this case, Dose = 2 mg and Concentration = 5 mg/mL.
Therefore, Volume = 2 mg / 5 mg/mL = 0.4 mL. The nurse should administer 0.4 mL of haloperidol.
Explanation for other choices:
- A, B, C, D, E, F, G: These choices are incorrect as they do not follow the correct calculation based on the given dose and concentration of the medication. The correct answer is 0.4 mL, which is derived from the precise calculation using the formula.

Question 5 of 5

A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?

Correct Answer: B

Rationale: The correct answer is B: 12-step program. The nurse should recommend this because it provides ongoing support for individuals recovering from alcohol addiction. It involves admitting powerlessness over alcohol, seeking help from a higher power, making amends, and helping others. Reach to recovery (
A) is for cancer patients, Al-Anon (
C) is for families of alcoholics, and light therapy (
D) is not relevant to alcohol withdrawal.
Therefore, the 12-step program is the most appropriate choice for the client's recovery.

Similar Questions

A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
A nurse in a well-child clinic receives a phone call from the parent of an adolescent client. The parent states,"I think my son might try to kill himself. Which of the following statements by the parent is the priority for the nurse to investigate further?
A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

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