Which activity is most appropriate for a child with ADHD?
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ATI RN · Mental Health Nursing Practice Questions
Question 2 of 75
Substance abuse is often present in individuals diagnosed with bipolar disorder. Laura, a 28-year-old with a bipolar disorder diagnosis, chooses to drink alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that:
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Question 3 of 75
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
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Question 4 of 75
Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient's nursing diagnosis is altered thought processes?
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Question 5 of 75
Kyle, a patient with schizophrenia, began taking 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 one that does not apply.
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Question 6 of 75
A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing:'
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Question 7 of 75
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select one that doesn't apply.
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Question 8 of 75
Pablo is a homeless adult who has no family connection. Pablo passed out on the street, and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select one that doesn't apply.
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Question 9 of 75
Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
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ATI RN · Mental Health Nursing Practice Questions
Question 10 of 75
When explaining suicide precautions to a client, what would be the best explanation?
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ATI RN · Mental Health Nursing Practice Questions
Question 11 of 75
Which statement demonstrates a well-structured attempt at limit setting?
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Question 12 of 75
Which chronic medical condition commonly triggers major depressive disorder?
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Question 13 of 75
In pediatric mental health, there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select one that doesn't apply.
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Question 14 of 75
The mental health team is determining treatment options for a male patient experiencing psychotic symptoms. Which question shouldn't the team answer to determine whether a community outpatient or inpatient setting is most appropriate?
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ATI RN · Mental Health Nursing Practice Questions
Question 15 of 75
How do epidemiological studies contribute to improvements in care for individuals with mental disorders?
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Question 16 of 75
Tatiana has been hospitalized for an acute manic episode. On admission, the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
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ATI RN · Mental Health Nursing Practice Questions
Question 17 of 75
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
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Question 18 of 75
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
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Question 19 of 75
Luc's family comes home one evening to find him extremely agitated, and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?
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Question 20 of 75
Which characteristic presents the greatest risk for injury to others in a patient diagnosed with schizophrenia?
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Question 21 of 75
A nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
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Question 22 of 75
In addition to antianxiety agents, which classification of drugs is commonly prescribed to treat anxiety and anxiety disorders?
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Question 23 of 75
A woman was abducted and raped at gunpoint by an unknown assailant. When found, she was confused and disoriented. The nurse makes the following observations about the client. She is talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make simple decisions. The client's level of anxiety can be assessed as
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Question 24 of 75
Which approach involves surgically implanting electrodes into specific areas of the brain to stimulate regions identified as underactive in depression?
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Question 25 of 75
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
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Question 26 of 75
A client displays signs and symptoms indicative of hypochondriasis. The nurse would initially expect to see:
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Question 27 of 75
When providing care for 10-year-old Harper diagnosed with posttraumatic stress disorder (PTSD), which goal should be addressed initially?
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Question 28 of 75
During cognitive-behavioral therapy, a 12-year-old patient reports to the nurse practitioner:
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Question 29 of 75
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to identify the symptoms present in a specific psychiatric disorder. The best answer would be:
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Question 30 of 75
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?
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Question 31 of 75
In the care plan of a male patient diagnosed with a dissociative disorder, the nursing diagnosis of ineffective coping is included. Which behavior demonstrated by the patient supports this nursing diagnosis?
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Question 32 of 75
Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to:
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Question 33 of 75
During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select one that doesn't apply.
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ATI RN · Mental Health Nursing Practice Questions
Question 34 of 75
When attempting to determine a teenager's mental health resilience, what assessment question should the nurse ask that is not applicable?
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ATI RN · Mental Health Nursing Practice Questions
Question 35 of 75
Which drug group requires nursing assessment for the development of abnormal movement disorders in individuals taking therapeutic dosages?
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ATI RN · Mental Health Nursing Practice Questions
Question 36 of 75
When explaining one of the main differences between narcolepsy and obstructive sleep apnea syndrome, what should the nurse mention?
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Question 37 of 75
What assessment question will provide information to the healthcare provider regarding the effects of a woman's circadian rhythms on her quality of life?
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Question 38 of 75
Which intervention focuses on managing a common characteristic of major depressive disorder associated with the older population?
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ATI RN · Mental Health Nursing Practice Questions
Question 39 of 75
How does emotional trauma typically affect individuals physically?
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Question 40 of 75
Which patient should be most carefully assessed for fluid and electrolyte imbalance among those receiving the following drugs?
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ATI RN · Mental Health Nursing Practice Questions
Question 41 of 75
Which statement made by the patient demonstrates an understanding of the treatment of choice for patients managing the effects of traumatic events?
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ATI RN · Mental Health Nursing Practice Questions
Question 42 of 75
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states,
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Question 43 of 75
What principle about patient-nurse communication should guide a nurse's fear of saying the wrong thing to a patient?
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Question 44 of 75
When using therapeutic communication with a withdrawn patient who has major depression, an effective method of managing the silence is to:
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Question 45 of 75
Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? Select one that doesn't apply.
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Question 46 of 75
During pregnancy, a woman is in a relationship with a male who routinely abuses her. Her unborn child may engage in high-risk behavior as a teen as a result of:
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Question 47 of 75
Which response demonstrates accurate information that should be discussed with the female patient diagnosed with bipolar disorder and her support system? Select the incorrect one.
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Question 48 of 75
Which characteristic identified during an assessment serves to support a diagnosis of disruptive mood dysregulation disorder? Select one that doesn't apply.
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Question 49 of 75
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
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Question 50 of 75
A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing intervention will the nurse implement initially?
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Question 51 of 75
The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer, 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:
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Question 52 of 75
Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder?
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ATI RN · Mental Health Nursing Practice Questions
Question 53 of 75
Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
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Question 54 of 75
Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select one that doesn't apply.
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Question 55 of 75
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective?
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Question 56 of 75
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
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Question 57 of 75
When should healthcare professionals be most alert to the possibility of communication errors resulting in harm to the patient?
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Question 58 of 75
Which statement by the patient indicates a need for further teaching regarding the treatment of major depressive disorder?
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Question 59 of 75
Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select one that does not apply.
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Question 60 of 75
Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:
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Question 61 of 75
In a client's history, a significant indicator suggesting marginal coping skills and the need for careful risk assessment for violence is a history of
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Question 62 of 75
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for the day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
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Question 63 of 75
Natasha's husband died suddenly two months ago, and she has been overwhelmed with grief. When Natasha is subsequently diagnosed with major depressive disorder, her daughter, Nadia, makes which true statement?
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Question 64 of 75
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
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Question 65 of 75
Which intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
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Question 66 of 75
Why is it important to establish a contract with a client with an eating disorder at the beginning of treatment?
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Question 67 of 75
Which statement is an example of reflection?
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Question 68 of 75
The healthcare provider is providing medication education to a patient who has been prescribed lithium to stabilize mood. Which early signs and symptoms of toxicity should the healthcare provider stress to the patient? Select one that does not apply.
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Question 69 of 75
Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce Ted's mania, the psychiatric nurse practitioner recommends:
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Question 70 of 75
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
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Question 71 of 75
An individual who has survived incest and is receiving treatment at the mental health clinic feels relief upon understanding that her anxiety and depression are:
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Question 72 of 75
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above-average grades. The strongest explanation of this response is:
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Question 73 of 75
Which behavior is consistent with therapeutic communication?
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Question 74 of 75
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
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Question 75 of 75
Which statement made by the patient demonstrates an understanding of the effective use of newly prescribed lithium to manage bipolar mania? Select one that doesn't apply.
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